An Overview of Abortion Laws

April 24, 2023

Background

On June 24, 2022, the US Supreme Court overturned abortion rights. We are updating this fact sheet as states implement and enforce abortion bans.

Highlights

Physician and Hospital Requirements: 32 states require an abortion to be performed by a licensed physician. 20 states require an abortion to be performed in a hospital after a specified point in the pregnancy, and 17 states require the involvement of a second physician after a specified point.

Gestational Limits: 43 states prohibit abortions after a specified point in pregnancy, with some exceptions provided. The allowable circumstances are generally when an abortion is necessary to protect the patient's life or health.

“Partial-Birth” Abortion: 21 states have laws in effect that prohibit “partial-birth” abortion. 3 of these laws apply only to postviability abortions.

Public Funding: 16 states use their own funds to pay for all or most medically necessary abortions for Medicaid enrollees in the state. 33 states and the District of Columbia prohibit the use of state funds except in those cases when federal funds are available: where the patient's life is in danger or the pregnancy is the result of rape or incest. In defiance of federal requirements, South Dakota limits funding to cases of life endangerment only.

Coverage by Private Insurance: 12 states restrict coverage of abortion in private insurance plans, most often limiting coverage only to when the patient's life would be endangered if the pregnancy were carried to term. Most states allow the purchase of additional abortion coverage at an additional cost.

Refusal: 45 states allow individual health care providers to refuse to participate in an abortion. 42 states allow institutions to refuse to perform abortions, 16 of which limit refusal to private or religious institutions.

State-Mandated Counseling: 17 states mandate that individuals be given counseling before an abortion that includes information on at least one of the following: the purported link between abortion and breast cancer (5 states), the ability of a fetus to feel pain (12 states) or long-term mental health consequences for the patient (8 states).

Waiting Periods: 24 states require a person seeking an abortion to wait a specified period of time, usually 24 hours, between when they receive counseling and the procedure is performed. 12 of these states have laws that effectively require the patient make two separate trips to the clinic to obtain the procedure.

Parental Involvement: 36 states require some type of parental involvement in a minor’s decision to have an abortion. 27 states require one or both parents to consent to the procedure, while 9 require that one or both parents be notified.

Current Policy Status Table

Overview of State Abortion Law (page 1 of 2)
STATE	MUST BE PERFORMED BY A LICENSED PHYSICIAN	MUST BE PERFORMED IN A HOSPITAL IF AT:	SECOND PHYSICIAN MUST PARTICIPATE IF AT:	PROHIBITED EXCEPT IN CASES OF LIFE OR HEALTH ENDANGERMENT IF AT:	"PARTIAL-BIRTH" ABORTION BANNED	PUBLIC FUNDING OF ABORTION		PRIVATE INSURANCE COVERAGE LIMITED
STATE	MUST BE PERFORMED BY A LICENSED PHYSICIAN	MUST BE PERFORMED IN A HOSPITAL IF AT:	SECOND PHYSICIAN MUST PARTICIPATE IF AT:		"PARTIAL-BIRTH" ABORTION BANNED	Funds All or Most Medically Necessary Abortions	Funds Limited to Life Endangerment, Rape and Incest	PRIVATE INSURANCE COVERAGE LIMITED
AL	X	Viability	Viability	0 weeks	▼		X
AK	X				▼	X
AZ	X	Viability	Viability	15 weeks	X		ϴ	X
AR	X	Any point in pregnancy	Viability	0 weeks‡	X		X
CA				Viability		X
CO							X
CT		Viability		Viability		X
DE				Viability^Ω			X
DC							X
FL	X	Viability	15 weeks	24 weeks	▼		X
GA	X			6 weeks^*	Postviability		X
HI				Viability		X
ID	X	Viability	3rd trimester	0 weeks^†	▼		X	X
IL	X^ξ			Viability		X
IN	X	20 weeks	20 weeks	22 weeks^*	X		X^*	X
IA	X			22 weeks^*	▼		X
KS	X		Viability	22 weeks^*	X		X	X
KY	X	2nd trimester		0 weeks^‡	▼		X	X
LA	X		Viability	0 weeks^‡,Ω	X		X
ME				Viability		X
MD				Viability^Ω		X
MA				24 weeks^Ω		X
MI	X			Viability^‡	X		X	X
MN			20 weeks	Viability		X
MS	X^Ф			0 weeks^†	X		X^Ω
MO	X	Viability	Viability	0 weeks^*,‡	X		X	X
MT			Viability	Viability^*	Postviability	X
NE	X			22 weeks^*	▼		X	X
NV	X	24 weeks		24 weeks			X
NH					X		X
NJ		14 weeks			▼	X
NM	X^ξ				Postviability	X
NY				Viability^Ω		X
NC	X	20 weeks		20 weeks*			X
ND	X			22 weeks^*,^ß	X		X	X
OH	X	20 weeks	20 weeks	22 weeks^*	X		X
OK	X	2nd trimester	Viability	0 weeks^‡	X		X	X
OR						X
PA	X	Viability	Viability	24 weeks^*			X
RI	X^ξ			Viability	▼		X
SC	X	3rd trimester	3rd trimester	22 weeks^*	X		X
SD	X	24 weeks		0 weeks^‡	X		Life Only
TN	X	Viability	Viability	0 weeks^*	X		X
TX	X			0 weeks^‡*	X		X	X
UT	X			18 weeks^‡,†,Ω	X		X^*	X
VT						X
VA		2nd trimester	Viability	3rd trimester	X		X^Ω
WA				Viability		X
WV				0 weeks^*,†,Ω	▼		X^* ^,^Ω
WI	X	Viability		22 weeks^*^,ß	▼		X^*
WY	X			▽^†,*,Ω			X
TOTAL	32	20	17	43	21	16	33+DC	12
▼ Permanently enjoined; law not in effect. ▽ Temporarily enjoined; law not in effect. Wyoming’s near-total ban would take effect if the order is dissolved or the court modifies the order. * Exception in case of threat to the patient's physical health. † Exception in case of rape or incest. ‡ Exception in case of life endangerment only. A 2016 New York Attorney General opinion determined that the state’s law conflicts with U.S. Supreme Court rulings on abortion, and that abortion care is permissible under the U.S. Constitution to protect a pregnant person's health, or when the fetus is not viable. Ω Exception in case of fetal abnormality. ß The one clinic in North Dakota has moved to another state. In Wisconsin, due to legal uncertainty around the status of the state's pre-Roe ban, providers have been forced to stop offering abortion care. ϴ Despite a court order, the state Medicaid program does not pay for medically necessary abortions. ξ Only applies to surgical abortion. In New Mexico, some but not all advanced practice clinicians may provide medication abortion. Ф Law limits abortion provision to OB/GYNs. € A court has temporarily blocked enforcement of a Mississippi law that would have banned abortion at 15 weeks after the patient’s last menstrual period.

Overview of State Abortion Law (page 2 of 2)
STATE	PROVIDERS MAY REFUSE TO PARTICIPATE		MANDATED COUNSELING INCLUDES INFORMATION ON:			WAITING PERIOD (in Hours) AFTER COUNSELING	PARENTAL INVOLVEMENT REQUIRED FOR MINORS
	Individual	Institution	Breast Cancer Link	Fetal Pain	Negative Psychological Effects	WAITING PERIOD (in Hours) AFTER COUNSELING	PARENTAL INVOLVEMENT REQUIRED FOR MINORS
AL						48	Consent
AK	X	Private	X	X			▼
AZ	X	X				24	Consent
AR	X	X		X^Ф		72	Consent
CA	X	Religious					▼
CO							Notice
CT	X
DE	X	X					Notice^ξ
DC
FL	X	X				▼	Consent and Notice
GA	X	X		X		24	Notice
HI	X	X
ID	X	X				24	Consent
IL	X	Private
IN	X	Private		X		18	Consent
IA	X	Private				§	Notice
KS	X	X	X	X	X	24	Consent
KY	X	X				24	Consent
LA	X	X		X	X	24	Consent
ME	X	X
MD	X	X					Notice^ξ
MA	X	X					Consent^β
MI	X	X			X	24	Consent
MN	X	Private
MS	X	X	X			24	Consent^þ
MO	X	X		X^Ф		72	Consent
MT	X	Private				▼	Notice^β
NE	X	X			X	24	Consent
NV	X	Private					▼
NH							Notice
NJ	X	Private					▼
NM	X	X					▼
NY	X
NC	X	X			X	72	Consent
ND	X	X				24	Consent^þ
OH	X	X				24	Consent
OK	X	Private	X	X^Ф		72	Consent and Notice
OR	X	Private
PA	X	Private				24	Consent
RI	X						Consent
SC	X	Private				24	Consent
SD	X	X		X	X	72^◊	Notice
TN	X	X				▼	Consent
TX	X	Private	X	X	X	24	Consent and Notice
UT	X	Private		X^Ф		72^◊	Consent and Notice
VT
VA	X	X					Consent and Notice
WA	X	X
WV					X	24	Notice^ξ
WI	X	X		X		24	Consent^ξ
WY	X	Private					Consent and Notice
TOTAL	45	42	5	12	8	24	36
▼ Permanently enjoined; law not in effect. § Enforcement temporarily enjoined by court order; policy not in effect. Ф Fetal pain information is given only to patients with a pregnancy at or after 20 weeks' gestation; in Missouri, patients at 22 weeks' gestation. þ Both parents must consent to the abortion. ξ Specified health professionals may waive parental involvement in certain circumstances. ◊ In South Dakota, the waiting period excludes weekends or annual holidays and in Utah the waiting period is waived in cases of rape, incest, fetal defect or if the patient is younger than 15. β Parental involvement required for minors under the age of 16.