Major Developments in Sexual & Reproductive Health

By mid-June, sixteen state legislatures (AZ, CA, DE, FL, MA, MI, NC, NH, NJ, NY, OH, OR, PA, RI, VT, and WI), five territory legislatures (AS, GU, MP, PR, and VI) and the District of Columbia had convened their regular sessions. Thirty-four states have adjourned their regular sessions (AL, AK, AR, CO, CT, GA, HI, ID, IL, IN, IA, KS, KY, LA, ME, MD, MN, MS, MO, MT, NE, NV, NM, ND, OK, SC, SD, TN, TX, UT, VA, WA, WV and WY). (As of June 15, 2025)

All States as of June 15, 2025

2025
Abortion
Abortion bans

Abortion bans

AbortionAbortion bans

Expands or clarifies exceptions to abortion ban

State Legislation

introduced41
passed one chamber1
passed legislature3
enacted3
vetoed1

Kentucky

In March, the legislature overrode Gov. Andy Beshear’s (D) veto of legislation (H 90) that narrows the life exception to the state’s total abortion ban and requires referral to perinatal palliative care after the diagnosis of a lethal fetal anomaly. The law went into effect immediately.

Tennessee

In April, Gov. Bill Lee (R) signed legislation (S 1004) that narrows the life exception to the state’s total abortion ban to exclude mental health conditions and limits the types of qualifying conditions. The law went into effect upon signing.

AbortionAbortion bans

Gestational duration ban at or after 18 weeks

State Legislation

introduced20
passed one chamber0
passed legislature0
enacted0
vetoed0

AbortionAbortion bans

Gestational duration ban before 18 weeks

State Legislation

introduced11
passed one chamber0
passed legislature0
enacted0
vetoed0

AbortionAbortion bans

No right to abortion in constitution

State Legislation

introduced2
passed one chamber0
passed legislature0
enacted0
vetoed0

AbortionAbortion bans

Reason or method ban

State Legislation

introduced12
passed one chamber0
passed legislature1
enacted1
vetoed0

Arkansas

In April, Gov. Sarah Huckabee Sanders (R) signed legislation (S 591) that prohibits abortion based on the race of the fetus. The law will go into effect if the state loses the authority to ban abortion totally. Currently, Arkansas has a total abortion ban in effect, except when the life of the pregnant person is in danger.

AbortionAbortion bans

Total ban

State Legislation

introduced49
passed one chamber0
passed legislature1
enacted1
vetoed0

Missouri

In May, the Missouri legislature adopted a resolution (HJR 73) that would, if approved by voters, amend the state constitution to largely repeal a 2024 referendum vote that enshrined abortion rights in that constitution. The resolution would replace the 2024 Right to Reproductive Freedom amendment with a ban on abortion that has limited exceptions for rape and incest through 12 weeks of pregnancy, as well as for lethal fetal anomalies. The amendment would also require parental consent for any minor seeking an abortion, affirm the state’s right to enact TRAP laws, ban public funding of abortion, prohibit abortion based on fetal disabilities diagnoses and ban transgender health care for people younger than 18. The new amendment will appear on the statewide ballot in November 2026 or sooner if the governor calls a special election.

Anti-abortion centers

AbortionAnti-abortion centers

Other anti-abortion center policies

State Legislation

introduced20
passed one chamber4
passed legislature2
enacted2
vetoed0

Utah

In March, Gov. Spencer Cox (R) signed a budget (S 2) that creates a grant program for anti-abortion centers, also known as crisis pregnancy centers. The budget is scheduled to go into effect in July.

AbortionAnti-abortion centers

Regulation of anti-abortion centers

State Legislation

introduced30
passed one chamber2
passed legislature1
enacted1
vetoed0

Vermont

In May, Gov. Phil Scott (R) signed legislation (S 28) that allows medication abortion and trans health care prescribers to use the name of their facility on the medication’s label in place of their own name. The law also restricts any person or facility from being deceptive, confusing or misleading in advertising about the health care they provide. In addition, it allows medication abortion to be prescribed through telehealth for physicians and other qualified health care practitioners. Finally, providers covered by shield laws from other states will be protected in the same manner as Vermont shield law providers should they be physically present in Vermont. The law went into effect upon signing.

AbortionAnti-abortion centers

State funding of anti-abortion centers

State Legislation

introduced28
passed one chamber4
passed legislature11
enacted7
vetoed0

Alabama

In May, Gov. Kay Ivey (R) signed legislation (S 113) that allocates $850,000 to anti-abortion centers. The law went into effect upon signing.

South Carolina

In June, Gov. Henry McMaster (R) signed a budget (H 4025) that prohibits state funding from going to Planned Parenthood, creates a rule disrupting abortion affiliates from receiving family planning funding and allocates $2.4 million to anti-abortion centers. The budget also allocates $500,000 for HIV treatment and prevention. The budget is scheduled to go into effect in July.

Utah

In March, Gov. Spencer Cox (R) signed a budget (S 3) that appropriates $100,000 to Pro-Life Utah. The budget is scheduled to go into effect in July.

West Virginia

In April, Gov. Patrick Morrisey (R) signed legislation (S 537) that allows anti-abortion centers to use funds from the state’s alternatives-to-abortion program. The law is scheduled to go into effect in July.

In April, Gov. Patrick Morrisey (R) signed a budget (H 2026) that allocates $3 million for anti-abortion centers and $53,000 for the state’s maternal mortality review committee. The budget went into effect upon signing.

Counseling and waiting

AbortionCounseling and waiting

Counseling content requirements

State Legislation

introduced24
passed one chamber0
passed legislature1
enacted1
vetoed0

AbortionCounseling and waiting

Waiting periods

State Legislation

introduced8
passed one chamber0
passed legislature0
enacted0
vetoed0

Insurance coverage

AbortionInsurance coverage

Expands insurance coverage of abortion

State Legislation

introduced25
passed one chamber1
passed legislature2
enacted2
vetoed0

Colorado

In April, Gov. Jared Polis (D) signed legislation (S 183) that conforms state law to the 2024 constitutional amendment that repealed the ban on public funding of abortion by removing the ban from the state code and regulations. The law requires abortion care to be included in all medical service coverage under family planning and related services, and allows religious refusal for coverage of abortion services. The law is scheduled to go into effect in January 2026.

District of Columbia

In April, Congress approved legislation (B 696) that requires health plans to cover abortion and vasectomies without cost sharing. The law also extends the District of Columbia’s reproductive health care shield law to protect providers, including telehealth providers, from a variety of adverse actions for legally providing reproductive health care and trans health care. The law went into effect upon approval.

AbortionInsurance coverage

Restricts insurance coverage of abortion

State Legislation

introduced3
passed one chamber0
passed legislature0
enacted0
vetoed0

Medication abortion

AbortionMedication abortion

Bans on medication abortion

State Legislation

introduced29
passed one chamber2
passed legislature0
enacted0
vetoed0

AbortionMedication abortion

Limitations on medication abortion

State Legislation

introduced34
passed one chamber1
passed legislature2
enacted2
vetoed1

Arkansas

In April, Gov. Sarah Huckabee Sanders (R) signed legislation (H 1551) that prohibits someone from being coerced into taking medication abortion pills. The law is scheduled to go into effect in July.

Wyoming

In March, the legislature overrode Gov. Mark Gordon's (R) veto of legislation (H 64) that requires an ultrasound and fetal heartbeat test before medication abortion can be administered. The bill went into effect in March.

AbortionMedication abortion

Protects access to medication abortion

State Legislation

introduced21
passed one chamber4
passed legislature7
enacted5
vetoed0

Colorado

In April, Gov. Jared Polis (D) signed legislation (S 129) that allows health care providers who prescribe medication abortion pills to use the name of their health care practice instead of their own name on the prescription label. The law also strengthens the existing shield law. Finally, the law limits the state’s abortion reporting requirements. It went into effect upon signing.

New York

In February, Gov. Kathy Hochul (D) signed legislation (S 36) that allows health care providers who prescribe medication abortion pills to use the name of their health care practice on the prescription label in place of their own name. The law went into effect upon signing.

In March, Gov. Kathy Hochul (D) signed legislation (A 5285) that allows health care providers who prescribe medication abortion pills to use the name of their health care practice on the prescription label instead of their own name. The law went into effect upon signing.

Vermont

In May, Gov. Phil Scott (R) signed legislation (S 28) that allows medication abortion and trans health care prescribers to use the name of their facility on the medication’s label in place of their own name. The law also restricts any person or facility from being deceptive, confusing or misleading in advertising about the health care they provide. In addition, it allows medication abortion to be prescribed through telehealth for physicians and other qualified health care practitioners. Finally, providers covered by shield laws from other states will be protected in the same manner as Vermont shield law providers should they be physically present in Vermont. The law went into effect upon signing.

Washington

In May, Gov. Bob Ferguson (D) signed a budget (S 5167) that appropriates $3.5 million to programs and grants to maintain access to abortion care, which is approximately $4 million less than was appropriated in 2024. The budget went into effect upon signing.

Other abortion policies

AbortionOther abortion policies

Other abortion policies

State Legislation

introduced7
passed one chamber0
passed legislature1
enacted1
vetoed0

Arkansas

In March, Gov. Sarah Huckabee Sanders (R) signed legislation (H 1610) that expands the medical emergency exception to the state’s total abortion ban to include physical health. However, the law does not apply to psychological or emotional emergencies or if the pregnant person says they will harm themselves. The law is scheduled to go into effect in July.

Other abortion protections

AbortionOther abortion protections

Other abortion protections

State Legislation

introduced47
passed one chamber3
passed legislature5
enacted3
vetoed1

Colorado

In May, Gov. Jared Polis (D) signed legislation (S 130) that requires pregnancy-related emergency treatment to be provided if requested by the patient or if the care is clearly necessary. The law went into effect upon signing.

Nevada

In May, Gov. Joe Lombardo (R) signed legislation (A 235) that allows providers of reproductive health care and their employees to request that any personal information maintained by the secretary of state or government employees be kept confidential. The law is scheduled to go into effect in July.

In June, Gov. Joe Lombardo (R) vetoed legislation (A 411) that would have allowed medication abortion prescribers to use the name of their facility on the medication’s label in place of their own name. The governor stated that there are sufficient protections for medication abortion providers in the state.

Washington

In April, Gov. Bob Ferguson (D) signed legislation (S 5557) that requires hospitals to provide abortion care when necessary in medical emergencies. The law went into effect upon signing.

Other abortion restrictions

AbortionOther abortion restrictions

Other abortion restrictions

State Legislation

introduced98
passed one chamber3
passed legislature9
enacted9
vetoed0

Arkansas

In March, Gov. Sarah Huckabee Sanders (R) signed legislation (H 1307) that prohibits state-funded universities from allowing or directing people providing them with financial services to help facilitate access to abortion or transgender health care. The law is scheduled to go into effect in July.

In April, Gov. Sarah Huckabee Sanders (R) signed legislation (H 1551) that prohibits someone from being coerced into taking medication abortion pills. The law is scheduled to go into effect in July.

Missouri

In May, the Missouri legislature adopted a resolution (HJR 73) that would, if approved by voters, amend the state constitution to largely repeal a 2024 referendum vote that enshrined abortion rights in that constitution. The resolution would replace the 2024 Right to Reproductive Freedom amendment with a ban on abortion that has limited exceptions for rape and incest through 12 weeks of pregnancy, as well as for lethal fetal anomalies. The amendment would also require parental consent for any minor seeking an abortion, affirm the state’s right to enact TRAP laws, ban public funding of abortion, prohibit abortion based on fetal disabilities diagnoses and ban transgender health care for people younger than 18. The new amendment will appear on the statewide ballot in November 2026 or sooner if the governor calls a special election.

Montana

In May, Gov. Greg Gianforte (R) signed legislation (S 154) that prohibits the sale of aborted fetal tissue for research or education. The law went into effect upon signing.

In May, Gov. Greg Gianforte (R) signed legislation (H 723) that requires abortion providers to complete a reporting form indicating whether any infants were “born alive” from abortion care. The law is scheduled to go into effect in October.

Protecting access

AbortionProtecting access

Clinic access protected

State Legislation

introduced10
passed one chamber1
passed legislature0
enacted0
vetoed0

AbortionProtecting access

Shield law protections

State Legislation

introduced28
passed one chamber5
passed legislature5
enacted6
vetoed0

Colorado

In April, Gov. Jared Polis (D) signed legislation (S 129) that allows health care providers who prescribe medication abortion pills to use the name of their health care practice instead of their own name on the prescription label. The law also strengthens the existing shield law. Finally, the law limits the state’s abortion reporting requirements. It went into effect upon signing.

District of Columbia

In April, Congress approved legislation (B 696) that requires health plans to cover abortion and vasectomies without cost sharing. The law also extends the District of Columbia’s reproductive health care shield law to protect providers, including telehealth providers, from a variety of adverse actions for legally providing reproductive health care and trans health care. The law went into effect upon approval.

Maine

In May, Gov. Janet Mills (D) signed legislation (H 357) that allows health care providers who prescribe medication abortion pills to use the name of their health care practice on the prescription label instead of their own name. The law is scheduled to go into effect in June.

North Carolina

In January, Gov. Josh Stein (D) signed an executive order (EO 8) that implements shield law provisions to protect access to reproductive health care. The order requires state agencies to find ways to protect people or entities that provide, seek or assist with reproductive health care services, and prohibits the agencies from cooperating with out-of-state efforts to impose civil or criminal penalties against those individuals and entities. The order directs the agencies to examine their own policies around the collection and storing of women’s reproductive health data, calls on the department of health to create materials on the services available for pregnant people, and requires the department to take “all appropriate and reasonable” steps to ensure access to reproductive health care. The order went into effect upon signing.

Vermont

In May, Gov. Phil Scott (R) signed legislation (S 28) that allows medication abortion and trans health care prescribers to use the name of their facility on the medication’s label in place of their own name. The law also restricts any person or facility from being deceptive, confusing or misleading in advertising about the health care they provide. In addition, it allows medication abortion to be prescribed through telehealth for physicians and other qualified health care practitioners. Finally, providers covered by shield laws from other states will be protected in the same manner as Vermont shield law providers should they be physically present in Vermont. The law went into effect upon signing.

Washington

In May, Gov. Bob Ferguson (D) signed legislation (S 5632) that expands the state’s shield law to protect provision, assistance and receipt of reproductive health care. The law also expands the definition of “assistance” to include providing financial, logistic, informational and travel support, which includes support for people seeking abortion care. The law is scheduled to go into effect in July.

AbortionProtecting access

State funding of abortion access

State Legislation

introduced21
passed one chamber4
passed legislature7
enacted5
vetoed0

Colorado

In February, Gov. Jared Polis (D) signed a budget (S 93) that appropriates $3.6 million for reproductive health care for non-Medicaid-eligible individuals. The budget went into effect upon signing.

Maryland

In May, Gov. Wes Moore (D) signed legislation (S 848) that appropriates $2 million toward grants for organizations that support equitable access to abortion. The law is scheduled to go into effect in July.

In May, Gov. Wes Moore (D) signed legislation (H 930) that establishes the Public Health Abortion Grant Program to support abortion clinics. The law is scheduled to go into effect in July.

Washington

In May, Gov. Bob Ferguson (D) signed a budget (S 5167) that appropriates $3.5 million to programs and grants to maintain access to abortion care, which is approximately $4 million less than was appropriated in 2024. The budget went into effect upon signing.

Provider specific policies

AbortionProvider specific policies

Allows other health professionals to provide care

State Legislation

introduced8
passed one chamber0
passed legislature0
enacted0
vetoed0

AbortionProvider specific policies

Expands or restricts training

State Legislation

introduced5
passed one chamber1
passed legislature0
enacted0
vetoed0

AbortionProvider specific policies

Only physicians can provide care

State Legislation

introduced5
passed one chamber0
passed legislature1
enacted1
vetoed0

Wyoming

In February, Gov. Patrick Morrisey (R) signed legislation (H 42) that requires abortion facilities performing procedural abortions to be licensed as ambulatory surgical centers and requires providers to have admitting privileges at a hospital within 10 miles of the clinic. The law, which is a targeted regulation of abortion providers, or TRAP law, went into effect upon signing.

Repeals

AbortionRepeals

Repeals

State Legislation

introduced63
passed one chamber1
passed legislature2
enacted2
vetoed0

Colorado

In April, Gov. Jared Polis (D) signed legislation (S 183) that conforms state law to the 2024 constitutional amendment that repealed the ban on public funding of abortion by removing the ban from the state code and regulations. The law requires abortion care to be included in all medical service coverage under family planning and related services, and allows religious refusal for coverage of abortion services. The law is scheduled to go into effect in January 2026.

New York

In May, Gov. Kathy Hochul (D) signed legislation (S 3007) that repeals the state’s abortion reporting requirements, with an exception if the patient requests the products of conception in order to dispose of them. The law also lists abortion as a form of emergency treatment that hospitals must provide. It went into effect upon signing.

Reporting requirements

AbortionReporting requirements

Abortion reporting requirements

State Legislation

introduced17
passed one chamber2
passed legislature1
enacted1
vetoed0

Montana

In May, Gov. Greg Gianforte (R) signed legislation (H 723) that requires abortion providers to complete a reporting form indicating whether any infants were “born alive” from abortion care. The law is scheduled to go into effect in October.

Targeted Regulation of Abortion Providers

AbortionTargeted Regulation of Abortion Providers

Targeted Regulation of Abortion Providers

State Legislation

introduced14
passed one chamber0
passed legislature3
enacted3
vetoed0

Missouri

In May, the Missouri legislature adopted a resolution (HJR 73) that would, if approved by voters, amend the state constitution to largely repeal a 2024 referendum vote that enshrined abortion rights in that constitution. The resolution would replace the 2024 Right to Reproductive Freedom amendment with a ban on abortion that has limited exceptions for rape and incest through 12 weeks of pregnancy, as well as for lethal fetal anomalies. The amendment would also require parental consent for any minor seeking an abortion, affirm the state’s right to enact TRAP laws, ban public funding of abortion, prohibit abortion based on fetal disabilities diagnoses and ban transgender health care for people younger than 18. The new amendment will appear on the statewide ballot in November 2026 or sooner if the governor calls a special election.

North Dakota

In April, Gov. Kelly Armstrong (R) signed legislation (H 1511) that requires the state Board of Medicine to create an instructional course that providers must review within two years of performing any abortions. The law is scheduled to go into effect in January 2026.

Wyoming

In February, Gov. Patrick Morrisey (R) signed legislation (H 42) that requires abortion facilities performing procedural abortions to be licensed as ambulatory surgical centers and requires providers to have admitting privileges at a hospital within 10 miles of the clinic. The law, which is a targeted regulation of abortion providers, or TRAP law, went into effect upon signing.

Ultrasound or fetal heartbeat testing

AbortionUltrasound or fetal heartbeat testing

Ultrasound and fetal heartbeat test requirements

State Legislation

introduced13
passed one chamber0
passed legislature1
enacted1
vetoed1

Wyoming

In March, the legislature overrode Gov. Mark Gordon's (R) veto of legislation (H 64) that requires an ultrasound and fetal heartbeat test before medication abortion can be administered. The bill went into effect in March.