An Exclusive Special Investigative Report from Operation Rescue
By Cheryl Sullenger and Sarah Neely
Since the U.S. Supreme Court overturned Roe v. Wade and Planned Parenthood v. Casey on June 24, 2022, the landscape of abortion in the U.S. has dramatically changed.
According to a survey of all abortion facilities nationwide conducted by Operation Rescue in October and November, there are currently 683 abortion facilities/businesses operating in 36 states and the District of Columbia.
This represents the lowest number of abortion facilities in the U.S. in nearly five decades.
![](https://www.operationrescue.org/wp-content/uploads/2022/11/Abortion-Facilities-in-the-US-2009-2022-amended.jpg)
In 1991, there were 2,176 abortion facilities in the U.S. Since that time, the number of abortion facilities have decreased a remarkable 68 percent. There can be no doubt that the Pro-Life movement is winning the long battle to end abortion.
“The falling number of abortion facilities translates into lives saved,” said Operation Rescue President Troy Newman. “We celebrate those saved babies, closed clinics, and new Abortion-Free states – something we haven’t seen since 1973 when Roe was first imposed on our nation. However, we remain troubled by the rise in the use of abortion drugs and the irresponsible increase in the distribution of those dangerous pills through the mail. There is still much work to do to protect every innocent life from the barbaric practice of abortion, but we can and should take great encouragement in the hard-won victories that have brought us this far.”
The status of state laws remains in flux as several pro-life laws have been challenged in court and other states seek to pass abortion restrictions in upcoming legislative sessions next year. Operation Rescue’s figures represent a snapshot in time. For the most current abortion clinic numbers in real time, please visit AbortionDocs.org.
![](https://www.operationrescue.org/wp-content/uploads/2022/11/US-Map-for-Survey-Results-Amended.jpg)
By the Numbers
There are, as of this writing, 14 states that are considered Abortion-Free. Those states include Alabama, Arkansas, Idaho, Kentucky, Louisiana, Missouri, Mississippi, North Dakota, Oklahoma, South Dakota, Tennessee, Texas, Wisconsin, and West Virginia. While abortions are still legal in North Dakota, there are currently no abortionists operating in that state.
![](https://www.operationrescue.org/wp-content/uploads/2022/11/AbortionFacility-Closures-2013-2022-1.jpg)
The survey found that 88 abortion facilities closed or halted all abortions, while 53 new facilities opened, accounting for a net decrease of 36 abortion facilities nationwide.
Eighty percent of those that halted abortions were surgical facilities. In contrast, abortion pill sites accounted for 64 percent of all new abortion facilities opened so far in 2022.
![](https://www.operationrescue.org/wp-content/uploads/2022/11/Abortion-Facilities-by-Type-2009-2022-amended.jpg)
There are 94 locations that now use telemedicine to distribute abortion drugs by mail. Of those, 14 are “virtual abortion facilities” that prescribe abortion drugs online only, without an in-person visit with a licensed physician. Now comprising 15 percent of the abortion pill market share, virtual abortion businesses represent a rapidly growing sector of the Abortion Cartel due to their ability to operate simultaneously in several states while charging less for abortion drugs due to lower overhead.
Planned Parenthood
Survey results show that Planned Parenthood closed 16 abortion facilities in 2022. Even so, their abortion facilities still account for 55 percent of all U.S. abortion facilities. That percentage of the abortion market share has remained relatively unchanged over the past four years, even in the face of such dramatic developments as the China Virus pandemic in 2020 and the fall of Roe v. Wade earlier this year.
![](https://www.operationrescue.org/wp-content/uploads/2022/11/Planned-Parenthoods-v-Independents-2015-2022.jpg)
However, when it comes to chemical abortions, Planned Parenthood clinics dominate. They account for 78 percent of all chemical abortion locations, while comprising just 38 percent of all surgical abortion facilities in the U.S.
Cost of First Trimester Abortions
Operation Rescue has tracked the cost of first trimester abortions for the past eight years because it is most representative of what the average woman would commonly pay.
While average Americans struggle under the burden of inflation, it appears that the business of abortion is immune to its effects.
Today, the national average cost of a first trimester abortion is $609, the same as it was in 2021.
![](https://www.operationrescue.org/wp-content/uploads/2022/11/National-Average-Cost-2015-2022.jpg)
The average cost of a first trimester surgical abortion is $638. Abortion pills prices averaged $582.
Not surprisingly, abortion drugs from virtual clinics were the least expensive abortion method with a national average cost of $491.
Abortion Wait Times
One surprising data point from Operation Rescue’s abortion facility survey came when calculating the national average time a woman must wait from the day she makes an abortion appointment to the day she begins the abortion process.
Today, the national average wait time for a first trimester abortion in the U.S. is 9.4 days, well below the national average of 20 days to see a primary care physician or specialist for the first time.
![](https://www.operationrescue.org/wp-content/uploads/2022/11/Abortion-Wait-Times-2022.jpg)
“It was expected that the wait time would increase dramatically as state bans went into effect but, instead, we found that abortion waiting times decreased by a day over last year,” said Newman. “Our data shows that the media hue and cry over women having long waits for abortion appointments is just more fake news.”
While it is true that abortion facilities in some states have longer waits, other states have been barely affected by the overturning of Roe v. Wade. Eleven states have clinics that still offer same or next day abortions.
Kansas has the longest wait time for an abortion appointment at 23 days, while Georgia women wait just three days for an abortion, the shortest average nationwide.
Gestational ages
When examining gestational age limits, Operation Rescue used self-imposed limits at each abortion business, not the state-mandated limit.
There are 109 U.S abortion facilities that conduct abortions at 20 weeks gestation or later. That is a significant decrease of 20 facilities since last year.
![](https://www.operationrescue.org/wp-content/uploads/2022/11/Abortion-Facilities-by-Gestational-Age-2022-amended.jpg)
The total number of clinics that limit abortions to the first trimester is 399. That number includes all chemical abortion facilities, all virtual abortion businesses, and several surgical facilities. This represents a negligible decrease from the 404 abortion facilities in this category in 2021, even though 14 states now have no abortion facility at all.
Trends
Abortion Free States: 2022 is the first year to record states with no active abortion facility, thanks to the U.S. Supreme Court ruling in Dobbs v. Jackson Women’s Health Organization that overturned Roe v. Wade. It is expected that this trend will continue into 2023 and beyond as more state legislatures take up pro-life legislation to ban or strictly limit abortions.
Abortion pill facilities on the rise: Women have been opting more often for abortion pills in recent years, as evidenced by the slow increase in facilities that only offer the chemical abortion option. But since the China Virus shutdown of 2020, the use of abortion pills has rapidly increased. Most charge the same amount other clinics ask for surgical abortions. That makes abortion pills wildly lucrative. They require no surgeon, no surgical facilities – and, in some states, no licensed physician at all. This keeps overhead down and profits up.
Virtual abortion businesses: This is a growing trend. As already discussed, online abortion pill distributors can rake in huge profits by saving money on overhead and undercutting the competition’s prices. However, there are real dangers to this effort to make a fast buck. Women are never seen by a licensed physician and have no follow up after taking the pills. Women with ectopic pregnancies or incomplete abortions could suffer life-threatening conditions. Overseas mail-order pills are especially dangerous because there is no way to know whether the drugs meet any standards whatsoever.
Another trend related to virtual abortion businesses is the willingness of some to prescribe abortion pills to women who are not pregnant as a back-up plan of sorts. This means dangerous abortion drugs will be left unsecured in homes where they may be misused or cause harm others.
Nevertheless, the increased use of abortion pills will continue to fuel this questionable virtual mail-order trend.
Mobile Abortion Clinics: These are an unfortunate rip-off of the mobile pro-life pregnancy care buses that offer free ultrasounds and life-affirming assistance. There are now at least four mobile abortion clinics traveling the Midwest, including a highly publicized abortion vehicle operated by Planned Parenthood of Greater St. Louis – the same group that sent at least 77 women to hospital emergency rooms in a few years’ time. The abortion buses dish out pills just across state lines from Abortion-Free states. Some are even working to outfit their mobile clinics to conduct surgical abortions.
But, if that wasn’t enough, plans are underway to put an abortion boat in the Gulf of Mexico to prey on pregnant women in the Abortion-Free South. California abortionist Meg Autry is raising money for her very own floating abortion clinic modeled loosely after Dutch abortionist Rebecca Gompers’ abandoned Women on Waves abortion boat. If Autry’s idea ever floats, expect it sometime in 2024.
Abortion Facilities are Migrating: Some abortion businesses that were in states that ban abortions, or are likely to, have chosen to relocate rather than close.
For example, the Jackson Women’s Health Organization in Jackson, Mississippi, which was the subject of the Dobbs case that overturned Roe, closed and sold their Mississippi facility once the Supreme Court decision was handed down on June 24, 2022. However, owner Diane Derzis just moved her abortion business to Las Cruces, New Mexico and continues to operate under the name “Las Cruces Women’s Health Organization.”
Abortion businesses from Wisconsin, Tennessee, and Texas have reopened or are attempting to reopen in the abortion state of Illinois. North Dakota’s only abortion facility closed and moved to Moorhead, Minnesota. Late-term abortionists like Texas’ Douglas Karpen and Nebraska’s LeRoy Carhart are seeking to re-establish their abortion businesses in Colorado.
As more states enact new pro-life laws, expect to see more abortion businesses opting to migrate to liberal abortion states rather than close.
Abortion on the Ballot: Six states put abortion to a vote in 2022 with disastrous results for the cause of life.
- Kansas voted down a Constitutional Amendment in August that would have removed the flawed legal interpretation that abortion is enshrined in the State Constitution.
- Californians approved an initiative in November that will change their State Constitution by reinforcing the protected status of abortion and removing gestational age limits. This opens California to abortionists that conduct the grisly procedures through all nine months of pregnancy. Owners of the full-term DuPont Clinic in Washington, D.C., have already announced their intentions to expand to California.
- Kentucky voters rejected a Constitutional Amendment that would have eliminated the so-called “right” to an abortion and terminated state funding for it.
- Michigan approved a pro-abortion amendment that will place the “right” to kill unborn babies in the State Constitution.
- Montana failed to approve a ballot initiative that would have protected babies born alive during the abortion process.
- Vermont voters passed an amendment that will guarantee the “right to reproductive freedom.”
While not the first election with abortion up for a vote, the number of states voting this year on child-killing is remarkable. Expect to see more states putting abortion on the ballot in future elections as abortion enthusiasts attempt to push back against pro-life state laws.
“Overturning Roe v. Wade was just the beginning of the final phase in efforts to end abortion in America,” said Newman. “Like trapped animals, the Abortion Cartel is viciously fighting back with everything they have. We still have a difficult road ahead of us, but I have every confidence that we will achieve our goal of building an Abortion-Free America.”
Below are snapshots of the survey results state by state.
ALABAMA – ABORTION FREE
Total Number of Clinics: ZERO
Difference from 2021: -5 Clinics
Status of state abortion laws: Bans “telehealth” abortions by requiring the presence of prescribing physician. Abortion is banned at every stage of pregnancy unless there is serious risk to the life of the mother or a lethal fetal anomaly.
![](https://www.operationrescue.org/wp-content/uploads/2022/11/Birmingham-PP-CLOSED.jpg)
_____
ALASKA
Total Number of Clinics: 3
- Number of Surgical Clinics: 3
- Number of Medical Clinics: 0
- Number of Clinics with Telemed with Delivery by Mail: 0
Difference from 2021: -1 Clinic
Average cost of an abortion: $800
Average wait time for an abortion: 12 Days
Latest Gestational Age: 17.6 Weeks
Number of clinics that go beyond 20 weeks: 0
Status of state abortion laws: Allows mail-order abortion drugs. Abortion is limited to 20 weeks with exceptions for the life of the mother, rape or incest.
_____
ARKANSAS – ABORTION FREE
Total Number of Clinics: ZERO
Difference from 2021: -2 Clinics
Status of state abortion laws: Abortion is banned at every stage in pregnancy except to save the life of the mother.
![](https://www.operationrescue.org/wp-content/uploads/2022/11/Little-Rock-Family-Planning-CLOSED.jpg)
_____
ARIZONA
Total Number of Clinics: 9
- Number of Surgical Clinics: 6
- Number of Medical Clinics: 3
- Number of Clinics with Telemed with Delivery by Mail: 0
Difference from 2021: No Change
Average cost of an abortion: $673
Average wait time for an abortion: 18 Days
Latest Gestational Age: 24 Weeks
Number of clinics that go beyond 20 weeks: 3
Status of state abortion laws: Bans the use of telemedicine to distribute abortion drugs. Abortion is currently limited to 15 weeks. A total ban went into effect in September 2022 but is currently being challenged in court. A judge is allowing abortions while the ban is being litigated.
_____
CALIFORNIA
Total Number of Clinics: 161
- Number of Surgical Clinics: 63
- Number of Medical Clinics: 98
- Number of Clinics with Telemed with Delivery by Mail: 28
Difference from 2021: +11 Clinics
Average cost of an abortion: $848
Average wait time for an abortion: 4 Days
Latest Gestational Age: 26.6 Weeks
Number of clinics that go beyond 20 weeks: 22
Status of state abortion laws: In November 2022, California voters approved an initiative that completely protects abortion. It removed all gestational limits. California allows non-physicians such as advanced practice registered nurses (APRNs), nurse-midwives, or physician assistants (PAs) to conduct procedural and chemical abortions. No ban on “telehealth” abortions. California boasts the most liberal abortion laws in the U.S.
_____
COLORADO
Total Number of Clinics: 23
- Number of Surgical Clinics: 13
- Number of Medical Clinics: 10
- Number of Clinics with Telemed with Delivery by Mail: 1
Difference from 2021: -2 Clinics
Average cost of an abortion: $557
Average wait time for an abortion: 14 Days
Latest Gestational Age: 40
Number of clinics that go beyond 20 weeks: 3
Status of state abortion laws: Allows non-physicians such as advanced practice registered nurses (APRNs), nurse-midwives, or physician assistants (PAs) to conduct procedural and chemical abortions. No ban on “telehealth” abortions. Abortion is legal through all nine months of pregnancy. There are no gestational limits in this state.
_____
CONNECTICUT
Total Number of Clinics: 16
- Number of Surgical Clinics: 5
- Number of Medical Clinics: 11
- Number of Clinics with Telemed with Delivery by Mail: 0
Difference from 2021: No Change
Average cost of an abortion: $733
Average wait time for an abortion: 12 Days
Latest Gestational Age: 23.6 Weeks
Number of clinics that go beyond 20 weeks: 2
Status of state abortion laws: Allows non-physicians such as advanced practice registered nurses (APRNs), nurse-midwives, or physician assistants (PAs) to conduct procedural and chemical abortions. No ban on “telehealth” abortions. Abortion is allowed until “viability” but has exceptions in the third trimester for the life of the mother. Viability is set in this state between 24 and 26 weeks.
_____
DELAWARE
Total Number of Clinics: 4
- Number of Surgical Clinics: 4
- Number of Medical Clinics: 0
- Number of Clinics with Telemed: 0
Difference from 2021: +2 Clinics
Average cost of an abortion: $400
Average wait time for an abortion: 12 Days
Latest Gestational Age: 15.6 Weeks
Number of clinics that go beyond 20 weeks: 0
Status of state abortion laws: Allows non-physicians such as advanced practice registered nurses (APRNs), nurse-midwives, or physician assistants (PAs) to conduct chemical abortions. No ban on “telehealth” abortions. Abortion is allowed until “viability” but has exceptions for the life of the mother, rape or incest. Viability is usually set in this state around 20 weeks.
_____
DISTRICT OF COLUMBIA
Total Number of Clinics: 5
- Number of Surgical Clinics: 4
- Number of Medical Clinics: 1
- Number of Clinics with Telemed with Delivery by Mail: 0
Difference from 2021: -1 Clinic
Average cost of an abortion: $400
Average wait time for an abortion: 10 Days
Latest Gestational Age: 31.6 Weeks
Number of clinics that go beyond 20 weeks: 2
Status of state abortion laws: There are no gestational limits. Allows non-physicians such as advanced practice registered nurses (APRNs), nurse-midwives, or physician assistants (PAs) to conduct procedural and chemical abortions. No ban on “telehealth” abortions. Abortion is legal through all nine months of pregnancy.
![](https://www.operationrescue.org/wp-content/uploads/2021/10/CWS-DC-1.jpg)
_____
FLORIDA
Total Number of Clinics: 53
- Number of Surgical Clinics: 49
- Number of Medical Clinics: 4
- Number of Clinics with Telemed: 0
Difference from 2021: -3 Clinics
Average cost of an abortion: $543
Average wait time for an abortion: 6 Days
Latest Gestational Age: 15.6 Weeks
Number of clinics that go beyond 20 weeks: 0
Status of state abortion laws: No ban on “telehealth” abortions. Abortion is limited to 15 weeks with exceptions for life of the mother.
![](https://www.operationrescue.org/wp-content/uploads/2022/05/Midnight-Releases-at-AFP-1024x559.jpg)
_____
GEORGIA
Total Number of Clinics: 13
- Number of Surgical Clinics: 8
- Number of Medical Clinics: 5
- Number of Clinics with Telemed with Delivery by Mail: 0
Difference from 2021: -1 Clinic
Average cost of an abortion: $526
Average wait time for an abortion: 3 Days
Latest Gestational Age: 6 Weeks
Number of clinics that go beyond 20 weeks: 0
Status of state abortion laws: No ban on “telehealth” abortions. Abortion is limited to 6 weeks with exceptions for life of the mother, rape, incest or a lethal fetal anomaly.
_____
HAWAII
Total Number of Clinics: 3
- Number of Surgical Clinics: 3
- Number of Medical Clinics: 0
- Number of Clinics with Telemed with Delivery by Mail: 1
Difference from 2021: No Change
Average cost of an abortion: $642
Average wait time for an abortion: 9 Days
Latest Gestational Age: 19.6 Weeks
Number of clinics that go beyond 20 weeks: 0
Status of state abortion laws: Allows non-physicians such as advanced practice registered nurses (APRNs), nurse-midwives, or physician assistants (PAs) to conduct procedural and chemical abortions. No ban on “telehealth” abortions. Abortion is allowed until “viability.” Viability is set in this state between 24 and 26 weeks.
_____
IDAHO – ABORTION FREE
Total Number of Clinics: ZERO
Difference from 2021: -4 Clinics
Status of state abortion laws: Abortion is banned at every stage in pregnancy with exceptions for the life of the mother, rape, or incest.
![](https://www.operationrescue.org/wp-content/uploads/2022/11/Boise-PP-CLOSED.jpg)
_____
ILLINOIS
Total Number of Clinics: 31
- Number of Surgical Clinics: 17
- Number of Medical Clinics: 14
- Number of Clinics with Telemed with Delivery by Mail: 11
Difference from 2021: +5 Clinics
Average cost of an abortion: $507
Average wait time for an abortion: 6 Days
Latest Gestational Age: 26 Weeks
Number of clinics that go beyond 20 weeks: 8
Status of state abortion laws: in 2019, Illinois passed the Reproductive Health Act, which repealed nearly every pro-life law, including clinic standards and a ban on partial birth abortions. Allows non-physicians such as advanced practice registered nurses (APRNs), nurse-midwives, or physician assistants (PAs) to conduct procedural and chemical abortions. No ban on “telehealth abortions. Abortion is allowed until “viability” but has exceptions for the life of the mother. Viability is set in this state between 24 and 26 weeks.
_____
INDIANA
Total Number of Clinics: 7
- Number of Surgical Clinics: 5
- Number of Medical Clinics: 2
- Number of Clinics with Telemed with Delivery by Mail: 0
Difference from 2021: No Change
Average cost of an abortion: $790
Average wait time for an abortion: 11 Days
Latest Gestational Age: 13.6 Weeks
Number of clinics that go beyond 20 weeks: 0
Status of state abortion laws: Bans “telehealth” abortions. Abortion is currently limited to 22 weeks. A near-total ban went into effect in September 2022 but is currently being challenged in court. A judge is allowing abortions while the ban is being litigated.
_____
IOWA
Total Number of Clinics: 6
- Number of Surgical Clinics: 3
- Number of Medical Clinics: 3
- Number of Clinics with Telemed with Delivery by Mail: 0
Difference from 2021: +1 Clinic
Average cost of an abortion: $821
Average wait time for an abortion: 13 Days
Latest Gestational Age: 20.6 Weeks
Number of clinics that go beyond 20 weeks: 2
Status of state abortion laws: No ban on “telehealth” abortions. Abortion is limited to 22 weeks with exceptions for the life of the mother. Litigation is currently in motion to allow a previous 6-week ban deemed unconstitutional in 2018 to take effect post-Roe.
_____
KANSAS
Total Number of Clinics: 5
- Number of Surgical Clinics: 5
- Number of Medical Clinics: 0
- Number of Clinics with Telemed with Delivery by Mail:0
Difference from 2021: +1 Clinic
Average cost of an abortion: $747
Average wait time for an abortion: 23 Days
Latest Gestational Age: 21.6 Weeks
Number of clinics that go beyond 20 weeks: 5
Status of state abortion laws: The State Supreme Court asserted their interpretation that abortion is a protected “right in the state constitution. In August 2022, Kansas voters approved that “right” permanently. Currently, Kansas bans “telehealth” abortions by requiring the presence of prescribing physician. Abortion is limited to 22 weeks with exceptions for the life of the mother.
_____
KENTUCKY – ABORTION FREE
Total Number of Clinics: ZERO
Difference from 2021: -2 Clinics
Status of state abortion laws: Abortion is banned at every stage in pregnancy except to save the life of the mother.
![](https://www.operationrescue.org/wp-content/uploads/2022/04/EMW-Womens-Surgery-Center.jpg)
_____
LOUISIANA – ABORTION FREE
Total Number of Clinics: ZERO
Difference from 2021: -3 Clinics
Status of state abortion laws: Abortion is banned at every stage in pregnancy with exceptions for the life of the mother and lethal fetal anomaly.
![](https://www.operationrescue.org/wp-content/uploads/2016/02/Deltahaltsabortions.jpg)
_____
MAINE
Total Number of Clinics: 5
- Number of Surgical Clinics: 3
- Number of Medical Clinics: 2
- Number of Clinics with Telemed with Delivery by Mail: 3
Difference from 2021: +2 Clinics
Average cost of an abortion: $536
Average wait time for an abortion: 11 Days
Latest Gestational Age: 19.6 Weeks
Number of clinics that go beyond 20 weeks: 0
Status of state abortion laws: Allows non-physicians such as advanced practice registered nurses (APRNs), nurse-midwives, or physician assistants (PAs) to conduct procedural and chemical abortions. No ban on “telehealth” abortions. Abortion is allowed until “viability” but has exceptions for the life of the mother. Viability is set in this state at 22 weeks.
_____
MARYLAND
Total Number of Clinics: 23
- Number of Surgical Clinics: 14
- Number of Medical Clinics: 9
- Number of Clinics with Telemed with Delivery by Mail: 3
Difference from 2021: +2 Clinics
Average cost of an abortion: $486
Average wait time for an abortion: 7 Days
Latest Gestational Age: 34 Weeks
Number of clinics that go beyond 20 weeks: 3
Status of state abortion laws: Allows non-physicians such as advanced practice registered nurses (APRNs), nurse-midwives, or physician assistants (PAs) to conduct procedural and chemical abortions. No ban on “telehealth” abortions. Abortion is allowed until “viability” (24-26 weeks), but openly allows abortion throughout all nine months of pregnancy, making it a haven for full-term abortionists.
_____
MASSACHUSETTS
Total Number of Clinics: 11
- Number of Surgical Clinics: 9
- Number of Medical Clinics: 2
- Number of Clinics with Telemed with Delivery by Mail: 6
Difference from 2021: No Change
Average cost of an abortion: $719
Average wait time for an abortion: 8 Days
Latest Gestational Age: 24 Weeks
Number of clinics that go beyond 20 weeks: 6
Status of state abortion laws: Allows non-physicians such as advanced practice registered nurses (APRNs), nurse-midwives, or physician assistants (PAs) to conduct procedural and chemical abortions. No ban on “telehealth” abortions. Abortion is allowed until “viability” but has exceptions for the life of the mother. Viability is set in this state at 24 weeks.
_____
MICHIGAN
Total Number of Clinics: 24
- Number of Surgical Clinics: 9
- Number of Medical Clinics: 15
- Number of Clinics with Telemed with Delivery by Mail: 0
Difference from 2021: -2 Clinics
Average cost of an abortion: $630
Average wait time for an abortion: 8 Days
Latest Gestational Age: 24 Weeks
Number of clinics that go beyond 20 weeks: 7
Status of state abortion laws: In November 2022, Michiganders voted to insert the “right” to an abortion in their state constitution. No ban on “telehealth” abortions. Abortion is allowed until “viability” but has exceptions for the life of the mother. Viability is set in this state between 24 and 26 weeks. A near-total ban that should have gone into effect post-Roe is currently tied up in legal challenges, but it is unknown how November’s vote will affect that case.
_____
MINNESOTA
Total Number of Clinics: 9
- Number of Surgical Clinics: 5
- Number of Medical Clinics: 4
- Number of Clinics with Telemed with Delivery by Mail: 2
Difference from 2021: +1 Clinic
Average cost of an abortion: $686
Average wait time for an abortion: 8 Days
Latest Gestational Age: 23.6 Weeks
Number of clinics that go beyond 20 weeks: 1
Status of state abortion laws: No ban on “telehealth” abortions. Abortion is allowed until “viability” but has exceptions for the life of the mother. Viability is set in this state between 24 and 26 weeks.
_____
MISSISSIPPI – ABORTION FREE
Total Number of Clinics: ZERO
Difference from 2021: -1 Clinic
Status of state abortion laws: Abortion is banned at every stage in pregnancy with exceptions for the life of the mother or rape that has been reported to law enforcement.
![](https://www.operationrescue.org/wp-content/uploads/2021/11/JWHO-2.jpg)
_____
MISSOURI – ABORTION FREE
Total Number of Clinics: ZERO
Difference from 2021: -1 Clinic
Status of state abortion laws: Abortion is banned at every stage in pregnancy with exceptions for the life of the mother. Missouri was the first state to halt all abortions after the Dobbs decision was released in June.
![](https://www.operationrescue.org/wp-content/uploads/2022/11/St-Louis-PP-Halted-Abortions.jpg)
_____
MONTANA
Total Number of Clinics: 6
- Number of Surgical Clinics: 3
- Number of Medical Clinics: 3
- Number of Clinics with Telemed with Delivery by Mail: 4
Difference from 2021: No Change
Average cost of an abortion: $553
Average wait time for an abortion: 5 Days
Latest Gestational Age: 21 Weeks
Number of clinics that go beyond 20 weeks: 1
Status of state abortion laws: In November 2022, a ballot initiative was rejected that would have protected babies born alive during abortions. Also in 2022, a court struck down a law that required abortions to be done by licensed physicians. It now allows non-physicians such as advanced practice registered nurses (APRNs), nurse-midwives, or physician assistants (PAs) to conduct procedural and chemical abortions. No ban on “telehealth” abortions. Abortion is allowed until “viability” but has exceptions for the life of the mother. Viability is set in this state between 24 and 26 weeks.
_____
NEBRASKA
Total Number of Clinics: 2
- Number of Surgical Clinics: 1
- Number of Medical Clinics: 1
- Number of Clinics with Telemed with Delivery by Mail: 0
Difference from 2021: -1 Clinic
Average cost of an abortion: $791
Average wait time for an abortion: 6 Days
Latest Gestational Age: 16.6 Weeks
Number of clinics that go beyond 20 weeks: 0
Status of state abortion laws: Bans “telehealth” abortions by requiring the presence of prescribing physician. Abortion is limited to 22 weeks with exceptions for the life of the mother. New pro-life legislation is expected to be put forward in 2023.
_____
NEVADA
Total Number of Clinics: 9
- Number of Surgical Clinics: 5
- Number of Medical Clinics: 4
- Number of Clinics with Telemed with Delivery by Mail: 2
Difference from 2021: No Change
Average cost of an abortion: $602
Average wait time for an abortion: 6 Days
Latest Gestational Age: 24 Weeks
Number of clinics that go beyond 20 weeks: 4
Status of state abortion laws: No ban on “telehealth” abortions. Abortion is limited to 24 weeks with exceptions for the life of the mother.
_____
NEW HAMPSHIRE
Total Number of Clinics: 6
- Number of Surgical Clinics: 5
- Number of Medical Clinics: 1
- Number of Clinics with Telemed with Delivery by Mail: 2
Difference from 2021: No Change
Average cost of an abortion: $521
Average wait time for an abortion: 10 Days
Latest Gestational Age: 16.6 Weeks
Number of clinics that go beyond 20 weeks: 0
Status of state abortion laws: Allows advanced practice registered nurses (APRNs) and physician assistants (PAs) to conduct procedural and chemical abortions. No ban on “telehealth” abortions. Abortion is limited to 24 weeks with exceptions for the life of the mother and fatal fetal anomaly.
_____
NEW JERSEY
Total Number of Clinics: 40
- Number of Surgical Clinics: 21
- Number of Medical Clinics: 19
- Number of Clinics with Telemed with Delivery by Mail: 0
Difference from 2021: No Change
Average cost of an abortion: $491
Average wait time for an abortion: 5 Days
Latest Gestational Age: 26.6 Weeks
Number of clinics that go beyond 20 weeks: 6
Status of state abortion laws: Allows non-physicians such as advanced practice registered nurses (APRNs), nurse-midwives, or physician assistants (PAs) to conduct procedural and chemical abortions. No ban on “telehealth” abortions. Abortion is legal through all nine months of pregnancy. There are no gestational limits in this state.
_____
NEW MEXICO
Total Number of Clinics: 8
- Number of Surgical Clinics: 5
- Number of Medical Clinics: 3
- Number of Clinics with Telemed with Delivery by Mail: 2
Difference from 2021: -2 Clinics
Average cost of an abortion: $589
Average wait time for an abortion: 12 Days
Latest Gestational Age: 32 Weeks
Number of clinics that go beyond 20 weeks: 2
Status of state abortion laws: Allows certified nurse practitioners to dispense abortion drugs. No ban on “telehealth” abortions. Abortion is legal through all nine months of pregnancy. There are no gestational limits in this state.
_____
NEW YORK
Total Number of Clinics: 86
- Number of Surgical Clinics: 51
- Number of Medical Clinics: 35
- Number of Clinics with Telemed with Delivery by Mail: 18
Difference from 2021: +4 Clinics
Average cost of an abortion: $642
Average wait time for an abortion: 7 Days
Latest Gestational Age: 24 Weeks
Number of clinics that go beyond 20 weeks: 15
Status of state abortion laws: In 2019, New York enacted the Reproductive Health Act, which permanently protects abortion. It allows non-physicians to conduct procedural and chemical abortions and repealed all protections for babies born alive during abortions. No ban on “telehealth” abortions. Allows abortion for no stated reason through 24 weeks of pregnancy and throughout all nine months when the baby in the womb has been determined to be non-viable or for the life or health of the mother (at the discretion of the abortionist).
_____
NORTH CAROLINA
Total Number of Clinics: 15
- Number of Surgical Clinics: 14
- Number of Medical Clinics: 1
- Number of Clinics with Telemed with Delivery by Mail: 0
Difference from 2021: No Change
Average cost of an abortion: $479
Average wait time for an abortion: 7 Days
Latest Gestational Age: 20 Weeks
Number of clinics that go beyond 20 weeks: 2
Status of state abortion laws: Bans “telehealth” abortions by requiring the presence of prescribing physician. Abortion is limited to 20 weeks with exceptions for the life of the mother. Despite some modest pro-life laws, North Dakota is quickly becoming an abortion destination state.
_____
NORTH DAKOTA – ABORTION FREE
Total Number of Clinics: ZERO
Difference from 2021: -1 Clinic
Status of state abortion laws: Abortion is limited to 22 weeks, however, North Dakota’s only abortion provider moved its business to another state after filing suit against a near-total ban. A judge has blocked the ban from taking effect in North Dakota while litigation is ongoing, but no abortions are taking place at this time.
![](https://www.operationrescue.org/wp-content/uploads/2022/11/Red-River-CLOSED.jpg)
_____
OHIO
Total Number of Clinics: 9
- Number of Surgical Clinics: 7
- Number of Medical Clinics: 2
- Number of Clinics with Telemed with Delivery by Mail: 0
Difference from 2021: +1 Clinic
Average cost of an abortion: $734
Average wait time for an abortion: 5 Days
Latest Gestational Age: 21.6 Weeks
Number of clinics that go beyond 20 weeks: 2
Status of state abortion laws: No ban on “telehealth” abortions. Abortion is limited to 22 weeks with exceptions for the life of the mother. A 6-week ban went into effect in June 2022, but a judge has blocked the law while it’s being challenged in the courts.
_____
OKLAHOMA – ABORTION FREE
Total Number of Clinics: ZERO
Difference from 2021: -4 Clinics
Status of state abortion laws: Abortion is banned at every stage in pregnancy with exceptions for the life of the mother.
_____
OREGON
Total Number of Clinics: 13
- Number of Surgical Clinics: 6
- Number of Medical Clinics: 7
- Number of Clinics with Telemed with Delivery by Mail: 1
Difference from 2021: No Change
Average cost of an abortion: $647
Average wait time for an abortion: 8 Days
Latest Gestational Age: 13.6 Weeks
Number of clinics that go beyond 20 weeks: 1
Status of state abortion laws: Allows advanced practice registered nurses (APRNs) to conduct procedural and chemical abortions. No ban on “telehealth” abortions. Abortion is legal through all nine months of pregnancy. There are no gestational limits in this state.
_____
PENNSYLVANIA
Total Number of Clinics: 15
- Number of Surgical Clinics: 9
- Number of Medical Clinics: 6
- Number of Clinics with Telemed with Delivery by Mail: 0
Difference from 2021: -1 Clinic
Average cost of an abortion: $526
Average wait time for an abortion: 10 Days
Latest Gestational Age: 28.6 Weeks
Number of clinics that go beyond 20 weeks: 3
Status of state abortion laws: No ban on “telehealth” abortions. Abortion is limited to 24 weeks with exceptions for the life of the mother.
_____
RHODE ISLAND
Total Number of Clinics: 3
- Number of Surgical Clinics: 2
- Number of Medical Clinics: 1
- Number of Clinics with Telemed with Delivery by Mail: 1
Difference from 2021: No Change
Average cost of an abortion: $545
Average wait time for an abortion: 9 Days
Latest Gestational Age: 22 Weeks
Number of clinics that go beyond 20 weeks: 1
Status of state abortion laws: Allows non-physicians such as advanced practice registered nurses (APRNs), nurse-midwives, or physician assistants (PAs) to conduct procedural and chemical abortions. No ban on “telehealth” abortions. Abortion is allowed until “viability” but has exceptions for the life of the mother. Viability is set in this state between 24 and 26 weeks.
_____
SOUTH CAROLINA
Total Number of Clinics: 3
- Number of Surgical Clinics: 3
- Number of Medical Clinics: 0
- Number of Clinics with Telemed with Delivery by Mail: 2
Difference from 2021: No Change
Average cost of an abortion: $550
Average wait time for an abortion: 11 Days
Latest Gestational Age: 14 Weeks
Number of clinics that go beyond 20 weeks: 0
Status of state abortion laws: Bans “telehealth” abortions by requiring the presence of prescribing physician. Abortion is limited to 22 weeks with exceptions for the life of the mother, fatal fetal anomaly, rape, or incest. A 6-week ban went into effect in June 2022, but a judge has blocked the law temporarily. Meanwhile, lawmakers are working on a new ban.
_____
SOUTH DAKOTA – ABORTION FREE
Total Number of Clinics: ZERO
Difference from 2021: -1 Clinic
Status of state abortion laws: Abortion is banned at every stage in pregnancy with exceptions for the life of the mother.
![](https://www.operationrescue.org/wp-content/uploads/2022/11/Sioux-Falls-PP-Halted-Abortions.jpg)
_____
TENNESSEE – ABORTION FREE
Total Number of Clinics: ZERO
Difference from 2021: -6 Clinics
Status of state abortion laws: Abortion is banned at every stage in pregnancy with exceptions for the life of the mother.
_____
TEXAS – ABORTION FREE
Total Number of Clinics: ZERO
Difference from 2021: -23 Clinics
Status of state abortion laws: Abortion is banned at every stage in pregnancy with exceptions for the life of the mother.
![](https://www.operationrescue.org/wp-content/uploads/2022/11/Texas-Ambulatory-Surgical-Center-CLOSED-1.jpg)
_____
UTAH
Total Number of Clinics: 4
- Number of Surgical Clinics: 2
- Number of Medical Clinics: 2
- Number of Clinics with Telemed with Delivery by Mail: 0
Difference from 2021: +2 Clinics
Average cost of an abortion: $450
Average wait time for an abortion: 7 Days
Latest Gestational Age: 18 Weeks
Number of clinics that go beyond 20 weeks: 0
Status of state abortion laws: No ban on “telehealth” abortions. Abortion is limited to 18 weeks with exceptions for the life of the mother, fatal fetal anomaly, rape, or incest. A near-total ban went into effect in June 2022, but a judge has blocked the law while litigation is ongoing.
_____
VERMONT
Total Number of Clinics: 4
- Number of Surgical Clinics: 1
- Number of Medical Clinics: 3
- Number of Clinics with Telemed with Delivery by Mail: 0
Difference from 2021: -2 Clinics
Average cost of an abortion: $555
Average wait time for an abortion: 13 Days
Latest Gestational Age: 21.6 Weeks
Number of clinics that go beyond 20 weeks: 1
Status of state abortion laws: Allows non-physicians such as advanced practice registered nurses (APRNs), nurse-midwives, or physician assistants (PAs) to conduct procedural and chemical abortions. No ban on “telehealth” abortions. Abortion is legal through all nine months of pregnancy. There are no gestational limits in this state.
_____
VIRGINIA
Total Number of Clinics: 16
- Number of Surgical Clinics: 14
- Number of Medical Clinics: 2
- Number of Clinics with Telemed with Delivery by Mail: 0
Difference from 2021: No Change
Average cost of an abortion: $484
Average wait time for an abortion: 5 Days
Latest Gestational Age: 20.6 Weeks
Number of clinics that go beyond 20 weeks: 2
Status of state abortion laws: Allows non-physicians such as advanced practice registered nurses (APRNs), nurse-midwives, or physician assistants (PAs) to conduct procedural and chemical abortions. No ban on “telehealth” abortions. Abortion is limited to the first and second trimester with exceptions in the third trimester for the life of the mother.
_____
WASHINGTON
Total Number of Clinics: 30
- Number of Surgical Clinics: 13
- Number of Medical Clinics: 17
- Number of Clinics with Telemed with Delivery by Mail: 5
Difference from 2021: -2 Clinics
Average cost of an abortion: $661
Average wait time for an abortion: 10 Days
Latest Gestational Age: 26 Weeks
Number of clinics that go beyond 20 weeks: 5
Status of state abortion laws: Allows non-physicians such as advanced practice registered nurses (APRNs), nurse-midwives, or physician assistants (PAs) to conduct procedural and chemical abortions. No ban on “telehealth” abortions. Abortion is allowed until “viability” but has exceptions for the life of the mother. Viability is set in this state between 24 and 26 weeks.
_____
WEST VIRGINIA – ABORTION FREE
Total Number of Clinics: ZERO
Difference from 2021: -1 Clinic
Status of state abortion laws: Bans the use of “telehealth” for abortions. Abortion is banned at every stage in pregnancy with exceptions for the life of the mother, lethal fetal anomaly, rape or incest.
_____
WISCONSIN – ABORTION FREE
Total Number of Clinics: ZERO
Difference from 2021: -4 Clinics
Status of state abortion laws: Abortion providers have halted abortions until the state makes it clear whether a pre-Roe ban on abortion will be enforced.
![](https://www.operationrescue.org/wp-content/uploads/2022/11/Affiliated-Womens-Services-Milwaukee-CLOSED.jpg)
_____
WYOMING
Total Number of Clinics: 1
- Number of Surgical Clinics: 0
- Number of Medical Clinics: 1
- Number of Clinics with Telemed with Delivery by Mail: 0
Difference from 2021: No Change
Average cost of an abortion: $600
Average wait time for an abortion: 14
Latest Gestational Age: 10 Weeks
Number of clinics that go beyond 20 weeks: 0
Status of state abortion laws: No ban on “telehealth” abortions. Abortion is allowed until “viability” but has exceptions for the life of the mother. Viability is set in this state between 24 and 26 weeks. A ban went into effect July 2022, but a judge blocked it while it’s being challenged in the courts.