Abortion clinic access by state shows closures and openings

A Guttmacher Institute report says federal funding freezes and new state restrictions likely reduced the number of brick-and-mortar abortion clinics over a 21-month period ending in December, and physical clinics still provide about 80% of abortions in states without bans.

A Guttmacher Institute report reviewed changes in clinic access across states over a 21-month period ending in December. The report attributes some clinic reductions to federal funding freezes and to new state restrictions enacted during that time. It also notes that telehealth-prescribed medication abortion has become more common, though physical clinics remain the main provider in many states. Key findings: - The report says federal funding freezes, including withholding of Title X funds, likely contributed to clinic closures in some areas. - It reports three clinic closures in Michigan between March 2024 and December 2025 that were linked to funding changes. - Florida’s six-week ban, effective May 2024, is reported as a factor in the closing of four clinics there. - Missouri saw the opening of three clinics after voters reversed the state’s post-Roe ban in November 2024, according to the report. Summary: The report indicates measurable shifts in where brick-and-mortar abortion services are available and notes continued growth in telehealth-provided medication abortion. Undetermined at this time.