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US Abortions Exceed 1.1 Million in 2024 as Telehealth and Surge States Fill Gaps

The administration’s rollback of EMTALA emergency care guidelines has created uncertainty over providers’ legal obligations

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Overview

  • Data from the WeCount project indicate that licensed clinicians provided about 1.1 million abortions in 2024, up from 1.06 million in 2023.
  • Telehealth abortions comprised one-quarter of all procedures last year—up from 5% before Dobbs—with shield laws in Democratic-led states facilitating roughly half of those services.
  • In-person abortions in states with bans fell to near zero, shifting patient flows to surge states like Illinois—which performed over 35,000 abortions for out-of-state residents—and New Mexico, where nonresidents accounted for more than 70% of procedures.
  • Three states have sued to restrict telehealth prescriptions of mifepristone, testing the durability of shield laws and raising legal stakes for medication abortion delivery.
  • Efforts to reclassify IUDs and emergency contraceptives as abortifacients threaten insurance coverage, and increased maternal and infant mortality rates have emerged in states enforcing abortion bans.