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U.S. Abortions Reach 1.14 Million as Telehealth Prescriptions Surge

Legal protections in Democratic-led states have driven a surge in telemedicine abortions, prompting lawsuits seeking to restrict pill-by-mail services.

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Overview

  • The Society of Family Planning’s #WeCount report found abortions rose to 1.14 million in 2024, up from 1.06 million in 2023.
  • Telehealth accounted for 25% of all abortions by the end of 2024, rising from about 5% before the Dobbs decision.
  • Shield laws in at least eight states facilitated half of telehealth abortions by protecting providers who mail pills to patients in ban states.
  • Lawsuits in Texas, Louisiana and other states seek to limit telehealth prescriptions of mifepristone, while FDA officials face calls to review the pill’s safety label.
  • Efforts to reclassify emergency contraceptives and certain IUDs as abortifacients threaten insurance coverage and broader access to effective birth control.