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2025 Annual Report: A Record Year for Closures, Record Losses in Funding for the Abortion Cartel

Date: December 16, 2025

With 54 clinics that closed or halted abortions and the historic first-time federal defunding of Planned Parenthood, 2025 has proven to be a record year in losses for the abortion industry. That means crucial ground gained for the preborn.

Operation Rescue recently completed its meticulous nationwide survey of every abortion clinic in the nation. This one-of-a-kind survey provides the public with a broad understanding of abortion in America and equips pro-life advocates with hard-won data to dispel the abortion lobby’s highly coordinated talking points.

The intel gathered about these abortion clinics and their practices represents the most current and accurate data available.

Key Categories

The survey defines “abortion clinics” as brick-and-mortar businesses conducting abortions outside of a hospital setting. There are two categories of clinics:

Surgical Abortion Clinics: These offices conduct surgical abortions. Almost always, surgical facilities also distribute abortion-inducing drugs.
Abortion Pill or “Medication” Clinics: These offices supply abortions through the administration of drugs (pills) or other chemical means. They do not conduct surgical abortions.

In the last few years, Operation Rescue added a third and separate category: Virtual Suppliers. These online businesses supply abortion pills through websites and pharmacies, either needing no physical building at all, or never seeing patients inside any physical building they might have. Statistics and information for Virtual Suppliers are calculated and documented separately from brick-and-mortar clinics.

THE CURRENT LANDSCAPE

According to OR’s 2025 Annual Survey, there are currently 657 abortion facilities operating in 37 states and the District of Columbia. As mentioned, 54 clinics closed or halted abortions, with 44 clinics opening or resuming abortions.

Planned Parenthood, in particular, saw a mammoth number of closings – 64 in total, so far. Of those closures, 36 were abortion facilities, and 28 more were referral locations. In addition, there are now 4 states that have zero Planned Parenthood locations in operation.

Of all the closures nationwide, Americans witnessed the shuttering of three very significant and symbolic clinics this year:

Boulder Abortion Clinic in Colorado closed just months after infamous late-term abortionist Warren Hern announced his retirement. Hern founded the clinic in 1975 and has likely committed thousands of abortions since then, proudly specializing in gruesome, full-term killings. When he retired, Hern claimed his horrific abortion business would go on, but clearly, he was unable to find a replacement.
Planned Parenthood was finally forced to shut down its Prevention Park location in Houston, Texas. This flagship clinic was built to be one of the largest abortion clinics in America, costing Planned Parenthood more than 16 million dollars when it opened in 2010. It is now shuttered forever.
The infamous Margaret Sanger building, located at 26 Bleecker Street in New York – Planned Parenthood’s most symbolic flagship – was also shuttered in the midst of financial missteps and past accusations from employees regarding systemic racism within the abortion giant. This stronghold, too, has closed for good.
In addition, the infamous late-term Washington Surgi-Clinic in D.C. was also temporarily shuttered this year amid a lapsed license. Abortionist Cesare Santangelo, who is suspected of killing live babies after birth, also reportedly has severe health problems that may have contributed to the closure.

The two Planned Parenthood closures are especially meaningful to Operation Rescue. Both of the Planned Parenthood regions in Texas and New York were involved in suing Operation Rescue’s President, Troy Newman, after he and others released the groundbreaking 2015 undercover videos linking Planned Parenthood to the illegal sale of babies’ body parts.

Though Newman and others ended up with an $18 million judgment against them from a pro-abortion California judge, Newman says he would do it all again. As a direct result of those undercover videos, the Texas Planned Parenthood regions lost Medicaid funding, and Planned Parenthood’s CEO at the time, Cecile Richards, soon resigned. Planned Parenthood has never been able to replace Richards’ influence and political prowess – and now even their own flagship clinic in New York is completely gone.

“Pro-life Americans should be encouraged by this onrush of victories,” says Troy Newman. “We have 13 states that remain abortion-free, four more with heartbeat laws, and America’s biggest abortion provider can’t seem to regain its footing. God has given us a wave of momentum in 2025, but that doesn’t mean it’s time to relax. Now is the time to push forward, to increase our local activism and outreach, to work with our legislators and lawmakers, and to keep right on exposing every lie of the abortion cartel. Tomorrow is too late. Let’s abolish abortion today.”

BY THE NUMBERS

National Abortion Clinic Numbers

For the fourth year in a row, the number of abortion clinics in America continues to decline. In 2021, just before the fall of Roe, Operation Rescue’s annual survey revealed the highest number of abortion clinics in five years, counting 718 across 50 states. At the close of 2025, that number is 657 across just 37 states, an 8.5% decrease in just four years.

Newman comments, “That 8.5% may seem a small number; however, our opponents know it represents the strong and steady progress of the pro-life movement. Inch by inch, we are winning solid ground for children in the womb. Small numbers over time can have a significant impact. And, right now, 26% of the United States is abortion free.”

This progress is made even more evident in the comparison of clinics that existed in 1991, numbering 2,176 across the nation, to the number that remains today. A total count of 657 abortion clinics in 2025 shows a whopping 70% decrease in less than forty years.

In the last five years alone, 245 abortion clinics have closed.

2025 In Focus

A record 54 clinics closed or halted abortions this year, the highest number of closures since 2022, when Operation Rescue verified 88 closures following the fall of Roe. Of those 54 closures, 36 (67%) were pill-only clinics, and 18 (33%) were surgical clinics.

It is also worth noting that 67% of all closures were Planned Parenthood facilities.

Operation Rescue also documented 44 clinics that opened or resumed abortions this year. The breakdown was nearly fifty-fifty, with 23 (52%) opening or resuming as pill-only clinics, and 21 (48%) opening or resuming as surgical clinics.

The Virtual Back-Alley

Operation Rescue has continued to survey virtual-only suppliers, a separate category from brick-and-mortar abortion clinics. This dangerous trend experienced a slight reduction in abortion pill peddlers. After almost tripling in number between 2023 and 2024, virtual suppliers showed a small net loss of 4 suppliers in 2025, dropping from 58 to 54 in number.

To break that net loss down a little more succinctly, 10 online providers closed down, either permanently or temporarily, while 8 more expanded to in-person chemical abortions committed in brick-and-mortar buildings. This expansion moved them from the “virtual-only” category to the “brick-and-mortar” survey. Meanwhile, 14 new virtual back-alley abortion operations cropped up or resumed selling abortion pills after halting in 2024. Of those 14, eight were Planned Parenthood virtual clinics (57%), showing the abortion giant is attempting to expand its profits from mail-order pills, likely to make up for recent losses in funding.

Though counted separately, when rolled into the total number of abortion clinics in America, virtual suppliers make up 7.6% of places women might seek first-trimester abortions in the nation, a minor decrease from 2024, when virtuals would have made up 8% of places women might seek first-trimester abortions.

Since Operation Rescue has only been tracking various data points on virtual suppliers since 2022, it is difficult to determine if this represents the beginning of a downward trend. Medical abortions currently make up over 60% of all abortions in America – a 10% increase since 2020. Virtual suppliers are suspected of contributing significantly to this sudden jump.

The most alarming change in virtual suppliers is the number brazen enough to offer abortion pills in all 50 states, regardless of state laws that legally protect children in the womb. While only 4 of these back-alley operations were willing to break laws in abortion-free states in 2024, there are now 7 online abortion peddlers willing to risk mailing abortion pills across state lines, even when it is illegal to do so. These include:

A Safe Choice Network
Abortion Pills in Private
Aid Access
Cambridge Reproductive Health Consultants
Choices Rising
We Take Care of Us
WomenOnWeb

In addition, at least two virtual suppliers expanded abortion pills by mail to a large swath of new states in 2025, one adding as many as 13 states to its previous list.

“These virtual suppliers have undoubtedly been emboldened by the FDA’s reckless removal of nearly every safeguard for the abortion drug mifepristone,” says Newman. “With no overhead, no liability, and no respect for life or the law, the ‘Virtual Back-Alley’ is making money hand over fist – while women get injured or die, and while preborn children with legal protections in pro-life states are murdered. The FDA cannot keep ignoring the horrific course chemical abortions are taking.”

Clinic Market Share: Planned Parenthood v. Independents

Planned Parenthood appears to be struggling to keep its hold on the market share of brick-and-mortar abortion clinics nationwide this year, dropping from 58.2% in 2024 to 56.5% in 2025 – likely due to the record number of Planned Parenthood closures and the abortion giant’s continued loss of funding and support.

Of the total number of brick-and-mortar closures, Planned Parenthood racked up well over half, a total of 67%. And, for the clinics that either opened, reopened, or resumed abortions, Planned Parenthood only made up 43%. This represents a clear reversal of last year’s numbers, when Planned Parenthood made up only 45% of closures and an overwhelming 70% of openings.

Additionally, Planned Parenthood experienced a 5% decline in its market share of pill-only clinics, dropping from 78% of all pill-only clinics in 2024 to 73% in 2025.

Perhaps to compensate for those losses, Planned Parenthood has significantly expanded its market share of virtual suppliers. Making up just 33% of virtuals in 2024, Planned Parenthood has increased that hold by ten, now representing 43% of virtual suppliers. In fact, Planned Parenthood accounts for over half of the new virtuals uncovered in 2025 (57%).

Planned Parenthood has also remained America’s most well-funded abortion giant. Though finally facing historic Medicaid cuts in 2025 under the Trump administration, Planned Parenthood’s most recent annual report shows it received $792 million in taxpayer funds in fiscal year 2023-2024. That is a $100 million increase from the previous fiscal year – and a direct result of the previous Biden administration’s radical abortion agenda.

“Witnessing Planned Parenthood go from an increase of $100 million in government funding under Biden to being rightly stripped of Medicaid by President Trump shows Americans more than ever that elections have deep consequences – especially for the preborn,” Newman comments.

“The Biden/Harris administration pushed some of the most radical abortion policies America has ever seen, with Kamala Harris bought and paid for by Planned Parenthood. Voters must remember that pro-abortion candidates will only ever increase the number of children murdered in the womb – defenseless humans that cannot even cry out, much less cast a vote. When you mark your ballot, think of that voiceless child. Who would she vote for?”

COST OF FIRST TRIMESTER ABORTIONS

For the last decade, Operation Rescue has tracked the average cost of first-trimester abortions. This statistic best predicts what the average woman might pay since the overwhelming majority of abortions take place in the first 12 weeks of pregnancy.

In 2025, the average cost of a first-trimester abortion rose from $605 to $649 – the highest average cost ever documented, and the largest increase overall ($44), in the last ten years.

This average includes surgical, medical, and telemedicine abortion prices from brick-and-mortar abortion clinics only. Virtual suppliers will be addressed further down in this section.

Looking at individual types of abortions, the average cost of a surgical abortion jumped from $682 to $756, while the average cost of a medical abortion saw a less dramatic increase, $603 to $622.

The price of telemedicine abortions (offered by brick-and-mortar clinics) also went up. In 2023 and 2024, telemedicine abortions were around $530. In 2025, the cost rose to $570.

Overall, only eleven states saw a decrease in pricing, the most dramatic being Nebraska, which saw an individual decrease of $242. Nebraska was one of the few states to defeat a pro-abortion amendment in 2024, passing a pro-life amendment instead that constitutionally protects babies in the womb after the first trimester.

“With over half of Nebraska voters choosing life,” says Newman, “perhaps abortion businesses can’t find enough customers, forcing them to slash prices. Elections really do matter, and pro-life voters can make a meaningful difference when they show up to the polls.”

The majority of remaining states saw a rise in abortion pricing. Two other states and the District of Columbia experienced the largest hikes: in Iowa, an overall increase of $147; in Connecticut, an overall increase of $188; and in D.C., an overall increase of $203.

Concerning Planned Parenthood, the abortion giant once again kept pricing for surgical abortions slightly lower than those of independent clinics. In 2025, Planned Parenthood charged 10% less for surgical abortions, almost the same difference as in 2024. However, the gap between medical abortions at Planned Parenthood versus independent clinics seems to be closing. Whereas in 2024 medical abortions were 4% cheaper at Planned Parenthood, in 2025 that difference was only 1% – barely noticeable.

Telemedicine at Planned Parenthood saw the biggest change. In 2024, Planned Parenthood charged 14% more for telemedicine at brick-and-mortar clinics than independent clinics. In 2025, that gap doubled, with Planned Parenthood charging 28% more for telemedicine than independent clinics.

“Telemedicine abortions drastically reduce the time and resources an abortion business has to spend on a customer, while still increasing its profits,” says Newman. “Judging by their current pricing model, no one knows this better than Planned Parenthood – and no one is trying harder to make the biggest profit.”

Operation Rescue also tracks the prices of virtual suppliers, which are separated into two subcategories: fully virtual and virtual hybrid. A fully virtual clinic has no physical building; it operates exclusively online via a website, while a hybrid virtual either has a physical location but no in-person services, or offers virtual services but requires the customer to pick up abortion pills in person.

When comparing abortion pricing between virtual suppliers and brick-and-mortar clinics, telemedicine at a brick-and-mortar clinic is the most expensive at $570. Virtual hybrids are not much different in pricing, with an average of $561. Fully virtual suppliers are the absolute cheapest at $375.

It is also important to note that every category saw an increase in the overall average cost of abortion – surgical, medical, telemedicine, and virtual. Knowing what a difficult economy Americans are facing, one might call these “inflation abortions.”

Last year, Operation Rescue discovered that 43% of virtual suppliers (fully virtual and hybrid) do not require any kind of video or phone call with the abortionist. That percentage dropped slightly to 37% in 2025. However, even with a 6% decrease, over one-third of virtual suppliers still recklessly remove any real way of verifying if the person on the other end of a string of texts or emails has been truthful about who they are, how far along they are in pregnancy, or if they want the pills for a nefarious reason.

This lack of accountability or scrutiny is made evident in the breakdown of pricing for virtual suppliers that do require some kind of personal interaction (phone or video) and those who require nothing, willing to sell abortion pills to any buyer that manages to fill out the online form. The first has an average cost of $510, while the second has an average cost of just $217.

The cost of $217 for abortion pills without any kind of telemed visit did increase from the 2024 average, which was $179, but it still remains the cheapest – and most dangerous – way for women to obtain abortion pills.

“The more you’re willing to risk, the less money you’ll have to pay,” Newman comments. “That’s the message the FDA allowed and fully endorsed to women when it removed common sense regulations like a required in-person visit for the abortion drug mifepristone.”

Abortion pills through a telemed visit are already incredibly dangerous. Even with a video call, there is no ultrasound required to verify gestational age or rule out complications like ectopic pregnancy. And abortionists know it. Multiple Planned Parenthood regions, for example, force a woman to answer “Are you comfortable not having an ultrasound?” when scheduling a telemed appointment. She must answer “Yes” to proceed with scheduling, quickly placing liability on the woman if a complication goes undiagnosed.

Virtual suppliers that do not require any kind of telemed visit are endangering women even further. Not only is there no ultrasound performed, but an abortionist doesn’t even lay eyes on the person seeking the abortion pills, which fails to confirm if she’s nine weeks pregnant or nine months, or if “she” is actually an angry boyfriend who stole a woman’s ID and is ordering pills for nefarious purposes.

“In the last two years, alone, there have been multiple cases of men obtaining abortion pills online and dosing pregnant women,” adds Newman. “These cases have made national news. Furthermore, Operation Rescue carefully detailed this criminal activity in a special report regarding the dangers of unregulated abortion pills submitted directly to HHS Secretary RFK Jr. earlier this year. Still, nothing has been done by the FDA or HHS to deter these predators or hold virtual suppliers to any kind of accountability. It is unconscionable.”

SURGICAL V CHEMICAL

Both surgical and pill-only clinics showed a slight overall decline in 2025. In the case of pill-only clinics, this is the third consecutive year they have shown a decrease in number. Surgical clinics, on the other hand, have held fairly steady. Despite a slight increase in 2024, the number of surgical clinics rose to 374 in 2025, approximately the same number surveyed just two years ago.

When observing Planned Parenthood and independent clinics separately, the abortion giant showed a record net loss of 18 pill-only clinics, while the number of Planned Parenthood surgical clinics increased by one.

Even with Planned Parenthood’s losses, it still maintains the lion’s share of chemical abortion clinics in the U.S. (207 PPs vs 76 Indies), while independent clinics continue to hold the market share of surgical clinics (164 PPs vs 210 Indies).

At the close of 2025, Planned Parenthood operated 371 total clinics compared to 286 privately owned clinics. While the total number of Planned Parenthoods decreased by 17 since 2024, privately owned clinics increased by 7.

Each year, a number of clinics also change the type of abortions they commit, often based on being able (or unable) to find an abortionist willing to do a certain type of abortion procedure.

In 2025, 18 clinics dropped surgical abortions and became pill-only, eight of which were Planned Parenthoods. Thirteen pill-only clinics added surgical abortions. Seven of those were Planned Parenthoods.

GESTATIONAL AGES

Increased Number of Clinics Committing Later Abortions

When examining gestational limits, Operation Rescue used self-imposed limits at each abortion business, not the state-mandated limit.

In 2025, 64% of abortion clinics nationwide limited abortions to the first 14 weeks – the same percentage found in the previous year. However, the percentage of abortion clinics that commit later abortions (20 weeks and beyond) saw a slight rise from 17% in 2024 to 18% in 2025. In other words, 115 clinics in America are willing to kill babies in the womb well into the second trimester.

Gestational cut-off ranges were also assessed independently for surgical abortions versus pill abortions committed at brick-and-mortar clinics.

Gestational Limits for Pill Abortions

Looking at the breakdown of abortion clinics committing chemical abortions in the first 14 weeks, 10% limit abortion pills to six weeks or less, and are located in states with heartbeat laws.

Twenty-three percent administer or mail pills from 7 to 10 weeks, a 3% drop from 2024. However, the number of clinics that offer abortion pills between 11 and 13 weeks increased from 64% in 2024 to 67% in 2025. In addition, at least one brick-and-mortar clinic in 2025 offered abortion pills up to 14 weeks. Not only do the majority of abortion clinics provide abortion pills well past the FDA’s limit of 10 weeks, at least one brick-and-mortar clinic is willing to go even further – into the second trimester.

Operation Rescue has reported again and again on the dangers of chemical abortion. Alyona Dixon, Amber Thurman, and Candi Miller are all women who recently died from complications after ingesting abortion pills. Of the three, Dixon was reportedly past the FDA’s limit of 10 weeks.

The media never revealed the gestational age of Miller’s baby. However, she received abortion pills from Aid Access, a virtual supplier that offers abortion pills up to 14 weeks as well as “future” abortion pills – meaning pills for women who are not even pregnant. Aid Access also does not require any kind of phone or video conference to verify information offered by the woman seeking the pills. Miller could have been months into pregnancy and still received pills from Aid Access. Perhaps that is why the media seemed able to somehow verify everything about Miller’s death except how far along she was. Miller being dangerously past 10 or even 14 weeks would not have fit the pro-abortion narrative.

Virtual Suppliers Even More Willing to Extend Gestational Limits

The willingness to push past the FDA’s 10-week limit is most obvious among the Virtual Back-Alley. For two consecutive years, at least 85% of virtual suppliers exceeded that cut-off.

In 2025, 74% overall limited abortion pills to 11 weeks. However, the latest gestational age identified among virtual suppliers in 2024 was 13 weeks, offered by 3 suppliers. In 2025, not only did that number of suppliers increase to 4, but two additional virtual suppliers offered abortion pills up to 14 weeks.

Combined, 11% of virtual suppliers provided pills on the cusp or beginning days of the second trimester in 2025. One year prior, it was only 5% of virtual suppliers.

Gestational Limits for Surgical Abortions

Just over one-third (31%) of surgical abortion clinics committed abortions at 20 weeks or later – a slight increase from 2024 (30%) – while the number of surgical clinics that commit abortions before 14 weeks fell slightly, moving from 37% in 2024 to 36% in 2025.

This trade of 1% from earlier abortions to later-term abortions is the result of the “14 and under” category losing 4 clinics in 2025, and the “20 weeks or later” category gaining three.

The percentage of surgical abortions committed between 14 weeks and 19 weeks and 6 days remained the same (33%).

Latest Gestational Limits Nationwide

In 2025, the latest gestation age at which pills were administered at brick-and-mortar clinics nationwide was 14 weeks – one week later than the previous year, and four weeks beyond the FDA-approved limit.

The maximum gestational age documented during the survey for surgical abortions was 39 weeks, and several clinics evaluate circumstances on a case-by-case basis to perform abortions beyond their own stated limits.

In 2024, eight states and the District of Columbia had no gestational limits on the books. In 2025, that number increased to 10 states that legally allow abortion through all nine months, as well as the District of Columbia. Those states include: Alaska, Colorado, Maine, Maryland, Michigan, Minnesota, New Jersey, New Mexico, Oregon, and Vermont.

In seven states, the age at which abortions were committed was extended, and Missouri, which was abortion-free in 2024, resumed abortions up to 18 weeks of gestation.

Of the 37 states with legalized abortion, 22% expanded gestational limits at one or more clinics beyond the maximum gestational age documented in 2024.

“When abortion radicals lost the federal safety net of Roe, they doubled down, finally saying the quiet part out loud,” says Newman. “After decades of claiming to simply want abortion to be ‘rare and legal,’ there has been a no holds barred push to enshrine abortion through all nine months in every state constitution and push past every legal limit, expanding late-term abortions on one end of the spectrum and erasing any idea of a gestational cut-off for abortion pills at the other end of that spectrum. When all the rhetoric is laid aside, abortion radicals really want just one thing: more abortion, in every state, at every stage of pregnancy.”

ABORTION WAIT TIMES

Demand for Brick-and-Mortar Abortion Clinics Still Dropping

For the second year in a row, the national average wait time dropped. Last year, Operation Rescue documented the lowest wait time since 2017, plummeting from 8 days in 2023 to 5.5 days in 2024. In 2025, the national average wait time dropped again, landing at 4.9 days.

That’s a 39% decrease in wait times over the last two years – a strong indicator of the continued decrease in demand for brick-and-mortar abortion clinics, at least in regards to chemical abortions.

As more and more women turn to dangerous mail-order abortion pills, which take about three days on average to receive once ordered, Operation Rescue expects this downward trend in wait times for brick-and-mortar clinics to continue. In fact, when looking at the different categories for wait times, abortion pills at both surgical clinics and pill-only clinics saw the biggest drop. Surgical clinics saw a 30% decrease in wait times for abortion pills, and pill-only clinics saw a 28% decrease.

The only categories that showed any increase in 2025 were the wait times for surgical abortions (up by 6%) and telemed abortions at brick-and-mortar clinics (up by 6% at surgical clinics and 8% at pill-only clinics).

EXPOSÉ: PLANNED PARENTHOOD’S LAST GASP?

Planned Parenthood has long been one of the most powerful organizations in the abortion movement, often lavished with political favor and even more political finance. In 2025, however, that favor has clearly begun to shift. The once powerful abortion giant cannot seem to regain its political footing nor stop the rushing river of complaints and accusations coming from its own employees.

Month by month, Americans have witnessed the reality of our nation’s biggest abortion peddler: Planned Parenthood is a criminal organization that has spent decades exploiting taxpayers for its own financial and political gain, and using women as a shield whenever caught for wrongdoing.

“More than ever, Planned Parenthood has proven throughout 2025 that its higher-ups feel entitled to state and federal monies, despite having mismanaged that money in devastating ways,” says Troy Newman, President of Operation Rescue. “Its main priority is Big Abortion, not women, and Americans are seeing the true face of this abortion giant. As a result, Planned Parenthood’s influence isn’t just waning – it’s plummeting.”

Staff Speaking Out

In February, just weeks after former Planned Parenthood CEO Cecile Richards died from brain cancer, the New York Times published a bombshell exposé on the inner workings of a clearly crumbling Planned Parenthood.

The NYT – a typically pro-abortion journal – cited everything from lawsuits to internal documents, and claimed to have interviewed “more than 50 current and former Planned Parenthood executives, consultants and medical staff members.” Through its own employees, the NYT uncovered massive misuse of funds, terrible working conditions, untrained staff, and maimed patients. Not just at one affiliate, but across the whole organization.

Three months later, another bombshell story came to light. An investigative article from Flatwater Free Press featured Sabrina Stratman, a former nurse at Planned Parenthood who opened up about being pressured to break protocol and assist with surgical abortions. When she expressed concerns to management, Stratman said they went unheard and that the clinic manager “used [Stratman’s] passion for abortion access as leverage.”

At the time, other current and former Planned Parenthood employees complained to the Flatwater about insufficient training, problems “beyond burnout,” and a dismissive attitude among executives whenever regular staff have voiced concerns – all similar to the complaints from other employees at other affiliates detailed in the previous NYT article.

Regions Imploding

One of the biggest and most symbolic closures of 2025 was the infamous Manhattan Health Center located at 26 Bleecker Street in New York City. Previously known as the “Margaret Sanger Center,” this abortion facility was the flagship of Planned Parenthood’s entire empire.

It was also part of one of the organization’s biggest affiliates, Planned Parenthood Greater New York, which has been rife with internal conflicts for years. It was even featured in the NYT article for financial failures and squabbles over salaries among chief executives. In years previous, employees also publicly accused PPGNY of ongoing systemic racism in the workplace and even outed the affiliate for “financial mismanagement” by then CEO Laura McQuade.

Four other abortion facilities in the PPGNY region also closed between 2024 and 2025, a total of five facilities in just two years – and in one of America’s most radically pro-abortion states.

“Planned Parenthood loves to blame Trump and inflation for all the blows it’s taken in 2025,” says Newman, “but the people to blame are right in their own backyard – executives making six figure salaries who have spent years abusing employees, patients, and taxpayer funds until the damage was too great to hide.”

Effective October 1, another Planned Parenthood affiliate was forced to shut down: Planned Parenthood Gulf Coast, which operated in the abortion-free states of Texas and Louisiana. Preceding its total shutdown, PPGC was first forced to shutter its own flagship location and administrative base – the Prevention Park location in Houston. Prevention Park was a megacenter, built to be one of the largest abortion facilities in the nation.

As with PPGNY, rumblings that started years previous came to a head in 2025. The Prevention Park location was one of the clinics exposed by the Center for Medical Progress videos released in 2015, just five years after the megacenter opened to conduct first and second-trimester abortions.

Footage taken by CMP inside Prevention Park with Melissa Farrell, then Director of Research for Planned Parenthood Gulf Coast, provided some of the most horrifying evidence of Planned Parenthood’s involvement with the illegal harvest of aborted babies’ bodies.

By 2021, Texas had used that evidence to successfully strip Planned Parenthood of state Medicaid funding. By 2022, Roe was overturned, and a near-total ban on abortion went into effect across the state. With Medicaid funds and abortion profits all dried up, at least one affiliate encompassing two states no longer exists in 2025, and three more Planned Parenthood locations closed (Prevention Park included), plus the closure of PPGC’s Virtual Center.

PPGNY and PPGC are two of the most dramatic examples, but 2025 revealed many other affiliates in tumultuous waters:

Employees of Planned Parenthood Southeast recently pitted themselves against higher-ups, alleging a “hostile corporate takeover” by a new CEO who has shown “conservative” leanings.

In May, employees of Planned Parenthood California Central Coast threatened to go on strike over unfair labor practices, including “understaffing, high turnover, and patient care concerns.”

Also in May, Planned Parenthood North Central States announced the closure of 8 clinics – the same region where Sabrina Stratman quit after being forced to break protocol, and where other employees voiced concerns about insufficient training.

Historic Defunding, Federal and State

In the midst of Planned Parenthood reaping all the mismanagement and abuse it has already sown, President Donald Trump worked with Congress in the summer of 2025 to federally defund Planned Parenthood for the first time in history – though only for one year.

Planned Parenthood immediately filed suit, hoping to get an injunction against the defunding while litigation was ongoing. That attempt ultimately failed. Another abortion chain also filed suit – Maine Family Planning – and it was also denied an injunction against defunding.

In the wake of this historic removal of Medicaid, and since Operation Rescue’s 2024 Survey, 64 Planned Parenthood locations have closed. Thirty-six of those closures were abortion facilities, and 28 were referral locations. In California, there was also a service called Melody Health – essentially a primary health clinic co-located inside seven abortion clinics. Melody Health was discontinued, but the abortion centers it was located in remain open. In addition, three of Planned Parenthood’s virtual clinics have also shut down.

On the state level, Planned Parenthood is also losing Medicaid funding, and for much longer than just one year.

In June, the Supreme Court of the United States ruled in Planned Parenthood South Atlantic v. Medina that the abortion affiliate did not have standing to challenge South Carolina’s decision to exclude Planned Parenthood from state Medicaid funding.

This decision paves the way for other states to defund Planned Parenthood. On November 6, for example, the governor of Nebraska signed an executive order that excludes abortion providers from receiving state funds.

In March, President Trump also withheld Title X funds from nine Planned Parenthood affiliates pending an investigation for potential violations of executive orders issued in the months previous.

“As usual, Planned Parenthood has played the victim in all this,” says Newman, “but our team reads the autopsies, the police reports, the 911 records, and the lawsuits documenting the women and preborn children victimized by Planned Parenthood every day. Big Abortion does not deserve our hard-earned tax dollars. Planned Parenthood is not entitled to government money and, in fact, has been found guilty of Medicaid fraud numerous times. No one is ‘picking on’ Planned Parenthood. Americans are just tired of the abortion cartel demanding that we fund their back-alley abortion businesses and line their blood-stained pockets.”

One incredibly important case awaiting a decision from an appellate court is United States v. Planned Parenthood Federation of America, a false claims suit that could hold Planned Parenthood accountable for continuing to receive Medicaid reimbursements while litigation was ongoing regarding the removal of Medicaid funding from the abortion giant in Texas and Louisiana. If Planned Parenthood loses, it could face $1.8 billion in damages – a blow that has the potential to bankrupt the organization.

The Planned Parenthood-Free State

In the fallout of allegations from employees, bombshell exposés, collapsing affiliates, and historic defunding, Planned Parenthood is currently unable to offer abortions in 14 states, or 28% of the United States.

Of those 14, four states have zero Planned Parenthood locations in operation. They are Planned Parenthood-free, including Louisiana, Mississippi, North Dakota, and Wyoming.

Four additional states only have one Planned Parenthood location remaining: Alabama, Idaho, Rhode Island, and West Virginia.

ABORTION TRENDS

Abortion Bleeding into Urgent Care Clinics

In July 2025, an urgent care in Marquette, Michigan, began offering abortion pills after Planned Parenthood closed down the only abortion facility in the area.

It was announced as the first urgent care in the country to offer chemical abortions; however, this concept has existed in other places. In Colorado, for example, there is a long-standing chain of medical clinics that offers abortion pills up to 10 weeks. Each location offers both primary care and urgent care, and women do not have to be current patients to obtain abortion pills.

In California, there is a new abortion business that promotes itself as an OB/GYN Urgent Care attached to an associated abortion clinic. Both appear to be run by late-term abortionist Josepha Seletz. The websites for both businesses make it clear they do not manage normal pregnancies. It seems more like the Urgent Care exists to identify potential abortion patients who are then referred to the abortion business of a different name, but located in the same building.

“The abortion industry endlessly tries to appear as a legitimate source of healthcare,” says Newman. “Moving towards ‘urgent care’ is just the latest pathetic attempt. But abortion inside urgent care facilities will only mean one thing: more women injured by abortion in more locations, while radical abortion states like Michigan, Colorado, and California continue covering up the bodies and shouting ‘abortion is safe.’”

ABORTION AT THE STATE LEVEL

While last year’s drama played out on numerous November ballots with measures designed to enshrine abortion in state constitutions, 2025 has seen that drama move to the courts and legislative bodies as pro-life advocates work to undo the damage of pro-abortion amendments, defund abortion at the state-level, and hold criminal abortionists accountable when they break the law, injure patients, and then hide behind shield laws.

Legislative Protections From Conception to Birth

States that protect children in the womb from conception to birth – albeit with narrow exceptions, including for the life of the mother – are categorized by Operation Rescue as “abortion-free.” Though abortion-free states may still be working through the challenges of enforcing bans on abortion pills by mail, they no longer have active abortion clinics operating within their state, which preserves countless preborn lives.

In 2025, thirteen states remain abortion-free, including: Alabama, Arkansas, Idaho, Indiana, Kentucky, Louisiana, Mississippi, North Dakota, Oklahoma, South Dakota, Tennessee, Texas, and West Virginia.

In addition, four more states maintain 6-week bans, or heartbeat laws: Florida, Georgia, Iowa, and South Carolina. That is a total of 17 states with total or near-total bans on abortion in America – or around 34% of the nation.

Missouri was the sole state to lose its abortion-free status in 2025 after voters failed to stop the passage of a pro-abortion amendment in November 2024. With abortion suddenly enshrined in the state constitution, the abortion cartel wasted little time filing numerous legal challenges to Missouri’s strong pro-life protections. Throughout 2025, a battle has been playing out within the courts, causing abortions to abruptly start or stop within the state. Litigation is ongoing, and a full trial will be held in January 2026. However, until then, three Planned Parenthood locations in the state recently resumed killing preborn children.

Missouri legislators and state officials are not giving up, though. A pro-life amendment that would repeal the 2025 amendment altogether has already been approved for the November 2026 ballot.

Newman adds, “Come election time, voters have a chance to undo drastic damage to protections for preborn children and win back Missouri’s abortion-free status.”

Other Upcoming Ballot Initiatives

NEVADA also has a pro-abortion amendment already approved for the 2026 ballot. In Nevada, amendments must be approved in two even-numbered election years. The “Right to Abortion Initiative” already passed in 2024. If voters pass the amendment again in 2026, then abortion will be enshrined in the state constitution up to “viability.” As with many other pro-abortion amendments, the definition of “viability” is intentionally vague, easily opening the door for abortion to push past the current gestational limit of 26 weeks.

VIRGINIA is another state with a pro-abortion amendment in play. In Virginia, an amendment can only reach the ballot if it is approved by both the House and the Senate in two consecutive legislative sessions. The “Virginia Right to Reproductive Freedom Amendment” successfully passed both chambers in early 2025. If it can pass in the 2026 legislative session, it will go to the 2026 ballot. If passed by voters, the amendment will likely enshrine abortion in the state constitution through all nine months.

IDAHO could see a pro-abortion amendment on the 2026 ballot. Idahoans United for Women and Families is collecting signatures for an amendment that will enshrine abortion in the state constitution up to “viability” and in the case of a medical emergency. Here again, the definition of “viability” is intentionally vague, and the interpretation of a “medical emergency” is left solely to the doctor (read: abortionist). At least 71,000 signatures must be collected by May 1, 2026. Reportedly, 50,000 or more were already collected by November 2025.

Shield Laws

Currently, 18 states maintain shield laws for abortionists, making it clear that no cooperation will be given to out-of-state attorneys general attempting to prosecute those who provide abortion pills in states where chemical abortions are banned. Another four states have executive orders stating the same.

At least two abortionists have been indicted on felony charges in abortion-free Louisiana after providing abortion pills illegally through the mail, both cases seemingly involving coercion and one case involving a minor.

The same two abortionists, Margaret Carpenter and Remy Coeytaux, have also faced civil lawsuits in the state of Texas for more of the same – providing abortion pills illegally, injuring patients, and practicing medicine in a state where they are not licensed.

However, both abortionists reside in states with shield laws – New York and California – neither of which will cooperate with any out-of-state investigations or extradition process. In fact, in October, a New York judge dismissed a legal challenge from Texas after a New York county clerk refused to process the out-of-state judgment of $100,000 against Carpenter.

“Abortionists in these states are a pathetic, privileged class of doctor,” says Newman. “They can maim women, provide pills for men with nefarious motives, and enable coercion, then hide behind abortion radicals who care nothing for the lives of women. It is only a matter of time before these cases reach the Supreme Court, where, if justice prevails, these unconstitutional shield laws will be struck down and these cowardly abortionists held legally accountable.”

The Worst of the Worst

Even with 12 clinics closed for good in 2025, California still has the highest concentration of abortion clinics in the nation (156), followed by New York (73), Florida (49), New Jersey (34), and Washington (32).

Maine and California experienced the worst expansion, with Maine adding 8 new clinics and California adding 7 clinics. However, it is worth noting that the expansion in Maine was largely due to 7 clinics previously categorized as “virtual-only” adding “in-person” chemical abortions in brick-and-mortar businesses. California, on the other hand, saw 7 clinics open for the first time, reopen, or resume abortions in the state. While the clinics in Maine were already contributing to the number of abortions committed in 2024 through the virtual back-alley, the new and resumed clinics in California are, tragically, only getting started.

Four states – Arizona, California, Illinois, and Wisconsin – also saw the number of clinics that commit abortions beyond 20 weeks increase by three, totaling twelve more clinics willing to brutally murder children in the womb well into the second trimester.

Abortion Deaths and Injuries

In addition to tracking abortion trends and statistics, Operation Rescue also investigates abortion deaths and injuries every year, following up with records requests, complaints, calls to action, and public reports that hold abortionists and abortion businesses accountable.

Of the 56 emergencies Operation Rescue investigated in 2025, Planned Parenthood was involved in well over half, making up 64% of Operation Rescue’s investigations. Just weeks before this report was published, sidewalk counselors in Chicago encountered a woman weeping and trying to get emergency assistance while collapsed at the entrance of a Planned Parenthood. She told counselors on the scene that Planned Parenthood had thrown her out after a procedure and told her to call 911 herself.

An investigation into a Planned Parenthood in Fort Collins, Colorado, and the death of 18-year-old Lexi Arguello was the most egregious. Lexi died from complications during a second-trimester abortion in February 2025, after a suspected amniotic embolism and delayed emergency transport from Planned Parenthood. Colorado is a state that openly protects abortionists and does not require abortion clinics to be inspected or regulated. The months-long investigation is still open, and Operation Rescue is currently working with a full legal team to obtain an unredacted copy of Lexi’s autopsy.

“Abortion destroys everything it touches,” adds Newman. “Lexi’s life and the life of her baby might have been spared if our nation better understood this devastating truth. Operation Rescue is committed to uncovering the truth about abortion and to equipping compassionate, pro-life Americans with the data and insight to defend the sanctity of life and establish real, legal protections for defenseless babies in the womb.”

STATE SNAPSHOTS

ALASKA

Total Number of Clinics: 2

Number of Surgical Clinics: 2

Number of Medical Clinics: 0

Number of Clinics with Telemed: 0

Difference from 2024: -1 Clinic

Average cost of an abortion: $800

Average wait time for an abortion: 8 Days

Latest Gestational Age: 17 Weeks, 6 Days

Number of clinics that go beyond 20 weeks: 0

Status of state abortion laws: Allows telemedicine to distribute abortion drugs via mail. Abortion is legal throughout all nine months of pregnancy. There are no gestational limits in this state.

ARIZONA

Total Number of Clinics: 9

Number of Surgical Clinics: 8

Number of Medical Clinics: 1

Number of Clinics with Telemed: 0

Difference from 2024: +1 Clinic

Average cost of an abortion: $926

Average wait time for an abortion: 8 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 enshrined up to “viability” in the state constitution. Arizona’s previous 15-week limit was struck down in 2025. The state also protects abortionists from out-of-state investigations and legal action via executive order.

CALIFORNIA

Total Number of Clinics: 156

Number of Surgical Clinics: 62

Number of Medical Clinics: 94

Number of Clinics with Telemed: 70

Difference from 2024: -8 Clinics

Average cost of an abortion: $815

Average wait time for an abortion: 3 Days

Latest Gestational Age: 25 Weeks, 6 Days

Number of clinics that go beyond 20 weeks: 26

Status of state abortion laws: Allows telemedicine to distribute abortion drugs via mail. In 2022, California voters approved an initiative that completely protects abortion and can remove all gestational limits. Shield Law in place by statute. California boasts the most liberal abortion laws in the U.S.

COLORADO

Total Number of Clinics: 23

Number of Surgical Clinics: 10

Number of Medical Clinics: 13

Number of Clinics with Telemed: 12

Difference from 2024: +1 Clinic

Average cost of an abortion: $670

Average wait time for an abortion: 7 Days

Latest Gestational Age: 39 Weeks

Number of clinics that go beyond 20 weeks: 6

Status of state abortion laws: Allows telemedicine to distribute abortion drugs via mail. In 2024, Colorado voters enshrined a right to abortion in the state constitution. The amendment also forces insurance health plans to cover abortion procedures. There are no gestational limits in this state. Shield Law by statute.

CONNECTICUT

Total Number of Clinics: 15

Number of Surgical Clinics: 5

Number of Medical Clinics: 10

Number of Clinics with Telemed: 14

Difference from 2024: -1 Clinic

Average cost of an abortion: $906

Average wait time for an abortion: 7 Days

Latest Gestational Age: 24 Weeks

Number of clinics that go beyond 20 weeks: 1

Status of state abortion laws: Allows telemedicine to distribute abortion drugs via mail. 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. Shield Law by statute.

DELAWARE

Total Number of Clinics: 2

Number of Surgical Clinics: 2

Number of Medical Clinics: 0

Number of Clinics with Telemed: 0

Difference from 2024: No Change

Average cost of an abortion: $500

Average wait time for an abortion: 19 Days

Latest Gestational Age: 15 Weeks, 6 Days

Number of clinics that go beyond 20 weeks: 0

Status of state abortion laws: Allows telemedicine to distribute abortion drugs via mail. Abortion is allowed until “viability” but has exceptions for the life of the mother, rape or incest, and fetal anomaly. Viability is usually set in this state around 24 weeks. Shield Law by statute.

DISTRICT OF COLUMBIA

Total Number of Clinics: 3

Number of Surgical Clinics: 3

Number of Medical Clinics: 0

Number of Clinics with Telemed: 1

Difference from 2024: -1 Clinic

Average cost of an abortion: $744

Average wait time for an abortion: 3 Days

Latest Gestational Age: 32 Weeks, 6 Days

Number of clinics that go beyond 20 weeks: 1

Status of state abortion laws: Allows telemedicine to distribute abortion drugs via mail. Abortion is legal through all nine months of pregnancy. There are no gestational limits.

FLORIDA

Total Number of Clinics: 49

Number of Surgical Clinics: 39

Number of Medical Clinics: 10

Number of Clinics with Telemed: 0

Difference from 2024: -1 Clinic

Average cost of an abortion: $638

Average wait time for an abortion: 4 Days

Latest Gestational Age: 24 Weeks

Number of clinics that go beyond 20 weeks: 1

Status of state abortion laws: Bans the use of telemedicine to distribute abortion drugs. Abortion is limited to six weeks with exceptions for fetal anomaly, life of the mother, and rape and incest.

GEORGIA

Total Number of Clinics: 12

Number of Surgical Clinics: 6

Number of Medical Clinics: 6

Number of Clinics with Telemed: 0

Difference from 2024: No Change

Average cost of an abortion: $586

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: Allows telemedicine to distribute abortion drugs via mail. 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: 2

Number of Surgical Clinics: 2

Number of Medical Clinics: 0

Number of Clinics with Telemed: 2

Difference from 2024: No Change

Average cost of an abortion: $850

Average wait time for an abortion: 7 Days

Latest Gestational Age: 19 Weeks, 6 Days

Number of clinics that go beyond 20 weeks: 0

Status of state abortion laws: Allows telemedicine to distribute abortion drugs via mail. Abortion is allowed until “viability.” Viability is set in this state between 24 and 26 weeks. Shield Law by statute.

ILLINOIS

Total Number of Clinics: 26

Number of Surgical Clinics: 20

Number of Medical Clinics: 6

Number of Clinics with Telemed: 3

Difference from 2024: -3 Clinics

Average cost of an abortion: $557

Average wait time for an abortion: 4 Days

Latest Gestational Age: 34 Weeks

Number of clinics that go beyond 20 weeks: 13

IOWA

Total Number of Clinics: 1

Number of Surgical Clinics: 1

Number of Medical Clinics: 0

Number of Clinics with Telemed: 0

Difference from 2024: -1 Clinics

Average cost of an abortion: $800

Average wait time for an abortion: 7 Days

Latest Gestational Age: 6 Weeks

Number of clinics that go beyond 20 weeks: 0

Status of state abortion laws: Bans the use of typical telemedicine to distribute abortion drugs by requiring patients to do in-person visits or telehealth as part of the process. Abortion is limited to 6 weeks with exceptions for life of the mother, rape and incest, or a fetal anomaly.

KANSAS

Total Number of Clinics: 7

Number of Surgical Clinics: 5

Number of Medical Clinics: 2

Number of Clinics with Telemed: 0

Difference from 2024: No Change

Average cost of an abortion: $761

Average wait time for an abortion: 6 Days

Latest Gestational Age: 21 Weeks, 6 Days

Number of clinics that go beyond 20 weeks: 4

Status of state abortion laws: Allows telemedicine to distribute abortion drugs via mail. In 2022, a right to abortion was enshrined in the state constitution. In July 2024, the Kansas Supreme Court utilized the new amendment to craft two opinions which struck down numerous long-standing abortion regulations, including the removal of a ban on gruesome dismemberment abortions. Other litigation is ongoing and more pro-life laws are expected to be struck down. For now, abortion remains limited to 22 weeks.

MAINE

Total Number of Clinics: 13

Number of Surgical Clinics: 3

Number of Medical Clinics: 10

Number of Clinics with Telemed: 13

Difference from 2024: +8 Clinics*

Average cost of an abortion: $537

Average wait time for an abortion: 5 Days

Latest Gestational Age: 21 Weeks, 6 Days

Number of clinics that go beyond 20 weeks: 1

Status of state abortion laws: Allows telemedicine to distribute abortion drugs via mail. Abortion is legal through all nine months of pregnancy. There are no gestational limits. Shield Law by statute; a new law also allows abortionists to omit their names on prescription labels, another way to shield abortionists from prosecution.

*7 Virtual Clinics – a category surveyed separately – expanded to in-person medication abortions in 2025, causing them to be moved to the Brick-and-Mortar category.

MARYLAND

Total Number of Clinics: 25

Number of Surgical Clinics: 13

Number of Medical Clinics: 12

Number of Clinics with Telemed: 9

Difference from 2024: No Change

Average cost of an abortion: $551

Average wait time for an abortion: 5 Days

Latest Gestational Age: 38 Weeks

Number of clinics that go beyond 20 weeks: 5

Status of state abortion laws: Allows telemedicine to distribute abortion drugs via mail. Abortion is allowed until “viability” but has broad exceptions for the life of the mother or if the unborn child has a genetic defect or deformity. In 2024, Maryland voters also enshrined a right to abortion through all nine months of pregnancy. Shield Law by statute.

MASSACHUSETTS

Total Number of Clinics: 15

Number of Surgical Clinics: 8

Number of Medical Clinics: 7

Number of Clinics with Telemed: 6

Difference from 2024: No Change

Average cost of an abortion: $671

Average wait time for an abortion: 4 Days

Latest Gestational Age: 24 Weeks

Number of clinics that go beyond 20 weeks: 5

MICHIGAN

Total Number of Clinics: 22

Number of Surgical Clinics: 15

Number of Medical Clinics: 7

Number of Clinics with Telemed: 14

Difference from 2024: -3 Clinics

Average cost of an abortion: $650

Average wait time for an abortion: 6 Days

Latest Gestational Age: 24 Weeks

Number of clinics that go beyond 20 weeks: 8

Status of state abortion laws: Allows telemedicine to distribute abortion drugs via mail. In 2022, a right to abortion was enshrined in the state constitution; there are no gestational limits in this state. Shield Law by executive order.

MINNESOTA

Total Number of Clinics: 8

Number of Surgical Clinics: 4

Number of Medical Clinics: 4

Number of Clinics with Telemed: 7

Difference from 2024: -1 Clinic

Average cost of an abortion: $1,014

Average wait time for an abortion: 7 Days

Latest Gestational Age: 23 Weeks, 5 Days

Number of clinics that go beyond 20 weeks: 2

Status of state abortion laws: Allows telemedicine to distribute abortion drugs via mail. In 2023, the Minnesota legislature passed a bill that established a right to abortion in the state constitution. That same year, legislators repealed a 1974 abortion law that limited abortion to viability. There are no longer any gestational limits in this state. Shield Law by statute.

MISSOURI

Total Number of Clinics: 3

Number of Surgical Clinics: 3

Number of Medical Clinics: 0

Number of Clinics with Telemed: 0

Difference from 2024: +3 Clinics

Average cost of an abortion: $695

Average wait time for an abortion: 11 Days

Latest Gestational Age: 18 Weeks

Number of clinics that go beyond 20 weeks: 0

Status of state abortion laws: Bans the use of telemedicine to distribute abortion drugs. In 2024, voters failed to stop the passage of a ballot measure that enshrined abortion in the state constitution. Litigation is ongoing, but abortion is currently legal up to the point of fetal viability, around 24 weeks, with exceptions for rape and incest. A pro-life ballot measure is approved for 2026. If passed, it will repeal the 2024 amendment and restore strong protections for almost all preborn children.

MONTANA

Total Number of Clinics: 6

Number of Surgical Clinics: 4

Number of Medical Clinics: 2

Number of Clinics with Telemed: 6

Difference from 2024: No Change

Average cost of an abortion: $664

Average wait time for an abortion: 3 Days

Latest Gestational Age: 20 Weeks, 6 Days

Number of clinics that go beyond 20 weeks: 1

Status of state abortion laws: Allows telemedicine to distribute abortion drugs via mail. Abortion is allowed until “viability” but has exceptions for the life of the mother. Viability is currently set in this state between 24 and 26 weeks. In 2024, voters enshrined a right to abortion up to “viability” in the state constitution. However, the new amendment offers no stated definition of “viability,” so the current cut-off could be extended.

NEBRASKA

Total Number of Clinics: 2

Number of Surgical Clinics: 1

Number of Medical Clinics: 1

Number of Clinics with Telemed: 0

Difference from 2024: No Change

Average cost of an abortion: $831

Average wait time for an abortion: 8 Days

Latest Gestational Age: 11 Weeks, 6 Days

Number of clinics that go beyond 20 weeks: 0

Status of state abortion laws: Bans the use of telemedicine to distribute abortion drugs. Abortion is limited to 12 weeks with exceptions for the life of the mother, rape or incest. In 2024, voters rejected a right to abortion in the state constitution and, instead, enshrined protections for the preborn during the second and third trimester of pregnancy.

NEVADA

Total Number of Clinics: 7

Number of Surgical Clinics: 5

Number of Medical Clinics: 2

Number of Clinics with Telemed: 0

Difference from 2024: -1 Clinic

Average cost of an abortion: $577

Average wait time for an abortion: 3 Days

Latest Gestational Age: 23 Weeks

Number of clinics that go beyond 20 weeks: 2

Status of state abortion laws: Allows telemedicine to distribute abortion drugs via mail. Abortion is limited to 24 weeks with exceptions for the life of the mother. In 2024, voters passed an amendment that will enshrine a right to abortion up to “viability” in the state constitution. However, the amendment has to pass again in the 2026 election before it can go into effect. The amendment offers no stated definition of “viability,” so the current cut-off could be extended. Shield Law by statute.

NEW HAMPSHIRE

Total Number of Clinics: 7

Number of Surgical Clinics: 4

Number of Medical Clinics: 3

Number of Clinics with Telemed: 4

Difference from 2024: No Change

Average cost of an abortion: $573

Average wait time for an abortion: 14 Days

Latest Gestational Age: 18 Weeks

Number of clinics that go beyond 20 weeks: 0

Status of state abortion laws: Allows telemedicine to distribute abortion drugs via mail. Abortion is limited to 24 weeks with exceptions for the life of the mother and fatal fetal anomaly.

NEW JERSEY

Total Number of Clinics: 34

Number of Surgical Clinics: 17

Number of Medical Clinics: 17

Number of Clinics with Telemed: 14

Difference from 2024: -2 Clinics

Average cost of an abortion: $563

Average wait time for an abortion: 3 Days

Latest Gestational Age: 28 Weeks

Number of clinics that go beyond 20 weeks: 3

NEW MEXICO

Total Number of Clinics: 10

Number of Surgical Clinics: 7

Number of Medical Clinics: 3

Number of Clinics with Telemed: 3

Difference from 2024: No Change

Average cost of an abortion: $608

Average wait time for an abortion: 4 Days

Latest Gestational Age: 32 Weeks

Number of clinics that go beyond 20 weeks: 5

NEW YORK

Total Number of Clinics: 73

Number of Surgical Clinics: 44

Number of Medical Clinics: 29

Number of Clinics with Telemed: 0

Difference from 2024: -2 Clinics

Average cost of an abortion: $746

Average wait time for an abortion: 4 Days

Latest Gestational Age: 27 Weeks

Number of clinics that go beyond 20 weeks: 9

Status of state abortion laws: Allows telemedicine to distribute abortion drugs via mail. Abortion is allowed until “viability” but has exceptions for the life of the mother. Viability is set in this state at 24 weeks. In 2024, New York voters enshrined a right to abortion in the state constitution that extends through all nine months of pregnancy. Shield Law by statute.

NORTH CAROLINA

Total Number of Clinics: 16

Number of Surgical Clinics: 14

Number of Medical Clinics: 2

Number of Clinics with Telemed: 0

Difference from 2024: No Change

Average cost of an abortion: $628

Average wait time for an abortion: 8 Days

Latest Gestational Age: 12 Weeks, 6 Days

Number of clinics that go beyond 20 weeks: 0

Status of state abortion laws: Bans the use of telemedicine to distribute abortion drugs. Abortion is limited to 12 weeks and 6 days with exceptions for the life of the mother or a fatal fetal anomaly. Shield Law by executive order.

OHIO

Total Number of Clinics: 10

Number of Surgical Clinics: 7

Number of Medical Clinics: 3

Number of Clinics with Telemed: 0

Difference from 2024: +1 Clinic

Average cost of an abortion: $759

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 July 2025, an Ohio judge blocked enforcement of a law that prohibits telemedicine abortions while litigation is ongoing. Abortion is limited to the point of viability with exceptions for the life of the mother. In 2023, voters enshrined a right to abortion in the state constitution. In 2024, a county judge citing that new amendment struck down a six-week ban that passed in 2022 but was blocked by previous litigation. The decision was appealed and awaits an answer from the appellate panel.

OREGON

Total Number of Clinics: 11

Number of Surgical Clinics: 6

Number of Medical Clinics: 5

Number of Clinics with Telemed: 7

Difference from 2024: -1 Clinic

Average cost of an abortion: $719

Average wait time for an abortion: 4 Days

Latest Gestational Age: 24 Weeks

Number of clinics that go beyond 20 weeks: 1

PENNSYLVANIA

Total Number of Clinics: 16

Number of Surgical Clinics: 9

Number of Medical Clinics: 7

Number of Clinics with Telemed: 0

Difference from 2024: +1 Clinic

Average cost of an abortion: $560

Average wait time for an abortion: 8 Days

Latest Gestational Age: 28 Weeks

Number of clinics that go beyond 20 weeks: 2

Status of state abortion laws: Allows telemedicine to distribute abortion drugs via mail. Abortion is limited to 24 weeks with exceptions for the life of the mother. Shield Law by executive order.

RHODE ISLAND

Total Number of Clinics: 1

Number of Surgical Clinics: 1

Number of Medical Clinics: 0

Number of Clinics with Telemed: 0

Difference from 2024: -1 Clinic

Average cost of an abortion: $600

Average wait time for an abortion: 11 Days

Latest Gestational Age: 19 Weeks, 6 Days

Number of clinics that go beyond 20 weeks: 0

SOUTH CAROLINA

Total Number of Clinics: 3

Number of Surgical Clinics: 3

Number of Medical Clinics: 0

Number of Clinics with Telemed: 0

Difference from 2024: No Change

Average cost of an abortion: $716

Average wait time for an abortion: 7 Days

Latest Gestational Age: 6 Weeks

Number of clinics that go beyond 20 weeks: 0

Status of state abortion laws: Bans the use of telemedicine to distribute abortion drugs. Abortion is limited to 6 weeks with exceptions for the life of the mother, fatal fetal anomaly, rape, or incest.

UTAH

Total Number of Clinics: 3

Number of Surgical Clinics: 2

Number of Medical Clinics: 1

Number of Clinics with Telemed: 0

Difference from 2024: -1 Clinic

Average cost of an abortion: $563

Average wait time for an abortion: 5 Days

Latest Gestational Age: 17 Weeks, 6 Days

Number of clinics that go beyond 20 weeks: 0

Status of state abortion laws: Telemedicine can be used for abortion consultation only, while abortion pills must be administered in-person. . Abortion is limited to 18 weeks with exceptions for the life of the mother, fatal fetal anomaly, rape, or incest. In 2022, a near-total ban went into effect but a judge blocked the law while litigation is ongoing. In 2023, a law passed that would not allow any abortion clinics to be licensed past January 1, 2024. That law is also blocked and litigation is ongoing.

VERMONT

Total Number of Clinics: 6

Number of Surgical Clinics: 2

Number of Medical Clinics: 4

Number of Clinics with Telemed: 6

Difference from 2024: No Change

Average cost of an abortion: $555

Average wait time for an abortion: 9 Days

Latest Gestational Age: 21 Weeks, 6 Days

Number of clinics that go beyond 20 weeks: 1

VIRGINIA

Total Number of Clinics: 20

Number of Surgical Clinics: 17

Number of Medical Clinics: 3

Number of Clinics with Telemed: 3

Difference from 2024: No Change

Average cost of an abortion: $562

Average wait time for an abortion: 3 Days

Latest Gestational Age: 25 Weeks

Number of clinics that go beyond 20 weeks: 5

Status of state abortion laws: Allows telemedicine to distribute abortion drugs via mail. Abortion is limited to 26 weeks and 6 days with exceptions for the life of the mother. A ballot measure passed both chambers in early 2025. If it can pass both chambers again in the 2026 legislative session, it will go to the 2026 ballot. If passed by voters, the measure will enshrine abortion in the state constitution, likely through all nine months.

WASHINGTON

Total Number of Clinics: 32

Number of Surgical Clinics: 15

Number of Medical Clinics: 17

Number of Clinics with Telemed: 18

Difference from 2024: -1 Clinic

Average cost of an abortion: $674

Average wait time for an abortion: 6 Days

Latest Gestational Age: 26 Weeks

Number of clinics that go beyond 20 weeks: 5

WISCONSIN

Total Number of Clinics: 4

Number of Surgical Clinics: 3

Number of Medical Clinics: 1

Number of Clinics with Telemed: 0

Difference from 2024: +1 Clinic

Average cost of an abortion: $672

Average wait time for an abortion: 4 Days

Latest Gestational Age: 21 Weeks, 6 Days

Number of clinics that go beyond 20 weeks: 3

Status of state abortion laws: Allows abortion pills via mail, but there are restrictions. Abortion is limited to 20 weeks with exceptions for the life of the mother. When Roe fell in 2022, an 1849 abortion law went into effect, but it was immediately challenged and subsequently blocked. A second petition filed by Planned Parenthood Wisconsin in February asked the Wisconsin Supreme Court to clarify if abortion is protected by the state constitution. In July 2025, the Wisconsin Supreme Court ruled the 1849 law did not ban abortion.

WYOMING

Total Number of Clinics: 1

Number of Surgical Clinics: 1

Number of Medical Clinics: 0

Number of Clinics with Telemed: 1

Difference from 2024: No Change

Average cost of an abortion: $650

Average wait time for an abortion: 9 Days

Latest Gestational Age: 23 Weeks, 6 Days

Number of clinics that go beyond 20 weeks: 1

Status of state abortion laws: Allows telemedicine to distribute abortion drugs via mail. 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. In 2024, a Wyoming state judge struck down two pro-life laws that went into effect shortly after the fall of Roe. One would have made the state abortion-free, and the second was a first-of-its-kind ban on medication abortions. Both were previously blocked while litigation was ongoing. An appeal on behalf of both laws is likely to follow.