Reproductive health resources post-Dobbs

The recent Supreme Court decision, Dobbs v. Jackson, overturned decades of settled precedent, and states across the country will now severely limit access to abortion, and many will ban abortion entirely.  Abortion bans will harm Black and Latinx people the most.  At AIDS United, our public policy and advocacy work is grounded in the understanding that HIV is a disease of disparities linked to race, sexual orientation, gender identity and economic status. Reproductive justice is harm reduction, with a focus on bodily autonomy for all individuals. Our organization continues to advocate for people who use drugs and therefore also advocates for the rights of those seeking safe abortions.  Barriers to health care include stigma, discrimination, medical mistrust, safety and lack of access to affirming care. This impacts everyone, but sexual and gender minorities face greater health challenges due to lower levels of health insurance and access to regular health care compared to cisgender heterosexual people as well as inequities such as stigma and discrimination.  Due to factors such as health insurance coverage, a lack of transportation and childcare, inability to take time off from work, communication and language barriers, discrimination and lack of trust in health care providers, communities of color are also disproportionately impacted by HIV prevalence and are more likely to experience worse health outcomes, including lower rates of viral suppression.  The sentiment remains the same for abortion services, as insurance restrictions, waiting periods, state-mandated counseling and various regulatory hurdles create logistical and financial barriers that make accessing care extremely difficult, especially for Black women and other women of color.   Below is an ever-growing list of resources for abortion services across the country.   Abortion Clinic Services:  

• Abortion Laws by State: https://www.guttmacher.org/news-release/2022/abortion-after-roe-new-comprehensive-map-tracks-abortion-policies-and-statistics  
• Power to Decide’s Database of Abortion Providers: https://www.abortionfinder.org/   
• Online Abortion Navigation Services: https://www.ineedana.com/  
• Abortion Care Network’s List of Providers: https://abortioncarenetwork.org/abortion-care-providers/  
• Abortion Clinics and Crisis Pregnancy Centers Differ: https://apnews.com/article/2290c53c392b40959b88d32a5443eb20 
• Important information about “Crisis Pregnancy Centers,” including signs that a clinic might be a crisis pregnancy center and fake clinic databases: https://www.plannedparenthood.org/blog/what-are-crisis-pregnancy-centers

Abortion Funds:  An abortion fund is a non-profit organization that provides financial and logistical assistance to individuals who cannot afford the costs of an abortion, usually through individual donations. Abortion funds directly pay for some or all the costs of a person's abortion. This section details abortion funds by state.  

• National Network of Abortion Funds: https://abortionfunds.org/  
• Information about paying for an abortion: https://abortionfunds.org/discounts/  
• List of local abortion funds, listed by state: https://donations4abortion.com/  
• Financial Resources for Abortion, listed by state: https://providecare.org/financial-resources-abortion/  
• Repro Legal Defense Fund: https://reprolegaldefensefund.org/ (Covers bail and funds strong defenses for people who are investigated, arrested, or prosecuted for self-managed abortion)

Abortion Pill Access:   Abortion pills are medications utilized to induce abortions. This section details access to abortion pills by state.  

• Plan C for abortion pill access: https://www.plancpills.org/guide-how-to-get-abortion-pills#support  
• CaraFem: https://carafem.org/at-home-abortion-pills/  
• National organization which provides access to state-specific mail order abortion pills in 15 states and Washington, D.C. 
• Abortion on our Own Terms self-managed abortion resources: https://abortiononourownterms.org/need-help-accessing-abortion/  
• Women Help Women’s Self-Managed Abortion Resources; Safe & Supported (SASS): https://abortionpillinfo.org/  
• Abortion On Demand: https://abortionondemand.org/  
• Access to abortion pills from a telehealth provider via mail in 20+ states and Washington, D.C. 
• Plan C – Mail Forwarding & Other Options: https://www.plancpills.org/mail-forwarding 

Contraceptive Care:   Contraceptive care includes screening, education, counseling and provision of contraceptives (birth control), as well as follow-up care.  

• Power to Decide Health Clinic Locator: https://powertodecide.org/sexual-health/your-sexual-health/find-clinic 
• Get care online through Planned Parenthood: https://www.plannedparenthood.org/get-care/get-care-online  
• Birth control options, effectiveness, and cost: https://www.plannedparenthood.org/learn/birth-control 

Disability-Specific Information: 

• Access, Autonomy, and Dignity: Abortion Care for People with Disabilities: repro-disability-abortion.pdf (nationalpartnership.org) 
• Contraception for People with Disabilities: repro-disability-contraception.pdf (nationalpartnership.org) 
• Comprehensive Sexuality Education for People with Disabilities: repro-disability-sexed.pdf (nationalpartnership.org) 
• People with Disabilities and the Right to Parent: repro-disability-parenting.pdf (nationalpartnership.org) 
• The Implications of Roe v. Wade Being Overturned for People with Disabilities: An Overlooked Perspective: The Implications of Roe v. Wade Being Overturned for People with Disabilities  - AbleSC (able-sc.org)

Emergency Contraception:   Emergency contraception refers to methods of contraception that can be used to prevent pregnancy after sexual intercourse, including Plan B pills.  

• Where to buy Plan B: https://www.planbonestep.com/where-to-buy-plan-b/ (Plan B can also be ordered online via this website) 
• You can find a table with retailers, pricing, and whether insurance is accepted under “Where to Get Plan B” here.  
• Planned Parenthood: What Kind of Emergency Contraception Should I Use? 
• This link also provides information about safety, costs, and how to get emergency contraception for free with health insurance or Medicaid.  
• State laws and policies on Emergency Contraception: https://www.guttmacher.org/state-policy/explore/emergency-contraception 

Trans-Related Info/Resources:   This section details educational information on how all genders experience abortions and trans-specific resources for abortion services.  

• All Genders Have Abortions: https://www.mabelwadsworth.org/community-services/news-events/trans-inclusive/  
• Abortion experiences and preferences of transgender, nonbinary, and gender-expansive people in the United States: https://www.sciencedirect.com/science/article/pii/S0002937820311261 
• Why We Need Gender Neutral Language for Abortion Access: https://everydayfeminism.com/2016/09/non-binary-abortion-access/  
• Options for Sexual Health’s Guide to Trans-Inclusive Abortion Services: https://www.optionsforsexualhealth.org/wp-content/uploads/2019/07/FQPN18-Manual-EN-BC-web.pdf 

National Resources:  

• National Abortion Federation: https://prochoice.org/  
• Miscarriage and abortion hotline: https://www.mahotline.org/  
• Reproductive Legal Defense Fund: https://reprolegaldefensefund.org/ 
• Covers bail and funds strong defenses for people who are investigated, arrested, or prosecuted for self-managed abortion 
• Repro Legal Helpline: https://www.ifwhenhow.org/repro-legal-helpline/ 
• Guttmacher Institute: https://www.guttmacher.org/  
• Research and policy organization committed to advancing sexual and reproductive health and rights globally. 
• Presidential Executive order Protecting Access to Reproductive Health Services: Executive Order on Protecting Access to Reproductive Healthcare Services | The White House 
• Fact Sheet on Executive order: FACT SHEET: President Biden to Sign Executive Order Protecting Access to Reproductive Health Care Services | The White House 
• Information for Employers: FAQs on the Overturning of Roe v. Wade (shrm.org) 
• Plain language visual guide to abortion procedures: https://www.ippf.org/resource/understanding-abortion-visual-resource

Resources by State: 

• National Abortion Federation Find-a-Provider page: https://prochoice.org/patients/find-a-provider/  
• Guttmacher Institute “Northern America” region page, including a menu to see resources by state: https://www.guttmacher.org/geography/northern-america  
• State-by-State Abortion Guide: https://www.abortionfinder.org/abortion-guides-by-state  
• Includes information on current state restrictions as well as support resources and assistance. 
• Abortion Access Ranked by State: https://www.verywellhealth.com/abortion-access-ranking-states-5202659 
• Washington State Sexual and Reproductive Health Clinics: https://doh.wa.gov/you-and-your-family/sexual-and-reproductive-health/clinic-locations

Service Opportunities:  This section details information on service opportunities to support people who seek out abortions, including abortion doula training and clinic escorts in particularly anti-abortion environments.  

• Abortion Doula Training: Abortion Doula — Birthing Advocacy Doula Trainings (badoulatrainings.org) 
• Community-based Doula training: - HealthConnect One 
• National Doula training: Doula Training and Doula Certification – DONA International 
• Baltimore Doula Project: https://linktr.ee/baltimoredoulaproject  
• Planned Parenthood Clinic Escorts: https://www.plannedparenthood.org/planned-parenthood-north-central-states/get-involved/volunteer-clinic-escorts 

Sanctuary States and Cities for Abortion: 

• Liberal cities in red states that will not enforce bans: https://www.axios.com/2022/06/02/liberal-cities-red-states-abortion-roe-bans  
• California, Washington, and Oregon Sanctuary information: https://www.gov.ca.gov/2022/06/24/west-coast-states-launch-new-multi-state-commitment-to-reproductive-freedom-standing-united-on-protecting-abortion-access/ 
• Some employers are covering out-of-state travel expenses for abortion to states where it remains legal and accessible. You may want to check with your employer’s benefits or HR department to see if this is available to you. 

Protest and Digital Safety: 

• Removing a Digital Trail when looking for an abortion: https://www.washingtonpost.com/technology/2022/06/26/abortion-online-privacy/ 
• ACLU Know your rights as a protester: https://www.aclu.org/know-your-rights/protesters-rights  
• Amnesty International Protest Safety Infographic: https://www.amnestyusa.org/pdfs/SafeyDuringProtest_F.pdf  
• How to Protest Safely: How to Protest Safely | NRDC