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Thirty-nine states limit the provision of abortion services to licensed physicians (see Overview of Abortion Laws).

Also this year, Colorado repealed its pre-Roe abortion law.

Forty-five percent of the abortion restrictions enacted over the last three years fall into four categories: targeted restrictions on abortion providers (TRAP), limitations on insurance coverage of abortion, bans on abortions at 20 weeks postfertilization (the equivalent of 22 weeks after a woman’s last menstrual period) and limitations on medication abortion.

States enacted 93 measures in these four categories from 2011 through 2013, compared with 22 during the previous decade.

This legislative onslaught has dramatically changed the landscape for women needing abortion.

In 2000, the two states that were the most restrictive in the nation, Mississippi and Utah, had five of 10 major types of abortion restrictions in effect (see Appendix).

Most notably, California enacted the first new state law in more than seven years designed to expand access to abortion, and five states adopted measures to expand access to comprehensive sex education, facilitate access to emergency contraception for women who have been sexually assaulted and enable patients’ partners to obtain STI treatment.

In sharp contrast to this barrage of abortion restrictions, a handful of states adopted measures designed to expand access to reproductive health services.

In addition, the Iowa Board of Medicine adopted regulations prohibiting the use of telemedicine for medication abortion.

Over the course of the year, courts blocked enforcement of the Iowa regulations, as well as earlier laws that had been enacted in North Dakota and Wisconsin.

by Elizabeth Nash, Rachel Benson Gold, Andrea Rowan, Gwendolyn Rathbun and Yana Vierboom Reproductive health and rights were once again the subject of extensive debate in state capitols in 2013.

Over the course of the year, 39 states enacted 141 provisions related to reproductive health and rights.

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