Abortions provided by clinicians have declined for the first time since the Supreme Court’s Dobbs decision, according to data released Tuesday, as the impacts of new restrictions are being felt and it becomes increasing common to manage an abortion without the direct involvement of a physician.

Abortion access has become a patchwork of permissible and restricted in the years since the Supreme Court overturned Roe v. Wade and ended the constitutional right to the procedure.

In 2023 and 2024, the number of clinician-provided abortions increased nationwide and out-of-state travel more than doubled. But that trend seems to be reversing, according to new data from the Guttmacher Institute, a research and policy organization focused on advancing sexual and reproductive health and rights.

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