Abortion Care Resources You Can Still Access in Trigger States

What to know about getting the reproductive care you need

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With the supreme court's recent decision to overturn Roe v. Wade, abortion was automatically banned or severely restricted in 13 states. Known as "trigger states," each had laws in place (know as trigger laws) that were designed to go into effect as soon as abortion was no longer federally protected to either ban or severely restrict abortion access. Abortion seekers in these states will need to find care outside of their state of residence. This can be both difficult and costly.  

In an additional 13 states, abortion is currently legal, but with restrictions that can make it inaccessible to some or most. In these states, abortion seekers may only be able to terminate a pregnancy in its first few weeks or may have to leave the state entirely to get the care they need. 

If you live in a state where abortion is newly banned or restricted, it can be difficult to understand what your rights are and how you can get the care you need. The resources included below will help you learn what abortion care resources are currently available to you, what support services (including funding and counseling) you can access, and what ongoing reproductive care options you have.

Accessing Abortion Care in Trigger States

Abortion Care Resource Accessible form Anywhere : National Abortion Federation


National Abortion Federation

National Abortion Federation

  • Security measures: The hotline is private and confidential
  • States served: All 50 states, plus DC
  • Languages Spoken: English and Spanish
Why We Chose It

The National Abortion Federation (NAF) is committed to helping people access the abortion care they need. The NAF Hotline is the largest national hotline for abortion referral and financial assistance. No matter where you are, the National Abortion Federation will be able to tell you the nearest abortion options available to you.  

Pros & Cons
Pros
  • Provides abortion referrals at no cost

  • Multi-lingual 

  • Provides case management and some financial assistance 

Cons
  • Does not provide abortions directly

  • Hotline has limited business hours and is not available 24/7

The mission of the National Abortion Federation is to “unite, represent, serve, and support abortion providers in delivering patient-centered, evidence-based care.” In addition to providing support for abortion clinics and abortion providers, the NAF is committed to connecting abortion-seekers with the care they need through the NAF hotline. 

As the largest multi-lingual, free hotline in the U.S., it provides callers with up-to-date and accurate information about where they can access an abortion right now. With shifting laws and the resulting confusion, having a hotline that can connect you to the care you need is especially helpful. If abortion is not available in your state, a NAF representative will be able to guide you to the most accessible abortion options near you. 

The NAF hotline also provides case management and some financial assistance to those who need it. While it might feel intimidating to call an abortion hotline, you’ll be greeted by trained, non-judgemental professionals who know how to get you the information and support you’re looking for. 

In addition to providing clinic referrals, the NAF hotline also offers pregnancy options counseling (if you’re not sure what you want to do), answers to common questions about pregnancy, and up-to-date information about abortion. You can reach the NAF hotline at 1-877-257-0012. The referral line is open Monday-Friday from 9:00 am to 5:00 pm EST.

Abortion Pill Prescriber : AidAccess


Aid Access

Aid Access

  • Security Measures: Consultation is private and confidential 
  • States served: All 50 states, plus DC
  • Languages spoken: English and Spanish
Why We Chose It 

AidAccess provides abortion pills in all 50 states by mail to people who wish to end a pregnancy before 10 weeks gestation. At $110-$150, AidAccess is a low-cost abortion option for people who live in areas where it might be otherwise difficult to access abortion. 

Pros & Cons
Pros
  • Ships abortion pills to people in all 50 states

  • A helpdesk and doctor are available to answer questions throughout the entire process

  • Lower cost than traveling for an abortion 

  • Can connect you with an overseas pharmacy to circumvent state laws 

Cons
  • A long shipping time (1-3 weeks) for many states 

  • May need to obtain pills via independent overseas doctors and pharmacy not approved by the FDA

  • Those in trigger states will want to contact the service no more than seven weeks into pregnancy to allow for overseas ship[ping time

AidAccess is committed to social justice and the improvement of the health status and human rights of those who don’t have access to local abortion services. It’s one of the only abortion pill providers that ships abortion pills to individuals living in states with abortion bans.

If you live in a state where access to the abortion pill is legally restricted, AidAccess makes it possible for you to obtain a prescription from a European doctor. This prescription will allow you to order the pills yourself from a pharmacy in India. This option may take three weeks including shipping times so this option will not work if you are more than seven weeks pregnant. The entire service- including consultation, getting a prescription for the medication, and overseas shipping-costs $110. 

If you want to obtain the abortion pill from AidAccess, it’s important to start the process as early in the pregnancy as possible. If you choose self-managed abortion through AidAccess, you’ll have access to a helpline where you can speak with a doctor throughout the entire process.

Ongoing Reproductive Care Resources : Favor


Favor

Favor

  • Security measures: Follows patient information security practices for healthcare provider organizations in the U.S., shipping is discrete 
  • States served: 49 states, plus DC, does not ship to Mississippi
  • Languages Spoken: English and Spanish
Why We Chose It 

Favor offers insurance-covered birth control and morning-after pills by mail to residents of 49 states and Washington, DC. It has a simple, affordable process that will help you maintain your access to birth control and emergency contraception. 

Pros & Cons
Pros
  • Free and low-cost options

  • Discreet shipping

  • Offers a wide variety of birth control brands

Cons
  • Must pay for a yearly consult

  • Rush shipping is not standard 

Favor, formerly The Pill Club, offers monthly, quarterly, or yearly subscriptions for birth control delivered directly to your home. Outside of a $15 fee for an annual consultation, those with insurance won’t pay anything for birth control or emergency contraception (like Plan b). Those without insurance pay $6.99 per month for birth control and $14.99 for emergency contraception.

Both birth control and emergency contraception are delivered in discreet packaging.  It’s good practice to order emergency contraception well before you’ll need it, since rush shipping is expensive and emergency contraception is time-sensitive.

This service is an excellent option if you know what type of birth control works for you, and you feel comfortable keeping emergency contraception on hand to take if you need it. The company offers value, privacy, and convenience, and is accessible across the United States outside of Mississippi. 

Counseling For Those Seeking an Abortion : AllOptions


AllOptions

AllOptions

  • Security measures: Talkline is private and confidential
  • States served: All 50 states, plus DC
  • Languages Spoken: English and Spanish
Why We Chose It 

The All-Options Talkline (formerly Backline) offers free, non-judgmental, informative peer counseling for those seeking an abortion or making any other reproductive care choice. 

Pros & Cons
Pros
  • Provides non-judgmental counseling at no cost to those seeking abortion

  • Trained peer counselors understand what you’re going through

  • Extended hours make it easy to reach out

  • Multi-lingual - English and Spanish

Cons
  • Does not provide specific referrals for clinics or other abortion providers  

  • Talkline advocates are not licensed healthcare providers 

Pregnancy, especially when it's not planned, can bring up a lot of complex feelings. The All-Options Talkline provides counseling and support to people who are seeking or considering an abortion. This talkline truly allows for all options, so whether you’re sure you want an abortion or are still deciding what you want to do, they will listen without judgment and support you as you make the decision that is best for you.  

The talkline currently serves English and Spanish speakers of all political leanings, genders, races, sexualities, ages, and religious affiliations. While all peer counselors are trained, they are not licensed professionals. If you feel that you need the support or guidance of a mental health professional, it's ideal to work with an abortion-supportive mental health service like Therapy Den

In addition to the talkline, AllOptions offers a host of resources to help parents make whatever choice is best for them. Resources are divided into four sections, including pregnancy, parenting, abortion, and adoption. 

With no fee to talk and extended hours, it’s easy to reach out. The talkline can be reached at 1-888-493-0092 Monday through Friday from 10:00 am to 1:00 am EST and on Saturday and Sunday from 10:00 am to 6:00 pm EST.

Counseling For Those Who Have Had an Abortion : Exhale Pro-Voice


Exhale

Exhale

  • Security measures: Text line is private and confidential, support group requires approval to join
  • States served: All 50 states, plus DC
  • Languages Spoken: English and Spanish
Why We Chose It

Exhale Pro-Voice is an abortion-positive community that provides support for people who have had an abortion and individuals who care about people who have had an abortion. It offers post-abortion support groups, a post-abortion text line, and resources for post-abortion self-care.  

Pros & Cons
Pros
  • Text line and support groups 

  • Resources to help meet the needs of every person who reaches out

  • All support is cost-free

Cons
  • Support not provided by licensed mental health professionals

  • Does not offer crisis or 24/7 support options 

Exhale Pro-Voice was founded in 2000 with the goal of offering post-abortion support that focuses on the voice and needs of the person reaching out. With trained peer Pro-Voice counselors, Exhale aims to support you as a whole person, and that includes your religion, spiritual beliefs, gender, sexual preference, race, cultural background, and social and political preferences.

If you’re seeking support, you can choose between reaching out via the text line or joining the virtual post-abortion support group. Both the text line and the support group are facilitated by trained peer counselors who respect the Pro-Voice model. Peer counselors are not licensed mental health professionals, so if you’re looking for the care of a specialist, you might prefer to find an abortion-positive therapist. 

In addition to the text line and virtual support group, the Exhale website boasts an extensive catalog of resources. These include books, websites, and talk lines that offer support for medical challenges, domestic violence, eating disorders, LGBTQ services, mental health, miscarriage, parental stress, sex and sexuality, sexual assault, substance abuse, suicide, and depression. 

You can reach the Exhale text line at 617-749-2948 on weekdays from 3:00 pm to 9:00 pm PST, on Saturdays from 1:00 pm to 9:00 pm PST, and Sundays from 3:00 pm to 7:00 pm PST. The post-abortion support group meets on the first and third Sunday of each month at 3:00 pm EST and lasts for 90 minutes.

Therapy/Counseling for Couples : Postpartum Support International Therapist Directory


Postpartum Support International

Postpartum Support International

  • Security measures: Directory is accessible to the public; therapists offer private and confidential sessions in-person or via a secure telehealth platform
  • States served: All 50 states, plus DC
  • Languages Spoken: The directory can be filtered by multiple languages
Why We Chose It 

The Postpartum International Therapist Directory can be filtered to include mental health professionals who provide couples counseling and those that provide counseling for abortion. 

Pros & Cons
Pros
  • Couples can sort therapists based on their desired criteria

  • All therapists are qualified, licensed mental health professionals

  • A call and text line is available to help couples navigate the directory 

Cons
  • Individual therapists do not operate with a uniform philosophy about abortion

  • Couples need to contact therapists individually to set up an appointment

Postpartum Support International (PSI) was founded in 1987 with the mission to “promote awareness, prevention, and treatment of mental health issues related to childbearing in every country worldwide.” While PSI is most known for its postpartum depression work, it offers a vast therapist directory of licensed mental health professionals with a range of specialties. The PSI directory can be filtered to include therapists that specialize in abortion support and couples counseling. 

Many of the therapists included in the directory host virtual appointments, making them accessible no matter where you are. Many also take insurance or offer sliding-scale pricing. Each therapist's page will share details about what they offer, their insurance status, and their pricing model. 

The directory is easy to use and includes a large volume of therapists. If you find this overwhelming, PSI has a call and text line to help you navigate the directory if you have any trouble finding the care you need.

Each therapist included in the PSI directory is a licensed professional, though they do not operate under a uniform philosophy around abortion like other support services that are focused solely on abortion care. You will need to vet each therapist carefully to ensure you are aligned in the things that matter to you before you connect with them and begin therapy.

Making a list of potential therapists and taking the time to reach out to them individually may be time-consuming, but finding the right couples counselor can help ensure you and your partner have what you need to move forward in a healthy, supportive way.

Logistics and Travel Support : The Brigid Alliance


The Brigid Alliance

The Brigid Alliance

  • Security measures: All services and communication are confidential
  • States served: All 50 states, plus DC
  • Languages Spoken: English and Spanish, with an interpreter available for other languages 
Why We Chose It 

The Brigid Alliance is committed to removing barriers to abortion by serving as a trusted point of contact for every step of an individual's abortion journey. They will book, coordinate, and pay for travel expenses, meals, and childcare needs. 

Pros & Cons
Pros
  • Serves as a single point of contact for managing travel logistics

  • Will provide partner or companion travel support if required 

  • Reimburses for childcare and meal assistance 

Cons
  • Does not pay for abortion services

  • Does not provide financial support for abortions that occur before 15 weeks of gestation

The cost of abortion services can be a major barrier to access, but it’s not the only barrier. The Brigid Alliance is committed to helping abortion seekers overcome other logistical and financial barriers such as childcare and travel costs. Serving individuals who are 15 weeks pregnant or more who cannot access abortion locally, the Brigid Alliance will help you book travel, arrange childcare, and pay for everything except the abortion itself. 

When you reach out to Brigid Alliance, they will ask you some questions to determine if you are eligible for their services. If so, you’ll work with someone who can help identify your needs and manage the sometimes complicated logistics of getting an abortion. 

The Brigid Alliance does not fund abortions but does provide referrals to abortion funds that can help cover procedure costs. Services are free, and always confidential. Representatives with the Brigid Alliance speak English and Spanish, and have an interpreter upon request for other languages. 

Legal Support : Repo Legal Helpline


Repo Legal Helpline

Repo Legal Helpline

  • Security measures: All services and communication are confidential, the website has a quick exit button, and provides information on internet safety 
  • States served: All 50 states, plus DC
  • Languages Spoken: English, Spanish, and Chinese  
Why We Chose It 

Repro Legal Helpline helps abortion seekers understand their legal rights and where it’s legal to get abortion care. You can expect to find legal support in regards to self-managed abortions, judicial bypass, having an abortion under the age of 18, and your rights around having an abortion in your state. 

Pros & Cons
Pros
  • Options to call the helpline or get support through a secure online messaging platform

  • Easy to navigate website

  • No cost for support and guidance 

  • Privacy features prioritized 

Cons
  • Does not provide direct abortion care 

  • Cannot provide referrals to abortion services

Repro Legal Helpline offers fast, accurate legal guidance to people seeking abortions. When you navigate to the Repro Legal Helpline website, the front page asks you to scroll and choose the topic you need legal assistance with. The options include:

  • The legalities of a self-managed abortion
  • Your rights around ending a pregnancy
  • Rights when having an abortion under the age of 18

Once you make a choice, you’ll be directed to a page that tells you what number to call or how to connect with a representative via a secure online platform. Representatives will answer your questions and provide legal advice, or connect you with a lawyer in your state that can do so. Additionally, if you’ve been questioned by the police, charged with a crime, or arrested for your abortion, they can work to find you a lawyer in your state or work with your lawyer to help your case. 

The Repro Legal Helpline does not provide direct referrals to abortion clinics or providers and cannot tell you where to get the abortion pill. They do not offer medical advice and are solely focused on helping abortion seekers understand and exercise their legal rights. 

Rest assured that privacy is prioritized while using the website or helpline. The website features a quick-exit button, the online messaging platform is secure, and you can choose to leave a message rather than use your email address to get connected with a representative.

Abortion Funds : National Network of Abortion Funds


National Network of Abortion Funds

National Network of Abortion Funds

  • Security measures: Individual abortion funds have varying security measures 
  • States served: All 50 states, plus DC
  • Languages Spoken: English and Spanish; individual funds may offer support in additional languages  
Why We Chose It 

The National Network of Abortion Funds is the go-to source to find an abortion fund or funds that can help you. Funding organizations are organized by state with clear instructions on how to contact each fund and what you should do first. 

Pros & Cons
Pros
  • Comprehensive list of abortions funds

  • Easy-to-navigate website

  • Clear instructions on how to contact each fund and what else you’ll need to do

Cons
  • Abortion seekers cannot apply for funds directly from the National Network of Abortion Funds

  • Cannot guarantee you’ll get the funding you need 

The National Network of Abortion Funds does not dispense funding directly to abortion seekers; rather, it serves as a searchable directory of abortion fund organizations. The funds listed on the easy-to-search website provide funding for abortions as well as for associated costs, like travel and childcare. If you’re searching for funding for an abortion, the National Network of Abortion Funds should be your first stop. 

In addition to being an easy-to-navigate directory, the website provides clear instructions on how to contact each local abortion fund. You’ll also be able to read about how to find a clinic, how to secure an appointment (whether you have funding yet or not), and answers to common questions about abortion.

While the National Network of Abortion Funds is an excellent resource, there is no guarantee that you’ll be able to get the funding you need. That said, if you apply for funding from multiple funding groups, you have a much better chance of securing the funds you need.

Peer Support : Reprocare


Reprocare

Reprocare

  • Pricing: Always free
  • States served: All 50 states, plus DC
  • Helpful for: People looking for support as they self-manage an abortion at home
Why We Chose It

ReproCare provides peer-to-peer support for people having abortions at home using the abortion pill. Their helpline volunteers will provide compassionate care, medical information, and referrals for additional support.  

Pros & Cons
Pros
  • Available 7 days a week

  • Staffed by trauma-informed volunteers

  • Compassionate and non-judgmental support 

Cons
  • Not available at all hours

  • Must be accessed by phone 

ReproCare is a reproductive justice organization that aims to normalize and support at-home abortion care. With a focus on advocacy and broadening access to abortion and commitment to health equity, they provide resources and support to those who are having a medical abortion at home. 

The Reprocare helpline is staffed by trained and trauma-informed volunteers. While they don’t provide direct abortion care, the support they give can make a big difference to those having an abortion, especially if they’re doing it alone. 

In addition to the medical, emotional, and referral support they offer, the Reprocare website also shares many additional resources that may be useful as you navigate your abortion journey. You can reach the Reprocare helpline at 833-226-7821 from 9:00 am to 9:00 pm PST every day of the week. 

Final Verdict

Access to abortion care in the United States, and especially in trigger states is still very fluid, and access largely depends on where you live. The overturning of Roe v. Wade was shocking to many, but abortion supporters and advocates have been anticipating, planning, and preparing for this worst-case scenario. 

Regardless of where you reside, you have options. If you do not know where you can get an abortion, the National Abortion Federation can direct you. If you are unable to pay for an abortion, the National Network of Abortion Funds may be able to help you secure the funds. If logistics like childcare and travel are a barrier, the Brigid Alliance can help get you there. If you need emotional support before, during, or after your abortion, organizations like the All-Options Talkline and Exhale have trained staff who will listen without judgment, and help you feel confident in your path.  

You don’t need to feel alone as you navigate this newly complicated system. No single organization can provide everything, but, together, the organizations above create a web of support that can help get what you need. 

Guide To Abortion Care

Is Abortion Safe

Abortion is common and safe. One in four women will have an abortion during their reproductive years, and very few will experience any complications. Both medication abortion and surgical abortion are considered some of the safest medical procedures that are commonly performed. Less than .04% of those who have an abortion will experience a complication that requires hospital treatment. 

While the legal repercussions of abortion vary in each state, no states have yet imposed laws that penalize women for crossing state lines to have an abortion (although some states are already trying to impose such laws). Penalties for having an in-state abortion via the abortion pill or other means vary from no penalty to prison time under fetal homicide laws. That said, it is important to note that natural miscarriage and abortion that occurs as a result of medication abortion are indistinguishable by medical professionals, and there are no tests that will detect the medication in a patient's body.  

What is an abortion pill (medication abortion), and how is it different from other forms of abortion

The abortion pill was approved by the FDA in 2000. It is a combination of mifepristone and misoprostol. Mifepristone is an anti-progesterone medication that stops the pregnancy from progressing and misoprostol causes the uterus to contract and pass the pregnancy.  

An abortion using medication can be self-managed at home. The abortion pill can be used to end a pregnancy less than 11 weeks gestation and there are no tests to detect the drugs in a person’s body. Natural miscarriage and medication abortion are indistinguishable to medical providers, and any complications that may arise are treated the same way. 

Other forms of abortion, typically called surgical abortion, must be performed in a clinic or medical setting. Surgical abortions are often performed later in pregnancy or if an abortion seeker prefers to have an in-clinic abortion. During a surgical abortion, the cervix is dilated and the pregnancy is removed by the abortion provider using a handheld suction device or surgical tool. The procedure generally takes a few minutes. 

How should I protect myself when looking for abortion care online

While looking for abortion care online you should choose a web browser that prioritizes privacy like Safari, Firefox, or Brave. Search in private or incognito mode and use a search engine like Brave rather than Google. 

If you can, use a VPN to minimize what can be recorded about what you search. Don’t use third-party apps to browse or search for abortion options. If you do use Google, be sure that you have logged out of your personal account and that your privacy settings are all turned on. 

When you search for resources, you’ll want to be sure that you’re trusting only reliable sources. Pregnancy crisis centers, which do not provide abortions or accurate information about abortion, often disguise themselves as abortion providers to delay or prevent abortion seekers from accessing the information or care they are looking for. 

Can I tell my therapist or doctor I am considering or that I had an abortion

While you can discuss your history with or plan for an abortion with your therapist or doctor, you should assume that you do not have the right to confidentiality on this matter unless or until your state passes specific legislation indicating this is true. 

As yet, it is unclear whether doctors or therapists will be mandatory reporters, be able to report by choice, or carry the obligation of confidentiality. At the onset of any medical or therapeutic relationship, it is a good idea to talk with your potential provider about their understanding of their obligations under current state law as well as their personal ethics. Before disclosing anything sensitive with your therapist or doctor, ask them if what you are telling them will remain confidential. 

While you will not face a legal penalty for abortions that occurred when abortion was legal in your state, the legality of when and how different professionals must or can report plans for abortion or abortions that have occurred when they were illegal is not yet known. 

Frequently Asked Questions

Frequently Asked Questions
  • Where can I get an abortion right now

    Since Roe v. Wade was overturned in June 2022, where abortion is legal has shifted almost daily. To find out where you can get an abortion right now, use the National Abortion Federation’s provider finder tool. 

  • How can I tell the difference between a pregnancy crisis center and an abortion clinic?

    Pregnancy crisis centers are fake abortion clinics that advertise in ways that make them look like real health centers. These clinics do not provide abortions, birth control, or emergency contraception. Their goal is to catch people searching for these services and lure them into their clinics where they work to persuade or shame them into giving birth with false information and doctored abortion images. 

  • Is Plan B/the coil still illegal?

    Emergency contraception like Plan B or Ella, as well as both copper and hormonal IUDs, are not currently illegal. Emergency contraception can be obtained over the counter from many drug stores and pharmacies as well as via online retailers. Emergency contraception and copper IUDs work by preventing implantation. Because they do not prevent fertilization, many reproductive rights advocates are concerned that they will become illegal as abortion laws become more and more restrictive

  • Can I still get birth control from my doctor or online, even if I live in a trigger state?

    You can still get birth control online or from your doctor even if you live in a trigger state. Abortion bans do not impact access to birth control at this time. Not all online birth control options ship to all states but there are online providers that offer services for each state.

Methodology

This list of resources was compiled after reviewing 20 reputable organizations' information on abortion legality, safety, support, and confidentiality. The resources included have been vetted by trustworthy advocates of abortion access. 

The factors that were considered as each resource was evaluated include:

  • Reliability
  • Trustworthiness
  • Cost
  • Accessibility
  • Privacy and confidentiality 

These factors were deemed most important because they are the elements people seeking abortion care most about when choosing providers and resources. 

Article Sources
Verywell Family uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
  1. The Guttmacher Institute. "13 States Have Abortion Trigger Bans—Here's What Happens When Roe Is Overturned."

  2. Planned Parenthood. "What Facts Do I Need to Know About Abortion?"

  3. The National Academy of Science, Engineering and Medicine. "The Safety and Quality of Abortion Care in the United States."

  4. Gynuity Heath. "Report."

  5. The Guttmacher Institute. "Medication Abortion."

  6. Planned Parenthood. "What Happens During an In-Clinic Abortion?"

  7. The Project on Government Oversight. "How to Protect Yourself from Surveillance While Seeking Reproductive Health Care."

  8. The National Abortion Federation. "Find a Provider."

By Julia Pelly
Julia is an expert in maternal and child health who has written for NatGeo.com, TIME.com, NYT.com, and more. She also consults with both nonprofit and for-profit organizations in addition to her writing.