News
Despite state bans, abortions nationwide are up, driven by telehealth
Abortion rights activists at the Supreme Court in Washington, D.C. on March 26, the day the case about the abortion drug mifepristone was heard. The number of abortions in the U.S. increased, a study says, surprising researchers.
Drew Angerer/AFP via Getty Images
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Drew Angerer/AFP via Getty Images
Abortion rights activists at the Supreme Court in Washington, D.C. on March 26, the day the case about the abortion drug mifepristone was heard. The number of abortions in the U.S. increased, a study says, surprising researchers.
Drew Angerer/AFP via Getty Images
In the 18 months following the Supreme Court’s decision that ended federal protection for abortion, the number of abortions in the U.S. has continued to grow, according to The Society of Family Planning’s WeCount project.
“We are seeing a slow and small steady increase in the number of abortions per month and this was completely surprising to us,” says Ushma Upadhyay, a professor and public health scientist at the University of California, San Francisco who co-leads the research. According to the report, in 2023 there were, on average, 86,000 abortions per month compared to 2022, where there were about 82,000 abortions per month. “Not huge,” says Upadhyay, “but we were expecting a decline.”
The slight increase comes despite the fact that 14 states had total abortion bans in place during the time of the research. According to the report, there were about 145,000 fewer abortions in person in those states since the Dobbs decision, which triggered many of the restrictive state laws.
“We know that there are people living in states with bans who are not getting their needed abortions,” says Upadhyay. “The concern we have is that that might be overlooked by these increases.”
Florida, California and Illinois saw the largest surges in abortions, which is especially interesting given Florida’s recent 6-week ban that started on May 1.
Abortion rights opponents demonstrate in New York City, on March 23. Some states’ abortion bans are known as “heartbeat bills,” because they make abortion illegal after cardiac activity starts, usually around six weeks of pregnancy.
Kena Betancur/AFP via Getty Images
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Kena Betancur/AFP via Getty Images
Abortion rights opponents demonstrate in New York City, on March 23. Some states’ abortion bans are known as “heartbeat bills,” because they make abortion illegal after cardiac activity starts, usually around six weeks of pregnancy.
Kena Betancur/AFP via Getty Images
The latest report also captures for the first time the impact of providers offering telehealth abortions from states with protections for doctors and clinics known as shield laws – statutes that say they can’t be prosecuted or held liable for providing abortion care to people from other states.
Between July and December 2023, more than 40,000 people in states with abortion bans and telehealth restrictions received medication abortion through providers in states protected by shield laws. Abortion pills can be prescribed via telehealth appointments and sent through the mail; the pills can safely end pregnancies in the first trimester.
The report includes abortions happening within the U.S. health care system, and does not include self-managed abortions, when people take pills at home without the oversight of a clinician. For that reason, researchers believe these numbers are still an undercount of abortions happening in the U.S.
Accounting for the increases
A major factor in the uptick in abortions nationwide is the rise of telehealth, made possible in part by regulations first loosened during the coronavirus pandemic.
According to the report, telehealth abortions now make up 19% of all abortions in the U.S. In comparison, the first WeCount report which spanned April 2022 through August 2022 showed telehealth abortions accounted for just 4% of all abortions. Research has shown that telehealth abortions are as safe and effective as in-clinic care.
“It’s affordable, it’s convenient, and it feels more private,” says Jillian Barovick, a midwife in Brooklyn and one of the co-founders of Juniper Midwifery, which offers medication abortion via telehealth to patients in six states where abortion is legal. The organization saw its first patient in August 2022 and now treats about 300 patients a month.
“Having an in-clinic abortion, even a medication abortion, you could potentially be in the clinic for hours, whereas with us you get to sort of bypass all of that,” she says. Instead, patients can connect with a clinician using text messages or a secure messaging platform. In addition to charging $100 dollars for the consultation and medication – which is well below the average cost of an abortion – Barovick points to the cost savings of not having to take off work or arrange child care to spend multiple hours in a clinic.
She says her patients receive their medication within 1 to 4 business days, “often faster than you can get an appointment in a clinic.”
A study published in JAMA Internal Medicine on Monday followed about 500 women who had medication abortions with the pills distributed via mail order pharmacy after an in-person visit with a doctor. More than 90% of the patients were satisfied with the experience; there were three serious adverse events that required hospitalization.
In addition to expansions in telehealth, there have been new clinics in states like Kansas, Illinois and New Mexico, and there’s been an increase in funding for abortion care – fueled by private donors and abortion funds.
The impact of shield laws
During the period from October to December 2023, nearly 8,000 people per month in states with bans or severe restrictions accessed medication abortions from clinicians providing telehealth in the 5 states that had shield laws at the time. That’s nearly half of all monthly telehealth abortions.
“It’s telemedicine overall that is meeting the need of people who either want to or need to remain in their banned or restricted state for their care,” says Angel Foster, who founded The MAP, a group practice operating a telehealth model under Massachusetts’ shield laws. “If you want to have your abortion care in your state and you live in Texas or Mississippi or Missouri, right now, the shield law provision is by far the most dominant way that you’d be able to get that care.”
Foster’s group offers medication abortions for about 500 patients a month. About 90% of their patients are in banned or restrictive states; about a third are from Texas, their most common state of origin, followed by Florida.
“Patients are scared that we are a scam,” she says, “they can’t believe that we’re legit.”
Since the WeCount data was collected, additional states including Maine and California have passed shield laws protecting providers who offer care nationwide. The new shield laws circumvent traditional telemedicine laws, which often require out-of-state health providers to be licensed in the states where patients are located. States with abortion bans or restrictions and/or telehealth bans hold the provider at fault, not the patient.
Existing lawsuits brought by abortion opponents, including the case awaiting a Supreme Court decision, have the potential to disrupt this telehealth surge by restricting the use of the drug mifepristone nationwide. If the Supreme Court upholds an appeals court ruling, providers would be essentially barred from mailing the drug and an in-person doctor visit would be required.
There is also an effort underway in Louisiana to classify abortion pills as a controlled substance.
News
DOJ investigating Gov. Tim Walz and Mayor Jacob Frey, sources say
The Justice Department is investigating Minnesota officials, including Gov. Tim Walz and Minneapolis Mayor Jacob Frey under the theory they conspired to impede federal immigration agents through public statements they have made, a senior law enforcement official and a person familiar with the matter told NBC News.
Minneapolis has been the backdrop of intensifying protests since an ICE officer fatally shot Renee Nicole Good, a mother of three and a U.S. citizen, last week. Immigration enforcement arrived in Minneapolis weeks ago, but federal officers have flooded the city since Good’s shooting.
Both Walz and Frey have been at odds with federal officials who have argued the officer, Jonathan Ross, was justified in shooting Good. They have criticized the federal response and questioned why the FBI cut out local authorities from the probe into the Good shooting. CBS News first reported on the investigation.
Walz said in a statement Friday the investigation is purely political.
“Two days ago it was Elissa Slotkin. Last week it was Jerome Powell. Before that, Mark Kelly. Weaponizing the justice system and threatening political opponents is a dangerous, authoritarian tactic,” he said. “The only person not being investigated for the shooting of Renee Good is the federal agent who shot her,” he said.
Frey said in a statement in response to reports of the DOJ investigation that he “will not be intimidated.”
“This is an obvious attempt to intimidate me for standing up for Minneapolis, our local law enforcement, and our residents against the chaos and danger this Administration has brought to our streets,” he said.
He added, “Neither our city nor our country will succumb to this fear. We stand rock solid.”
The Justice Department declined to comment. The federal statute used in the investigation into Minnesota officials has been rarely used and has roots in the Civil War-era. But it was on a list of statutes listed in a memo from Attorney General Pam Bondi last month, obtained by NBC News, that offered a roadmap for federal prosecutors on how to boost investigations into individuals she dubbed domestic terrorists.
Bondi posted on X Friday, “A reminder to all those in Minnesota: No one is above the law.”
The prospect of an investigation which would involve political speech by public officials raises First Amendment concerns that normally would involve a consultation with the Justice Department’s Public Integrity Section before federal officials opened a criminal probe into public figures or took any proactive investigative steps, according to a person familiar with the matter.
But the Public Integrity Section has been decimated and sidelined in Trump’s second term.
Aaron Terry, director of public advocacy for the Foundation for Individual Rights in Education, said in a statement Friday that if criticism of the administration’s immigration enforcement operations is the basis for the investigation, “it is blatantly unconstitutional and intolerable in a free society.”
“The right to condemn government action without fear of government punishment is the foundation of the First Amendment,” Terry said.
In Minneapolis, tensions continue to run high; a federal officer shot a man in the leg in Minneapolis on Thursday night after he allegedly fled a traffic stop and attacked an officer.
News
Video: Will the ICE Agent Who Shot Renee Good Be Prosecuted?
new video loaded: Will the ICE Agent Who Shot Renee Good Be Prosecuted?
By Jonah E. Bromwich, Christina Shaman, Nikolay Nikolov, June Kim and Sutton Raphael
January 16, 2026
News
Trump threatens military action in Minneapolis. And, inside his healthcare plan
Good morning. You’re reading the Up First newsletter. Subscribe here to get it delivered to your inbox, and listen to the Up First podcast for all the news you need to start your day.
Today’s top stories
President Trump has threatened to invoke the Insurrection Act in Minnesota to stop protests in Minneapolis. On Wednesday, immigration officers shot an immigrant man in the leg, sparking unrest on the city’s north side. There are as many as 3,000 federal immigration officers on the ground or expected to arrive soon in the Twin Cities, NPR’s Meg Anderson tells Up First.
Protesters (R) are confronted by an ICE supporter during a demonstration outside the Bishop Whipple Federal Building in Minneapolis, Minn., on Jan.15, 2026. Hundreds more federal agents were heading to Minneapolis, the U.S. Homeland Security chief said on Jan. 11, brushing aside demands by the Midwestern city’s Democratic leaders to leave after an immigration officer fatally shot a woman protester.
Octavio Jones/AFP via Getty Images
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Octavio Jones/AFP via Getty Images
- 🎧 Fierce resistance to ICE’s presence continues noisily, as community members follow immigration agents in their vehicles. Anderson notes that observers filming and making noise are peaceful acts of resistance that are constitutionally protected. However, ICE has responded aggressively over the last five days with tear gas, flash bangs and pepper balls to disperse crowds. Some people in the community are afraid to leave their homes, including an asylum seeker, who asked to only be identified by her first initial, A. She feels like she can’t see a future for herself or her family.
Venezuelan opposition leader María Corina Machado came to Washington, D.C., to meet with Trump for the first time and presented him with her Nobel Peace Prize. She is pushing to remain part of Venezuela’s future after the U.S. military operation that resulted in the seizure of Nicolás Maduro. Trump has sidelined Machado and is backing Venezuela’s acting president.
- 🎧 After Maduro’s capture, Trump shockingly said he was not backing Machado for president because she didn’t have the support or respect within her country. Bloomberg and The Economist‘s recent polling shows she has substantial support, and people widely believe her party won the disputed 2024 presidential election by a landslide. NPR’s Carrie Kahn says the timing of Machado’s meeting was extraordinary as acting President Delcy Rodríguez gave a scheduled State of the Nation speech. Venezuela was attacked by the strongest military in the world, but it has to resume diplomatic relations with the U.S., she said.
Yesterday, Trump announced an outline for new health care legislation, which he has dubbed the “Great Healthcare Plan.” The White House issued a fact sheet outlining a framework the administration is asking Congress to develop, with four pillars: drug price reforms, health insurance reforms, price transparency for health costs, and fraud protections and safeguards.
- 🎧 One thing that jumped out to NPR’s Selena Simmons-Duffin about the fact sheet is that the policies are not new, but like a compilation of the greatest hits of Republican health policy ideas. The proposal doesn’t mention repealing Obamacare, but, given the sparse details provided, it seems to want to let people use federal dollars to buy plans that don’t offer comprehensive coverage. The president’s plan could potentially weaken Healthcare.gov because its plans can be expensive but offer essential benefits and don’t discriminate against people with pre-existing conditions.
Life advice
People who have a fear of not being able to sleep are experiencing a phenomenon called “sleep anxiety,” which, if it is left untreated, can prevent people from getting any shut-eye. One of the most effective ways to overcome this form of anxiety is through cognitive behavioral therapy for insomnia (CBT-I). But you don’t need the official program to benefit from CBT-I. Whether you’re dealing with some sleep stress or simply struggling with an off-night from time to time, these CBT-I practices can help:
- 💤 Wake up at the same time every day, which can help your body know when it’s time to get sleepy.
- 💤 Pick a time to transition from daytime activities to nighttime activities in an effort to focus on winding down for bed earlier.
- 💤 If stress comes before bedtime, put some dedicated “worry time” on your calendar during daylight hours. You could use that time to write out what’s bothering you so you can relax later.
For more guidance on how to beat the anxiety of insomnia, listen to this episode of NPR’s Life Kit. Subscribe to the Life Kit newsletter for expert advice on love, money, relationships and more.
Weekend picks
Sandro Rosta as Caleb Mir and Zoë Steiner as Tarima Sadal in Star Trek: Starfleet Academy.
John Medland/Paramount+
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John Medland/Paramount+
Check out what NPR is watching, reading and listening to this weekend:
🍿 Movies: Kristen Stewart makes her feature-length directorial debut with The Chronology of Water, based on Lidia Yuknavitch’s memoir about growing up with an abusive father and confronting personal memories. Hear what Stewart told Morning Edition host Steve Inskeep about the film.
📺 TV: NPR’s Eric Deggans finds Star Trek: Starfleet Academy to be promising, setting the table for future achievement, but not quite ready to prove its value against Trek series legends like Captain Kirk or Mr. Spock.
📚 Books: The new year brings promising titles from George Saunders, Julian Barnes, Jennette McCurdy, Karl Ove Knausgaard, and more. See what publishes this month.
🎵 Music: From Dry Cleaning’s Secret Love to Jenny On Holiday’s Quicksand Heart, check out the new music that was released today. Plus, a musical playlist to start your weekend off right.
❓ Quiz: I scored a decent seven out of 10. Think you can beat that? Put your knowledge to the test!
3 things to know before you go
Tom Sinclair today, smiling while he holds a large cauliflower.
Tom Sinclair
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Tom Sinclair
- When Tom Sinclair was 6 years old, he wandered away from his family’s campsite on Lake Superior and got lost. At dawn, he heard the voice of his unsung hero, a stranger who was part of an extensive search to find him. Now, at 66, Sinclair still keeps the newspaper clipping about his rescue and believes the man saved his life.
- A new national database helps track how state and local governments spend their share of settlement funds. This includes the District of Columbia, which will receive more than $80 million in opioid settlement money over the coming years. (via WAMU)
- Jodie Foster has spoken French since childhood, but only now has she taken on a lead role scripted almost entirely in the language of Molière, for A Private Life. And, she hopes to take part in more French films.
This newsletter was edited by Yvonne Dennis.
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