After Dobbs, Illinois abortion clinics saw surge in out-of-state patients

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After Dobbs, Illinois abortion clinics saw surge in out-of-state patients

Providers adapted to maintain access for in-state patients

Following the Supreme Court's decision in Dobbs v. Jackson Women's Health Organization, two large Illinois abortion providers saw a 35% increase in abortions, driven by out-of-state patients who lived where abortion care was illegal or more restricted, according to new research.

From July 2021 through June 2022, the clinics, which provide about half of the state's abortions, reported 24,071 abortions. In the year after Dobbs, that number rose to 32,579. A 191% increase in out-of-state patients came without a decrease in services for Illinois residents, researchers found.

Illinois became one of the closest options for many people in the Midwest and South, where many states restricted or banned abortion after Dobbs. To accommodate the increase, providers in Illinois expanded gestational limits, established mobile sites and made other adjustments, said lead author Mikaela Smithof The Ohio State University College of Public Health.

"The clinics were creative and quick to respond," said Smith, a research scientist who works with the Ohio Policy Evaluation Network, a multi-institution group that researches abortion and contraception, focused on policies and inequities in Ohio and neighboring states.

"There was a concern that with additional patients coming in from other states, access to care for Illinois residents might be more limited. We didn't see that in this case," she said.

The study, published online in the American Journal of Public Health, used data from a monthly survey of Illinois abortion providers.

Beyond the surge in out-of-state patients, the analysis showed a 22% increase in medication abortions, a 53% increase in procedural abortions and a 75% increase in abortions performed at 12 weeks of pregnancy or later.

The Illinois findings are part of a series of papers from OPEN's ongoing monitoring of abortion access in the Midwest.

Last year, an OPEN studyevaluating abortion care in Ohio following the Dobbsdecision reported a 56% decrease in abortions in the three-month period when abortions could not be performed if embryonic cardiac activity was detected (about six weeks of pregnancy duration). After that ban was lifted, the number of patients seeking an abortion increased, as did the percentage from out of state.

Alison Norris of Ohio State's College of Public Health was a co-author on both studies.

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