On this day, 53 years ago, the landmark case of Roe v. Wade was decided by the United States Supreme Court. This decision changed the course of history by recognizing the constitutional right to abortion.

When the Supreme Court overturned the Roe decision in 2022 with the Dobbs v. Jackson Women's Health Organization, the ruling took away federal protections that had lasted for nearly five decades. Fast forward three years -- some or all abortion access is banned in 20 states across the country. And abortion opponents aren’t stopping there -- in 2025, anti-abortion lawmakers introduced 460 anti-abortion bills across 49 states.

The attacks on abortion aren't just happening in states. The second Trump administration has relentlessly hammered sexual and reproductive health care in this country and abroad. Working with his allies in Congress, President Trump signed a law that "defunds" Planned Parenthood by aiming to block patients from using Medicaid insurance at Planned Parenthood health centers. "Defunding" has already forced some Planned Parenthood health centers to close and as many as 200 are at risk. Many provide abortion care, so the "defunding" covertly strips access to abortion -- even in states where it's legal.

As we mark the anniversary of Roe v. Wade, here are just some of the state-level attempts to watch for that block access to abortion and other essential care:

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