This graphic has been updated to reflect changes in the status of bills in Vermont, Tennessee, South Carolina, Alabama, Missouri and Indiana.

Alabama has created the nation’s strictest abortion ban, the latest attempt to prompt the Supreme Court to reconsider Roe v. Wade. Gov. Kay Ivey (R) signed the bill that makes performing virtually all abortions a crime.

Many other states have created new laws this year to limit abortion or even try to ban it altogether in the hope that the Supreme Court with President Trump’s two appointees will be more likely to approve them.

Most of the new restrictions are in the South and Midwest. In contrast, New York removed old restrictions and affirmed access to abortion. Vermont approved the first step to amend its constitution to protect abortion rights.

Abortion legislation enacted or pending in 2019 Restrictions Pending restrictions Protections Pending protections VT ND NY WI SD NV OH IN UT KY MO NC AR SC AL GA MS Abortion legislation enacted or pending in 2019 Pending protections Restrictions Pending restrictions Protections N.D. Vt. Wisc. S.D. N.Y. Nev. Ohio Utah Ind. Mo. Ky. N.C. Ark. S.C. Miss. Ga. Ala.

The new laws fit the trend over the past two decades of tightening restrictions where abortions were already most limited. That trend is increasing the gap between abortion rights in different regions of the country.

The map below depicts where abortion is currently most protected and restricted as measured by the Guttmacher Institute, a group working for abortion rights.

State abortion policy landscape More protections More restrictions State abortion policy landscape More protections More restrictions Wash. Maine N.D. Mont. Vt. Minn. Ore. N.H. Wis. Mich. N.Y. Mass. Idaho S.D. Wyo. Conn. —r.i. Penn. Iowa N.J. Neb. Nev. Ind. Md. Ohio Del. Ill. Utah Colo. W.Va. Calif. Va. Kan. Mo. Ky. N.C. Tenn. Okla. Ariz. Ark. S.C. N.M. Miss. Ala. Ga. La. Texas Fla. Alaska Hawaii State abortion policy landscape More protections More restrictions Wash. Maine N.D. Mont. Vt. Minn. Ore. N.H. Wis. Mass. Idaho S.D. N.Y. —r.i. Wyo. Mich. Conn. Penn. Iowa Neb. N.J. Nev. Ind. Md. Ohio Del. Ill. Utah Colo. W.Va. Calif. Va. Kan. Mo. Ky. N.C. Tenn. Okla. Ariz. Ark. S.C. N.M. Miss. Ala. Ga. La. Texas Fla. Alaska Hawaii

Each state’s rating is based on six key abortion restrictions and six protections for access.

A state with all the restrictions and no protections would have the highest restriction value. Seven states have that maximum level.

A state with all of the protections and no restrictions would have the highest protection rating. Only California has all six.

The differences have become more extreme over time. No state had all six protections or restrictions in 2000 or 2010.

State abortion policy since 2000 More protections More restrictions 2000 2000 2000 2010 2010 2010 2019 2019 2019 Ariz. Ill. N.C. Ark. Maine Penn. Ind. Mass. Virg. La. Alaska Wis. Miss. Hawaii Ga. Mo. Mich. Md. S.D. R.I. Minn. Ala. W. Va. Vt. Ky. Fla. Conn. N.D. Idaho Mont. Ohio Iowa N.J. Okla. Kan. N.M. S.C. Wyo. N.Y. Tenn. Del. Ore. Texas N.H. Wash. Utah Colo. Cal. Neb. Nev. State abortion policy since 2000 More protections More restrictions Sorted by 2019 scores Arizona North Carolina Illinois Arkansas Pennsylvania Maine Indiana Virginia Massachusetts Louisiana Wisconsin Alaska Mississippi Georgia Hawaii Missouri Michigan Maryland South Dakota Rhode Island Minnesota Alabama West Virginia Vermont Kentucky Florida Connecticut North Dakota Idaho Montana Ohio Iowa New Jersey Oklahoma Kansas New Mexico South Carolina Wyoming New York Tennessee Delaware Oregon Texas New Hampshire Washington Utah Colorado California Nevada Nebraska State abortion policy since 2000 More protections More restrictions Sorted by 2019 scores 2000 ’10 ’19 2000 ’10 ’19 2000 ’10 ’19 Arizona North Carolina Illinois Arkansas Pennsylvania Maine Indiana Virginia Massachusetts Louisiana Wisconsin Hawaii Mississippi Georgia Alaska Michigan Missouri Maryland Rhode Island South Dakota Minnesota West Virginia Alabama Vermont Florida Kentucky Connecticut Idaho North Dakota Montana Iowa Ohio New Jersey Kansas Oklahoma New Mexico Wyoming South Carolina New York Delaware Tennessee Oregon New Hampshire Texas Washington Colorado Utah California Nevada Nebraska State abortion policy since 2000 More protections More restrictions Sorted by 2019 scores 2000 ’10 ’19 2000 ’10 ’19 2000 ’10 ’19 Arizona North Carolina Illinois Arkansas Pennsylvania Maine Indiana Virginia Massachusetts Louisiana Wisconsin Hawaii Mississippi Georgia Alaska Michigan Missouri Maryland Rhode Island South Dakota Minnesota West Virginia Alabama Vermont Florida Kentucky Connecticut Idaho North Dakota Montana Iowa Ohio New Jersey Kansas Oklahoma New Mexico Wyoming South Carolina New York Delaware Tennessee Oregon New Hampshire Texas Washington Colorado Utah California Nevada Nebraska

Going beyond those specific restrictions and protections, a total of 660 abortion limits or bans have been imposed since 2001 and 33 efforts to improve access.

Protections and restrictions enacted by year Protections Restrictions 15 2001 10 ’02 2 21 ’03 12 ’04 2 31 ’05 10 ’06 2 In 2011 there were 93 abortion restrictions enacted in 24 states. 23 ’07 4 11 ’08 28 ’09 36 ’10 Indiana (9) 93 ’11 Kansas (15) 43 ’12 3 69 ’13 26 4 ’14 Arkansas (16) 57 ’15 3 50 ’16 63 ’17 13 23 ’18 5 Oklahoma (15) 39 ’19 5 Protections and restrictions enacted by year Delaware (6) Protections 2 2 2 4 3 4 3 13 5 5 2001 ’02 ’03 ’04 ’05 ’06 ’07 ’08 ’09 ’10 ’11 ’12 ’13 ’14 ’15 ’16 ’17 ’18 ’19 15 10 21 12 31 10 23 11 28 36 93 43 69 26 57 50 63 23 39 Restrictions Oklahoma (15) Arkansas (16) Indiana (9) In 2011 there were 93 abortion restrictions enacted in 24 states. Kansas (15) Protections and restrictions enacted by year Delaware (6) Protections 2 2 2 4 3 4 3 13 5 5 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 15 10 21 12 31 10 23 11 28 36 93 43 69 26 57 50 63 23 39 Restrictions Oklahoma (15) Arkansas (16) Indiana (9) In 2011 there were 93 abortion restrictions enacted in 24 states. Kansas (15)

Many states have sought to overturn the national protection of abortion established by the Supreme Court more than 45 years ago in Roe v. Wade. Those states have enacted bans on many or most abortions. Supreme Court blessing of a ban would overturn the Roe standard. So far, all of those laws have been blocked by the courts on grounds that they are unconstitutional.

At the supreme court On the docket No cases Fully litigated, lower court rulings upheld if SCOTUS does not take case Stay issued by lower courts, could be sent back for litigation Indiana reasons and burial Indiana waiting period may reach the supreme court Kentucky six-week ban Mississippi 15-week ban Cases pending in lower courts Georgia six-week ban Mississippi six-week ban Not yet in court At the supreme court may reach the supreme court On the docket Cases pending in lower courts Fully litigated, lower court rulings upheld if SCOTUS does not take case Not yet in court Stay issued by lower courts, could be sent back for litigation

Louisiana hospital privileges

A Louisiana law requires abortion providers to have hospital admitting privileges. The law resembles a Texas law struck down by Supreme Court in 2016. The court voted 5-4 in February to impose an emergency block on this law so there is a fair chance the court will take the case. The law had been upheld by an appeals court, so if the Supreme Court does not take it the restriction would go into effect.

Alabama procedure

Alabama banned the type of procedure most often used in cases after about 15 weeks of pregnancy. A trial court and appeals court ruled the ban unconstitutional. The state has appealed to the Supreme Court.

Indiana waiting period

An Indiana law requires an ultrasound 18 hours before the abortion procedure, essentially requiring a two-day process. The case that stemmed from it was blocked by an appeals court. The state is seeking to let the law go into effect while objections are litigated. The Supreme Court forged a compromise over another Indiana law that state had asked the court to consider. Without a full hearing, the Supreme Court allowed a portion of an Indiana law to take effect that requires burial or cremation of fetal tissue. But the court declined to hear the state’s appeal on a part of the law that blocked abortions for some reasons, such as because of a potential disability. An appeals court said that law was unconstitutional and the Supreme Court declined to review the decision.

Mississippi 15-week ban

Last year, Mississippi banned all abortions after 15 weeks of pregnancy. A federal court ruled the ban unconstitutional. The state appealed to the Circuit Court. A decision there could be appealed to the Supreme Court.

Kentucky six-week ban

A 2019 Kentucky law that would ban abortions after six weeks of pregnancy was blocked in the courts. The case has not yet been appealed.

Bans passed this year

Several states have passed new bans or restrictions this year, including Georgia and Mississippi bans on abortions after six weeks. Alabama passed a ban on almost all abortions. Those cases have not yet gone to court.

Sources: Guttmacher Institute, ACLU Reproductive Freedom project, Center for Reproductive Rights, Americans United for Life, NARAL Pro-Choice America

About this story: For the assessment of abortion access state-by-state by the Guttmacher Institute, the six key restrictions include bans on many or most abortions, required counseling or waiting periods, restriction on Medicaid funding, prohibition of telemedicine for administering an abortion pill, required parental involvement for patients younger than 18 and specific restrictions on abortion clinics.

The protections include support in the state constitution, legal standards protecting access, Medicaid coverage, permission for physician assistant or other providers, required private insurance coverage and protection for clinics.

For 2019 law changes on abortion restrictions or protections, bills were filed in many more state legislatures. The designation of “pending” refers to states that have passed bills out of at least one chamber. The restrictions include bans, partial bans restrictions, but not “trigger” laws that go into effect only if Roe v. Wade is overturned.