Because the 2022 overturning of Roe v. Wade, the reproductive well being area has been fraught with stress. The final yr was no totally different, with some states enacting whole bans on abortion, whereas others have moved to guard reproductive rights.

MedCity Information reached out to advocacy organizations the Guttmacher Institute and Nationwide Household Planning & Reproductive Well being Affiliation (NFPRHA) to know what they contemplate to be the wins and losses of 2023 with regards to reproductive well being, in addition to what exercise they count on to see in 2024.

Their wins for 2023:

This yr had the second-highest variety of abortion protections enacted, in response to Kimya Forouzan, principal coverage affiliate for state points on the Guttmacher Institute. This exhibits that “policymakers proceed to be invested in defending and increasing abortion entry.” Information from Guttmacher additionally exhibits that abortion charges have elevated within the states the place care stayed authorized after the overturning of Roe v. Wade, in comparison with 2020. That is very true within the states bordering the place there are restrictions to care.

“The aim for abortion coverage needs to be to help these looking for care, and thru a mixture of proactive coverage and the herculean efforts of suppliers and abortion funds, it’s a win when anybody is ready to entry abortion care and make selections about their our bodies and futures,” Forouzan mentioned.

Forouzan added that six states — Colorado, Maryland, Minnesota, New Mexico, Oregon and Ohio — have handed measures to legally defend contraception. As well as, Oregon, Vermont and Massachusetts have expanded protection or funding for gender-affirming care.

For Kim Diaz Scott, vp of coverage and communications at NFPRHA, a significant win is the reintroduction of the Proper to Contraception Act. This invoice would defend the “proper to acquire and voluntarily use contraception in federal regulation and affirm the proper for household planning suppliers to help their sufferers with the contraceptive care and schooling they want with out political or authorized interference.”

One other main victory is the Meals and Drug Administration’s approval of Opill, the first over-the-counter contraception capsule within the U.S., Diaz Scott mentioned.

“This determination will convey transformative change in contraceptive entry and reproductive well being and assist cut back boundaries for individuals of all ages who want simpler contraception choices over-the-counter,” Diaz Scott said. “Whereas this was a groundbreaking development, we additionally want to ensure Opill is inexpensive and absolutely coated by insurance coverage in order that it’s for all who want it.”

Their losses for 2023: 

Fourteen states have whole bans on abortion “with very restricted exceptions,” and two of those whole bans went into impact this yr, in response to Forouzan. Which means almost 18 million girls of reproductive age — in addition to trans and nonbinary individuals — don’t have entry to abortion care of their state. As well as, seven states are “limiting care at gestational limits that might have been blatantly unconstitutional beneath Roe,” Forouzan mentioned. Three of those restrictions have been enacted in 2023.

“Anybody denied abortion entry of their state is pressured to both overcome the large logistical and monetary hurdles of touring out-of-state, self-manage an abortion, or carry an undesirable being pregnant to time period — three eventualities which are both most troublesome or carry the best penalties for these marginalized by financial insecurity and structural racism,” Forouzan mentioned.

She added that laws to limit or ban gender-affirming care has “elevated dramatically this yr,” with 19 states enacting 20 bans this yr out of a complete of twenty-two bans ever enacted.

In accordance with Diaz Scott, one other main loss is that as a result of Congress did not get elevated funding for Title X, household planning suppliers will not be in a position to meet the demand for his or her providers. Title X ensures entry to household planning and reproductive well being providers, notably for low-income people.

“Extremely certified Title X-funded suppliers are a essential a part of the well being care infrastructure and beneath excessive price range constraints, some well being facilities have been pressured to restrict providers and well being heart hours or freeze open positions,” Diaz Scott mentioned. “These actions constrain entry to take care of individuals who depend on this program for care.”

Their expectations for 2024:

Each Forouzan and Diaz Scott mentioned they count on additional challenges in 2024. For instance, Forouzan mentioned she anticipates a rise in legal guidelines that limit interstate journey for abortion. Diaz Scott added that there was “an increase in false claims about contraception that reject the science on contraceptive strategies and undermine its security and efficacy.”

“The truth is {that a} rising variety of states try to limit entry to contraception – by defining abortion to incorporate emergency contraception and IUDs, funding cuts to household planning, parental consent mandates and extra,” Diaz Scott declared. “With this looming risk, we have to advance any alternative to proceed to guard and broaden entry to contraception.”

There will probably be some efforts to guard reproductive well being, nevertheless, Forouzan famous. Within the 2024 election, Maryland and New York have measures on the poll to enhance protections for reproductive well being.

Photograph: Fokusiert, Getty Photos