More than 73,800 formal clinical abortions were reported in Massachusetts during the first two full calendar years (2023 and 2024) after Roe v. Wade was overturned in June 2022, with tens of thousands more occurring via telehealth and in subsequent months.
Annual Reported Totals
- 2023: 24,355 abortions were facilitated by Massachusetts health care providers (a 37% increase over 2022).
- 2024: 49,450 abortions were reported by the Massachusetts Department of Public Health (a 103% increase over 2023).
- 2025-2026: Complete state health department registry totals for 2025 and 2026 are still being finalized, though individual major providers like Planned Parenthood League of Massachusetts served 25,000 patients in 2025 alone and noted even higher tracking volumes heading into 2026.
Key Access Factors
- Telehealth Growth: Virtual care and mailed medication abortions surged from 5,745 cases in 2023 to 30,900 cases in 2024, representing about 62% of the state’s total recorded procedures.
- Out-of-State Patients: A large portion of the dramatic rise is attributed to a massive influx of patients from restricted states utilizing Massachusetts telehealth and in-person clinics.
Medication abortion is the heavily dominant method in Massachusetts, driving nearly all of the state’s post-Roe volume growth. According to the Massachusetts Department of Public Health, drug-induced procedures skyrocketed while surgical procedures remained relatively flat.
Post-Roe Breakdown (2023-2024)
| Year | Medication Abortions | Surgical Abortions | Total Reported |
|---|---|---|---|
| 2023 | 15,788 (64.8%) | 8,567 (35.2%) | 24,355 |
| 2024 | 40,408 (81.7%) | 9,042 (18.3%) | 49,450 |
| Trend | Up 156% | Up 5.5% | Up 103% |
Key Takeaways from the Data
- The Telehealth Factor: Out of the 40,408 medication abortions in 2024, approximately 30,900 were facilitated via telehealth. This means roughly 62.5% of all abortions in the state were remote pill prescriptions.
- Out-of-State Shipments: Just over half of the 2024 medication abortions occurred outside of Massachusetts. Providers legally mailed abortion pills to patients living in states with strict abortion bans under Massachusetts protection laws.