2026 50-State Report Card: The State Of Sexual and Reproductive Health and Rights

Barely Stitched Together: Attacks on Bodily Autonomy Have Created a Patchwork of Care

rePROs Fight Back, an initiative of the Population Institute, released its 14th Annual 50-State Report Card on Sexual and Reproductive Health and Rights. Sexual and reproductive rights have been under unrelenting attack for the last 15 years, creating a patchwork of policies that renders a person’s access to sexual and reproductive health care dependent on where they live. The Trump administration came into office with an anti-rights playbook and have spent the past year turning it into reality. The administration launched attacks on a wide range of sexual and reproductive rights, exacerbating the human rights crisis around sexual and reproductive health, and fraying the already-strained patchwork of care. The data in this report card are from 2025 and the report card was published in March 2026.

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