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Telehealth Fuels Surge in Massachusetts Abortions, With Nonresidents Now the Majority

A shield law lets providers mail abortion pills to nonresidents after telehealth visits.

Overview

  • Massachusetts recorded 49,450 abortions in 2024, a 103% jump from 24,355 in 2023, according to state data.
  • Telehealth accounted for 30,900 abortions in 2024, about 62% of the total, up from 5,745 the prior year.
  • Out-of-state patients numbered 27,836 in 2024, exceeding the 21,407 Massachusetts residents who obtained abortions.
  • The Massachusetts Medication Abortion Access Project reported about 11,000 patients in 2024, 25,000 in 2025, and projects up to 40,000 in 2026.
  • Researchers report cross-state travel for abortion has more than doubled since Dobbs, 13 states now have total bans, and roughly one-quarter of U.S. abortions in 2024 were provided via telehealth.