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The Impacts of Reduced Access to Abortion and Family Planning Services on Abortion, Births, and Contraceptive Purchases

Stefanie Fischer, Heather Royer, Corey White

NBER Working Paper No. 23634
Issued in July 2017, Revised in December 2017
NBER Program(s):Program on Children, Health Care Program, Health Economics Program, Law and Economics Program, Public Economics Program

Between 2011 and 2014, Texas enacted three pieces of legislation that significantly reduced funding for family planning services and increased restrictions on abortion clinic operations. Together this legislation creates cross-county variation in access to abortion and family planning services, which we leverage to understand the impact of family planning and abortion clinic access on abortions, births, and contraceptive purchases. In response to these policies, abortions to Texas residents fell 20.5% and births rose 2.6% in counties that no longer had an abortion provider within 50 miles. Changes in the family planning market induced a 1.5% increase in births for counties that no longer had a publicly funded family planning clinic within 25 miles. Meanwhile, responses of retail purchases of condoms and emergency contraceptives to both abortion and family planning service changes were minimal.

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Document Object Identifier (DOI): 10.3386/w23634

Published: Stefanie Fischer & Heather Royer & Corey White, 2018. "The impacts of reduced access to abortion and family planning services on abortions, births, and contraceptive purchases," Journal of Public Economics, vol 167, pages 43-68. citation courtesy of

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