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Independent abortion care providers (Indies) – not doctors’ offices, national family planning healthcare centers or hospitals – are where most people in the United States go to terminate pregnancies. The health and well-being on Indies is essential to abortion care in this country. The Abortion Care Network (ACN) is dedicated to the unique needs of these providers and the people they serve.

The Role of Independent Clinics

Post-Roe v. Wade, feminists and physicians started opening locally-owned abortion care clinics in communities throughout the United States. This outpatient care model kept the cost of the procedure more affordable for patients who were paying out-of-pocket while also providing safe, high-quality care. These Indies set a new standard for all healthcare – laying the groundwork for affordable, exceptional outpatient specialty services.

Today, independent abortion care clinics provide care to 2 of every 3 people in the U.S. who have an abortion.

Unique Challenges

Since 2011, there have been an unprecedented number of anti-choice regulations often referred to as TRAP (Targeted Regulation of Abortion Providers) or sham laws. Additionally, local, independent providers also face the same challenges that impact all small, community-based healthcare providers. These include costs of transitioning to electronic medical records and trying to provide patient-centered care in an atmosphere focused on consolidation, which offers huge market advantages to large healthcare systems.

Combined with insurance reimbursement rates that are lower than the cost of performing the procedure and increasing anti-choice cyber attacks, violence and harassment it is becoming too expensive and/or logistically impossible for independent facilities to remain in business.

In both progressive and conservative states, the challenges facing local clinics are urgent and substantial. But, unlike other healthcare specialties, there is no safety net for abortion care. As access diminishes, more people will resort to dangerous and illegal pre-Roe means to end pregnancies.

Support Our Work

When you support ACN, you are helping us provide independent providers the tools and resources to keep exceptional, patient-centered abortion care available in communities throughout the United States. We need your support to ensure abortion care clinics, and the individuals and families who rely on the necessary care they provide, are able to thrive.