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Regulating Abortion: Impact on Patients and Providers in Texas

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  • Silvie Colman
  • Theodore J. Joyce

Abstract

The state of Texas began enforcement of the Woman's Right to Know (WRTK) Act on January 1, 2004. The law requires that all abortions at 16 weeks gestation or later be performed in an ambulatory surgical center (ASC). In the month the law went into effect, not one of Texas's 54 non-hospital abortion providers met the requirements of a surgical center. The effect was immediate and dramatic. The number of abortions performed in Texas at 16 weeks gestation or later dropped 88 %, from 3642 in 2003 to 446 in 2004, while the number of residents who left the state for a late abortion almost quadrupled. By 2006, an ASC had opened in 4 major cities down from 9 in 2003 but the abortion rate 16 weeks or more gestation remained 50 percent below its pre-Act level. Regulations of abortion providers that require new facilities or costly renovations could have profound effects on the market for second trimester abortions.

Suggested Citation

  • Silvie Colman & Theodore J. Joyce, 2010. "Regulating Abortion: Impact on Patients and Providers in Texas," NBER Working Papers 15825, National Bureau of Economic Research, Inc.
    • Handle: RePEc:nbr:nberwo:15825
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    References listed on IDEAS

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    1. Deborah Haas-Wilson, 1996. "The Impact of State Abortion Restrictions on Minors' Demand for Abortions," Journal of Human Resources, University of Wisconsin Press, vol. 31(1), pages 140-158.
    2. Levine, Phillip B., 2003. "Parental involvement laws and fertility behavior," Journal of Health Economics, Elsevier, vol. 22(5), pages 861-878, September.
    3. Joyce, Theodore & Kaestner, Robert, 1996. "State reproductive policies and adolescent pregnancy resolution: The case of parental involvement laws," Journal of Health Economics, Elsevier, vol. 15(5), pages 579-607, October.
    4. Meyer, Bruce D, 1995. "Natural and Quasi-experiments in Economics," Journal of Business & Economic Statistics, American Statistical Association, vol. 13(2), pages 151-161, April.
    5. Cook, Philip J. & Parnell, Allan M. & Moore, Michael J. & Pagnini, Deanna, 1999. "The effects of short-term variation in abortion funding on pregnancy outcomes," Journal of Health Economics, Elsevier, vol. 18(2), pages 241-257, April.
    6. Bitler, Marianne & Zavodny, Madeline, 2001. "The effect of abortion restrictions on the timing of abortions," Journal of Health Economics, Elsevier, vol. 20(6), pages 1011-1032, November.
    7. Stephan F. Gohmann & Robert L. Ohsfeldt, 1993. "Effects Of Price And Availability On Abortion Demand," Contemporary Economic Policy, Western Economic Association International, vol. 11(4), pages 42-55, October.
    8. Robert W. Brown & R. Todd Jewell, 1996. "The Impact Of Provider Availability On Abortion Demand," Contemporary Economic Policy, Western Economic Association International, vol. 14(2), pages 95-106, April.
    9. Blank, Rebecca M. & George, Christine C. & London, Rebecca A., 1996. "State abortion rates the impact of policies, providers, politics, demographics, and economic environment," Journal of Health Economics, Elsevier, vol. 15(5), pages 513-553, October.
    10. Ted Joyce & Robert Kaestner & Sanders Korenman & Stanley Henshaw, 2004. "Family Cap Provisions and Changes in Births and Abortions," NBER Working Papers 10214, National Bureau of Economic Research, Inc.
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    Citations

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    Cited by:

    1. Sarah Miller & Laura R. Wherry & Diana Greene Foster, 2023. "The Economic Consequences of Being Denied an Abortion," American Economic Journal: Economic Policy, American Economic Association, vol. 15(1), pages 394-437, February.
    2. Fidel Gonzalez & Troy Quast & Alex Venanzi, 2020. "Factors associated with the timing of abortions," Health Economics, John Wiley & Sons, Ltd., vol. 29(2), pages 223-233, February.
    3. David Beheshti, 2019. "Adverse health effects of abuse‐deterrent opioids: Evidence from the reformulation of OxyContin," Health Economics, John Wiley & Sons, Ltd., vol. 28(12), pages 1449-1461, December.
    4. Yao Lu & David J. G. Slusky, 2019. "The Impact of Women's Health Clinic Closures on Fertility," American Journal of Health Economics, MIT Press, vol. 5(3), pages 334-359, Summer.
    5. Samantha R Lattof & Ernestina Coast & Yana van der Meulen Rodgers & Brittany Moore & Cheri Poss, 2020. "The mesoeconomics of abortion: A scoping review and analysis of the economic effects of abortion on health systems," PLOS ONE, Public Library of Science, vol. 15(11), pages 1-25, November.
    6. Joanna Venator & Jason Fletcher, 2021. "Undue Burden Beyond Texas: An Analysis of Abortion Clinic Closures, Births, and Abortions in Wisconsin," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 40(3), pages 774-813, June.
    7. Gracia Sierra & Nancy F. Berglas & Lisa G. Hofler & Daniel Grossman & Sarah C. M. Roberts & Kari White, 2023. "Out-of-State Travel for Abortion among Texas Residents following an Executive Order Suspending In-State Services during the Coronavirus Pandemic," IJERPH, MDPI, vol. 20(4), pages 1-14, February.
    8. Theodore J. Joyce & Robert Kaestner & Jason Ward, 2020. "The Impact of Parental Involvement Laws on the Abortion Rate of Minors," Demography, Springer;Population Association of America (PAA), vol. 57(1), pages 323-346, February.
    9. Andrew Beauchamp, 2015. "Regulation, Imperfect Competition, And The U.S. Abortion Market," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 56(3), pages 963-996, August.
    10. Clarke, Damian, 2023. "The Economics of Abortion Policy," IZA Discussion Papers 16395, Institute of Labor Economics (IZA).
    11. Michele Statz & Lisa R Pruitt, 2019. "To recognize the tyranny of distance: A spatial reading of Whole Woman’s Health v. Hellerstedt," Environment and Planning A, , vol. 51(5), pages 1106-1127, August.
    12. Joyce, Ted & Tan, Ruoding & Zhang, Yuxiu, 2013. "Abortion before & after Roe," Journal of Health Economics, Elsevier, vol. 32(5), pages 804-815.

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    More about this item

    JEL classification:

    • J13 - Labor and Demographic Economics - - Demographic Economics - - - Fertility; Family Planning; Child Care; Children; Youth
    • J58 - Labor and Demographic Economics - - Labor-Management Relations, Trade Unions, and Collective Bargaining - - - Public Policy

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