Texas

Texas enforces a total abortion ban and additional restrictions on mailed medication abortion, creating one of the nation’s most restrictive regimes. Maternal mortality is above national averages with deep racial disparities and significant regional variation. Without Medicaid expansion, coverage gaps persist and postpartum continuity is uneven despite targeted programs. Vast geography and widespread maternity-care deserts push many patients to travel hundreds of miles or leave the state. Legal prohibition and infrastructure shortfalls together heighten risk for high-risk and late-identified pregnancies.

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