Since the monumental 1973 Supreme Court decision in Roe v. Wade, abortion legality has been confused with abortion access. Many Americans to this day cannot access the procedure for reasons like rampant social stigmatization, lack of local clinics, religious pressure, transphobia & misgendering, the threat of domestic abuse, citizenship status, lack of funds, and more. When reproductive health advocates center the question of access, rulings like Roe v. Wade don’t carry the same significance, particularly for marginalized communities. Instead, lesser-known national and state legislation play a larger role in determining quotidian abortion freedom.
For middle-class, white women, Roe v. Wade significantly reduced barriers to abortion access. This was not the case for others, including poor and working-class women of color in particular. Disparities in access on the bases of race, sexuality, gender, and class were codified into law just three years after the Roe ruling in the passing of the Hyde Amendment (1976), which forbade the use of Medicaid funds to cover the cost of an abortion procedure except in extreme cases. Since its passing, the Hyde Amendment has not only stayed safely in place but has also grown with the addition of more restrictions. The legislation is named after its author, U.S. Representative Henry Hyde (R-Illinois), who said, “I certainly would like to prevent, if I could legally, anybody having an abortion, a rich woman, a middle-class woman, or a poor woman. Unfortunately, the only vehicle available is the … Medicaid bill.”