A group of midwives and doctors filed a lawsuit in state court challenging actions by the Alabama Department of Public Health (ADPH), which imposed a de facto ban on freestanding birth centers throughout Alabama. Birth centers provide midwifery care to low-risk pregnant patients, a model of care that is proven to be safe and beneficial to patients. Despite that, ADPH took actions that forced one center to abruptly shut down in 2023 despite a perfect safety record, and then passed onerous regulations that would require birth centers to meet hospital-like standards, preventing birth centers from operating in the state. After hearing oral argument in late September 2023, the Circuit Court of Montgomery County granted our request for a Preliminary Injunction on September 30, 2023, preventing ADPH from refusing to timely license freestanding birth centers that comply with nationally-recognized safety standards for birth centers while litigation continues. In May 2025, the Fifteenth Judicial Circuit Court issued judgment in Plaintiffs’ favor blocking the Alabama Department of Public Health (ADPH) from regulating freestanding birth centers like hospitals and imposing onerous licensing rules that would have made it effectively impossible for these centers to provide evidence-based midwifery care in the state. The ruling ensured that plaintiffs Oasis Family Birthing Center in Birmingham and Alabama Birth Center in Huntsville, which had been safely operating for the past year, could continue providing midwifery care to pregnant Alabamians. Defendants appealed this ruling in July 2025, and in January 2026, the Alabama Court of Civil Appeals reversed the lower court's decision, ruling that ADPH does have authority to require freestanding birth centers to be licensed and regulated as "hospitals." Plaintiffs are seeking further court review of the decision, and Alabama birth centers will continue operating and providing essential care to their patients while litigation is ongoing.

The ACLU, ACLU of Missouri, and Planned Parenthood Federation of America are representing Missouri’s two Planned Parenthood providers. Following the passage of Amendment 3, the Right to Reproductive Freedom Initiative, Comprehensive Health of Planned Parenthood Great Plains and Planned Parenthood Great Rivers, filed suit to restore abortion access in the state. The suit seeks to enjoin Missouri’s numerous abortion bans and countless burdensome, medically unnecessary restrictions on abortion that do not improve care or protect patient health. If the requested preliminary relief is granted, Planned Parenthood’s health centers would be able to begin providing abortion in Missouri once more — restoring access to this constitutionally protected health care.

Arizona health care providers filed a lawsuit challenging a ban on abortion after 15 weeks of pregnancy, which is in violation of the state’s new constitutional amendment protecting the fundamental right to abortion. The case, filed in Maricopa County Superior Court, asserts that the ban is unconstitutional because it denies Arizonans access to abortion care in violation of the new constitutional amendment passed by the voters.

This case in the South Carolina Supreme Court involves the question of whether a ban on abortion, the “2023 Fetal Heartbeat Act,” forbids abortion starting after approximately nine weeks of pregnancy or, as the state contends, earlier at six weeks of pregnancy, before many people even know they are pregnant. This case is the third state supreme court proceeding in South Carolina involving a post-Dobbs challenge to an abortion ban. The outcome will substantially affect access to reproductive care in the state.