Assessing the impact of Texas’ abortion laws on the OB/GYN workforce

Texas implemented its near-total abortion ban at a time when reproductive health outcomes are at crisis levels. Texas ranks 50th among U.S. states for women’s health by the Commonwealth Fund, in part due to high rates of maternal deaths and almost half of the state’s counties being maternity care deserts. Recognizing that OB/GYN physicians are key to reproductive health access and outcomes – and that the state’s current OB/GYN workforce is not able to meet demand – the Jacob and Terese Hershey Foundation convened partners to commission Manatt Health to examine how Texas’ abortion laws are impacting these critical workers.

Practice changes graphicThe study included a survey of OB/GYN physicians in Texas to learn more about how the laws, which include severe penalties and jail time for those who provide abortion care, have affected their practice. A significant majority of respondents reported that the laws have inhibited their ability to provide highest-quality and medically necessary care. One in five reported having thought about or are planning to leave Texas to practice in another state, while seven percent reported plans to leave their obstetrics practice or medicine altogether and 13 percent reported plans to retire early.

The researchers also surveyed resident physicians training in Texas and learned that 57 percent indicated that the abortion laws were relevant to their decision about whether to stay or leave the state after residency – half of this group reported planning to leave in part due to the laws. This is coupled with year-over-year declines in the number of applications to OB/GYN residency programs in Texas since 2021, the year the state implemented SB 8, effectively banning abortion care.

These findings, reported widely across national, state and local media, reveal an OB/GYN physician workforce under substantial strain, which could further challenge reproductive health access and outcomes. According to Dr. Todd Ivey, an OB/GYN physician and officer with the Texas division of the American College of Obstetricians and Gynecologists, “Not having a strong pipeline of OB/GYN physicians is going to greatly impact women’s health. I just hope we don’t get to the day where women can’t get their pap screening, their breast cancer screening or prenatal care.”