Question  How did geographic access from Native lands to abortion facilities change after the Dobbs v Jackson Women’s Health Organization (Dobbs) decision?

Findings  In this cross-sectional study of 650 Native lands, with an estimated 950 991 female residents of reproductive age, nearly half of Native lands were over 90 minutes from an abortion facility before Dobbs, and the proportion increased after the decision; in the contiguous US, the minimum drive time to the nearest facility also increased significantly after Dobbs. In Alaska and Hawaii, access remained especially limited, with most Native lands requiring long-distance or interisland travel.

Meaning  This study suggests that the Dobbs decision was associated with significantly longer minimum drive times to an abortion facility from Native lands.