Reproductive Healthcare Access, Barriers, and Safeguards hero image

Reproductive Healthcare Access, Barriers, and Safeguards

What Businesses Operating in the U.S. Need to Know for 2026

Photo by ipopba on iStock

January 21, 2026
Authors
  • Ashley Lin portrait

    Ashley Lin

    Manager, Human Rights and Inclusive Business, BSR

  • Jen Stark portrait

    Jen Stark

    Director, Human Rights and Inclusive Business, BSR


Since the Dobbs decision overturned Roe v. Wade in June 2022, companies in the U.S. have been grappling with fractured state policies, uneven abortion access, and their implications on the workforce and business. As policy and regulatory efforts to restrict abortion also impact access to preventative healthcare, contraception, IVF, miscarriage management, and safe pregnancy care, reproductive healthcare has become a systemic business risk, not a single-issue question.

For businesses, what began in 2022 as an urgent effort to increase benefits to bridge gaps in abortion access has evolved into something much broader and more complex. In 2025, abortion restrictions increasingly intersected with broader business challenges, such as healthcare access, workforce readiness, data privacy, and operational disruptions, reshaping how companies assess risk and responsibility.

BSR shares key issues related to reproductive health for business to watch in the upcoming year and practical actions to enhance preparedness.

Contents:

  1. Introduction
    1. From Benefits to Systemic Risk: Looking Back to Look Ahead
    2. Federal and Judicial Landscape: Funding, Regulation, and Cross-State Implications
    3. In the States: Patchwork of State-Level Enforcement and Interstate Conflicts
    4. Beyond Abortion Access: Broader Impacts on Reproductive Healthcare
    5. The Business Reality: Navigating Continued Risk and Uncertainty
  2. Looking Ahead
    1. Key Issues to Watch in 2026
    2. Practical Actions for Business Preparedness

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