Abortion Reporting: Alaska (2025)

Alaska released its 2025 abortion statistics in March 2026. The report shows that the total number of abortions decreased by four from 2024. As of July 2026, 11 states had released 2025 abortion reports, with four showing decreases in abortion totals from the previous year.

The data published by the state does not include the total number of abortions obtained by Alaska residents out of state or the number of self-managed abortions on women outside of the healthcare system. The report also does not contain the total number of mail-order abortions obtained by Alaska residents prescribed by licensed abortion providers in Alaska or in other states. In a separate section, CLI will describe data provided by the Guttmacher Institute’s Monthly Abortion Provision Study (MAPS) and the Society of Family Planning’s (SFP) #WeCount report that details the total number of abortions in Alaska in 2025, including those obtained via mail within the state and via out-of-state prescribers. In the past, the MAPS published estimates on the annual number of states’ residents who traveled out of state to obtain an abortion. However, 2025 estimates on out-of-state travel totals have not been released. Guttmacher’s abortion estimates include the number of abortions obtained at brick-and-mortar facilities and those provided via telehealth and virtual providers in the United States.

Alaska’s statute code defines abortion as:

[T]he use or prescription of an instrument, medicine, drug, or other substance or device to terminate the pregnancy of a woman known to be pregnant, except that ‘abortion’ does not include the termination of a pregnancy if done with the intent to: (A) save the life or preserve the health of the unborn child; (B) deliver the unborn child prematurely to preserve the health of both the pregnant woman and the woman’s child; or (C) remove a dead unborn child. (§18.16.090)

Abortion is permitted throughout all nine months of pregnancy in Alaska (§18.16.010).

Statistics and Changes in Alaska Abortions, 2024-2025

The report does not include information on Planned Parenthood’s abortion market share.

Abortion Totals and Trends

There were 1,220 abortions reported in Alaska in 2025, down four abortions from 2024. Use of abortion drugs increased by 0.8%, making up 61% of the total in 2025 (Fig. 1). CLI estimates that Alaska’s 2025 abortion rate was 8.3 abortions per 1,000 women ages 15 to 44, the same as it was in 2024 (Fig. 2).¹

State Report Summary

Alaska’s report cautions that “reported data may include terminations that were medically necessary to save the mother’s life or were not elective (such as ectopic or molar pregnancies) or where medication was provided to manage a miscarriage,” even though the Alaska Vital Statistics Act’s definition of “induced termination of pregnancy” excludes miscarriage management and ectopic pregnancies.

The vast majority of Alaska abortions (98%) were performed on state residents. Eighteen abortions were performed on women from other states, while the state of residence was not reported for one abortion. Over half the abortions were obtained by women in their twenties, with 28% obtained by women ages 20 to 24 and 24% by women ages 25 to 29. Thirty-two percent of Alaska abortions were performed on women in their thirties. Twelve percent of the abortions were performed on girls ages 19 or younger, and 4% were obtained by women ages 40 or older.

Forty percent of Alaska abortions were obtained by white women. Twenty-one percent were performed on American Indian/Alaska Native women, 8% on Asian/Pacific Islander women, and 6% on black women. Eleven percent of the abortions were obtained by women of multiple or other races, while race was not reported for 14% of the abortions. CLI estimates that the black abortion rate in Alaska was 12.4 abortions per 1,000 women ages 15 to 44, more than two times the white abortion rate of 5.5. Seventy-eight percent of the abortions were performed on non-Hispanic women and 9% were performed on Hispanic women. Ethnicity was not reported for 14%.

Most Alaska abortions were performed on women with 12 or more years of education: 52% were performed on women with 12 years of education, and 35% on women with 13 years or more. Ten percent of the abortions were obtained by women with fewer than 12 years of education, and 4% by women for whom level of education was not reported.

Fifteen percent of Alaska abortions were performed on married women, and 83% on unmarried women. Marital status was not reported for 2% of Alaska abortions. Forty-eight percent of the abortions were obtained by women who had no previous live births, compared to 18% obtained by those with one prior live birth and 32% by women with more than one. Sixty-two percent of the abortions were performed on women with no prior abortions. Twenty-three percent were performed on women with one previous abortion, and 13% on women with two or more prior abortions.

Thirty-nine percent of the Alaska abortions were funded by state Medicaid. Six percent were covered by private insurance, and 34% were self-pay. Nineteen percent of the abortions were funded through some other means, and the funding source was unknown for 1% of the state’s abortions.

In 2025, there were three abortions performed because of a prenatally diagnosed congenital anomaly, while nine cases were reported in 2024. A quarter of the women undergoing abortion received Alaska’s informed consent materials, which are offered as optional.

Thirty-four percent of the abortions reported in Alaska occurred at six weeks of gestation or earlier. Forty-two percent were performed between seven and nine weeks, and 16% occurred between 10 and 13 weeks of gestation. Four percent of Alaska abortions were performed between 14 and 15 weeks, and 4% occurred from 16 to 17 weeks. There was one abortion performed between 18 and 20 weeks but none reported at 21 weeks of gestation or later. The gestational age was not reported for nine abortions. Compared to 2024, the number of abortions performed at six weeks or earlier decreased while the number of abortions between seven and 17 weeks increased by 56 abortions. The number of abortions at 18 weeks and later stayed the same.

Sixty-one percent of reported Alaska abortions were drug-induced: 60% utilized mifepristone and 1% utilized misoprostol alone. Twenty-nine percent of reported Alaska abortions were performed using dilation and curettage procedures, while 9% were dilation and evacuation procedures. There was one abortion performed using some other means, and the method for six abortions was unknown.

Breakdown of Abortion Providers in Alaska²

These abortion provider totals are current as of July 17, 2026. This does not reflect the breakdown of providers available in Alaska during the period that Alaska’s abortion report covers (2025).

Guttmacher Data³

Guttmacher estimated that, in 2025, 1,720 abortions occurred in Alaska, versus the state’s reported total of 1,220. Guttmacher’s 2025 abortion total for Alaska is 41% higher than the state’s total. Guttmacher’s 2025 data did not include resident and nonresident totals for Alaska because the nonresident count was suppressed due to the value being less than 50 abortions, and therefore the resident total couldn’t be obtained by subtracting the nonresident abortion total from the state’s abortion total.

In 2025, #WeCount estimated that 1,840 abortions occurred in Alaska.⁴ SFP estimated that 1,340 abortions were obtained in-person, while 480 abortions were obtained via virtual only organizations who ship mail-order abortion drugs within and into the state as well as 20 abortions being obtained via hybrid brick-and-mortar telehealth organizations. The Alaska Department of Health told CLI via email that they do in theory capture mail-order abortions from Alaska-licensed prescribers but can’t verify the total number of abortion drugs being mailed into the state from out-of-state prescribers. Therefore, it seems as though the discrepancy between the state’s total and Guttmacher and #WeCount’s estimates are explained by the state’s significant undercounting of mail-order abortion drugs. In fact, the number of mail-order abortion drugs shipped within/into the state as estimated by #WeCount (500) completely accounts for the difference in Guttmacher and the state’s abortion totals.

State Ranking

In 2024, CLI published a paper reevaluating abortion reporting across the country, with Alaska ranked in a tie for 17^th place. To improve its reporting, Alaska could require healthcare providers to report abortion-related complications they treat. Alaska could also report the number of infants born alive occurring in the state and the number of drug-induced abortions that occurred in abortion centers versus the number of women who received abortion drugs via mail.

1. National rates were calculated by the Guttmacher Institute. Alaska rates were calculated by CLI using the following formula: (total number of abortions performed in Alaska ÷ number of resident women ages 15-44 [based on most recent population estimates]) x 1,000. Rates may differ slightly from previous CLI articles due to revised population estimates. Population estimates were obtained from the CDC WONDER database. Estimates for 2005-2009 are intercensal estimates of the July 1 resident population. Estimates for 2010-2019 are Vintage 2020 postcensal estimates of the July 1 resident population. Estimates for 2020-2025 are Vintage 2024 postcensal estimates of the July 1 resident population. Estimates were produced by the U.S. Census Bureau and the National Center for Health Statistics. Rates for 2025 were calculated using the Vintage 2024 postcensal estimates because 2025 population estimates have not yet been released by the CDC.
2. Provider totals do not include hospitals or physician offices not listed in databases that compile abortion provider locations in different states, but do include Planned Parenthood locations, independent abortion centers, and hospitals/doctors’ offices included in databases like Abortion Finder and Ineedana. This information is up to date as of July 17, 2026.
3. The Guttmacher Institute notes that their monthly abortion totals by state are estimates and that each state’s estimate is within a range of uncertainty. Guttmacher’s data can be found in the CSV folder here(Summary_Table_Annual_2023_2024_2025). This information is updated as of July 17, 2026.
4. #WeCount’s data can be found hereby downloading the “Report data tables [.xlsx]” document. The #WeCount report specifies that the numbers included in their tables for abortions performed under shield laws only represent the number of women to whom abortion drugs were sent, not the number of drug-induced abortions that resulted from the mailed drugs. However, because #WeCount’s data is the only source of data that delineates the number of abortions by mode of provision (in-person, telehealth/mail order, and/or abortion drugs obtained under shield laws), their data is the best available. This information is updated as of July 17, 2026.

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