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Abstract
Repressive abortion policy in the United States creates undue burdens for groups of vulnerable women, including adolescents, women of color, women living in rural areas, and women with economic disadvantages. Repressive abortion policy creates a two-tiered system of access to reproductive health care that is a particular disadvantage to vulnerable women. In this study, current policy is discussed with examples of such policies outlined in three areas: insurance coverage and Medicaid restrictions, mandatory waiting periods, and mandated state counseling. Social workers' role in policy practice is emphasized in regard to advocacy and abortion policy.