The Supreme Court’s decision in Dobbs v. Jackson Women’s Health Organization overturned the federal constitutional right to abortion. Since the Dobbs decision in 2022, 12 states have banned abortion and a dozen more have added significant restrictions on reproductive health care and abortion access. In contrast, several states—including Colorado, Montana, Ohio, and Vermont—have voted to amend their state constitutions to enshrine abortion protections. As shown in Figure A, the Dobbs decision has made abortion access vary widely by state.

Figure A

When looking at these state policies, it’s worth noting that many of the states with abortion protections are also states with higher levels of unionization. Our recent report documents the strong correlation between high union density and a range of economic, personal, and democratic well-being metrics. In the same way unions give workers a voice at their workplace, unions also give workers a voice in shaping their communities. In the report, we show that residents in states with higher union density are more likely to have health insurance, access to paid sick and family leave, and live in a state with Medicaid expansion. This correlation holds true when evaluating state abortion policies. Figure B shows that states with abortion protections have an average union density twice as high as that of states with varying degrees of abortion restrictions and bans.

Figure B

Many abortion-restricted states have also enacted anti-union and so-called “right-to-work” (RTW) laws. These laws are designed to suppress worker power by prohibiting unions and employers from negotiating union security clauses into collective bargaining agreements, making it difficult for workers to join, form, and sustain unions. As a result, states with RTW laws—many in the South and Midwest—have low levels of union density. Research shows that RTW laws are associated with higher income inequality, lower wages and benefits, and increased workplace fatalities.

Unfortunately, federal attacks on reproductive freedom have continued since the Dobbs decision. This summer, President Trump signed into law the One Big Beautiful Bill Act (OBBBA), which makes draconian spending cuts—mostly to health care and food assistance for children and families—in order to give massive tax cuts to the wealthiest households. The OBBBA also poses significant obstacles to reproductive freedom by prohibiting health care clinics that provide abortion services from receiving federal Medicaid payments for one year for any other services they provide. This provision specifically targets Planned Parenthood, putting 1 in 3 centers at risk of closure and taking away vital reproductive services—such as cancer screenings, prenatal care, and contraception—from more than 1 million people. Planned Parenthood is currently pursuing a legal challenge to this OBBBA provision—but Trump’s undermining of reproductive freedom and health care does not stop there. 

Since returning to office, Trump has withheld millions in Title X funds for family planning services, scrubbed government websites of vital information about reproductive health care, and nominated individuals with anti-abortion views to key positions at the Department of Health and Human Services. Earlier this month, the Trump administration issued a proposed rule that would exclude abortion services for veterans as part of reproductive health care covered under the Department of Veterans Affairs. The proposed rule seeks to rescind a 2022 Biden-era rule that expanded reproductive health care and abortion access in the wake of the Supreme Court’s Dobbs decision.

As attacks on reproductive freedom and health care continue at the federal level, unions can play a critical role in safeguarding reproductive freedom in the states. However, union density levels are not as high as they could or should be. While nearly half of all nonunion workers say they want a union in their workplace, only 11.1% of all workers were covered by a union contract in 2024. This is because current labor law does not provide workers with a meaningful right to a union and collective bargaining.

Federal policymakers should pass the Protecting the Right to Organize Act and the Public Service Freedom to Negotiate Act to strengthen private- and public-sector workers’ right to organize and access a union. Further, states with RTW laws should restore private-sector workers’ full bargaining rights by repealing these anti-union state laws. Building union density is not just a worker or workplace issue, but also a fundamental component to strengthening reproductive freedom in our communities.