In the 2022 ruling in Dobbs v Jackson Women’s Health, the United States Supreme Court returned abortion access back to where it was in 1973, constitutionally unprotected. This has had wide-reaching impacts on people capable of becoming pregnant, potentiates deadly outcomes, and inflicts costs on our health system. The current study focuses on how abortion access affects people who are pregnant, have chronic kidney disease (CKD), and desire an abortion. With both maternal and fetal/neonatal health in mind, we will examine the outcomes and costs associated with providing or refusing in-state access to abortions for this population.