Abortion in Tennessee: Laws, restrictions, and where to get care

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Abortion in Tennessee is banned with limited exceptions, which means that most people will need to leave the state for care. For the few patients that do qualify for an exception, additional barriers such as provider uncertainty, mandatory waiting periods, and a significant number of fake clinics make accessing timely care difficult. 

If you live in Tennessee and need abortion care, you still have safe, legal options. Many people travel to other states such as Illinois, North Carolina, and Virginia.

This guide walks you through what abortion costs in Tennessee, what state law allows, and how you can travel to a nearby state for abortion care. Hey Jane is a leading virtual abortion clinic in the U.S. and does not currently serve patients in Tennessee.

Is abortion legal in Tennessee?

As of August 25, 2022, Tennessee has a near-total abortion ban with very few exceptions. 

What are the exceptions to Tennessee’s abortion ban?

Tennessee law does not make exceptions for rape or incest. Abortion is only allowed in Tennessee if necessary to prevent the pregnant person’s death or substantial and irreversible impairment of a major bodily function. 

Even in these cases, patients have struggled to get timely care due to provider uncertainty. While professional disciplinary actions against physicians treating certain emergency conditions are temporarily blocked, litigation over the adequacy of the medical exceptions continues in Phillips v. State of Tennessee.

For the very few patients who qualify under Tennessee’s’ abortion ban, additional restrictions make accessing care extremely difficult. These include the following:

  • Extra visits and delays: Patients must receive biased counseling and then wait at least 48 hours before getting an abortion, except in medical emergencies.
  • Unnecessary testing: An ultrasound is required for every patient, except in medical emergencies
  • Medication abortion restrictions: Telehealth care (such as through Hey Jane) is banned.
  • Restrictions on minors: Patients under 18 must notify a parent or guardian and get their or a judge’s consent before receiving abortion care. Adults who transport or harbor a pregnant minor within Tennessee to help them obtain an abortion (even in a state where it is legal) without written, notarized parental consent can be charged with a Class A misdemeanor. 
  • Severely restricted Medicaid and private insurance coverage: Tennessee Medicaid does not cover abortion except in very limited circumstances involving life endangerment. Further limiting access, Tennessee Medicaid also excludes from its network any provider that performs more than 50 abortions per year. Private insurance plan coverage is only available for abortions that are necessary to prevent the pregnant person’s death or substantial and irreversible impairment of a major bodily function.

Find an abortion clinic near Tennessee 

Abortion is banned with extremely few exceptions in Tennessee, so there are no in-person abortion clinics in the state. Most patients travel to nearby states to get care. Each of these states has different laws, waiting periods, and clinic availability, so your best option may depend on how far along you are in your pregnancy and how soon you need care.

Map of abortion access in Tennessee and surrounding states, including Hey Jane availability

How to get abortion pills near Tennessee

If you can travel, you may be able to get care through Hey Jane. Hey Jane provides access to abortion pills by mail to 23 states, including Illinois and Virginia. If you’re physically located anywhere in one of Hey Jane’s states, you can start your consultation right away. Once approved, you can have your medications shipped to any convenient in-state address—such as a hotel, short term rental, friend’s house, PO Box, or FedEx pickup location.

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What types of abortion are available?

If you travel to another state for care, or qualify for an exception to receive an abortion in Tennessee, there are two main types of abortion to consider:

  • Medication abortion (the abortion pill): Uses two medications, mifepristone and misoprostol to end a pregnancy. This option is available usually for up to 10 weeks.
  • Procedural abortion (in-clinic): A clinician removes the pregnancy during a short procedure. This option is usually available later into pregnancies, but the exact timeline depends on the state.

Both methods are safe, effective, and commonly used in the U.S. The right option for you depends on how far along your pregnancy is, your health history, and your personal preference. You can use our pregnancy calculator to understand how many weeks pregnant you are—as well as learn about your options.

Beware of fake clinics in Tennessee

When looking for an abortion provider, make sure to use trusted resources like INeedAnA.com or AbortionFinder. That’s because there are fake clinics, (sometimes called crisis pregnancy centers) that may seem like a real clinic but are not—and they try to convince abortion seekers to continue their pregnancy. These fake clinics often use misinformation or scare tactics to prevent people from accessing real abortion care, and are not bound by HIPAA to keep medical information private. (Horrible, we know!)

Tennessee has at least 78 fake abortion clinics and 0 real ones due to the near-total abortion ban. Because fake clinics often change names or aren’t consistently tracked, different sources list slightly different information. If you’re not sure about a clinic, you can check either exposefakeclinics.com or crisispregnancycentermap.com

How much does it cost to get an abortion near Tennessee?

The average cost of abortion depends on factors like how far along the pregnancy is, what type of abortion you get, the provider you choose, and related costs like transportation and travel. While Hey Jane does not serve patients in Tennessee, below are the average costs available in nearby states where abortion is more accessible, reported to the research group ANSIRH.

Type of abortion Cost in Illinois Cost in Virginia Cost in North Carolina
Abortion pills from Hey Jane $299–$499 (as low as $0 with insurance) $299–$499 (as low as $0 with insurance) N/A
Abortion pills (state avg.) $470 $450 $600
Procedural abortion (state avg.)* $495-1,385* $515-860* $440-625*

*Depending on the gestational age of the pregnancy
According to UCSF's Advancing New Standards in Reproductive Health (ANSIRH) research 2017–2023.

How much does it cost to travel for an abortion?

Because Tennessee bans abortion with limited exceptions, and most surrounding states also restrict access, many abortion-seekers will need to travel out-of-state (or even through multiple states) for care. That means that they may also need to budget for:

  • Transportation: Gas, bus tickets, or airfare to a state where abortion is less restricted.
  • Lodging: A hotel, rental, or friend’s place to stay if you need to remain overnight.
  • Childcare or time off work: Covering care for children or taking unpaid time away from your job.
  • Meals: Stocking up on easy-to-transport food or ordering take out while away from home.

Can I get help paying for an abortion? 

Yes—abortion funds can cover the full or partial cost of treatment as well as travel if you're not able to get care locally. Learn more about abortion funds and how they might be able to help you get the care you need.

For assistance with care in Tennessee (or traveling to another state for care), check out the below local organizations. You can find more resources, including talk and text lines, legal help, and more here.

Fund Details
Mountain Access Brigade Provides financial and emotional support to Tennesseans navigating abortion care through their doula-managed, confidential support line.
Abortion Care for Tennessee Partners with specific clinics to help abortion seekers in Tennessee get and pay for care out-of-state.
The Brigid Alliance Provides people seeking abortions with travel, food, lodging, child care, and other logistical support.

These organizations can help cover abortion-related travel, lodging, and other practical support needs.

Does Tennessee Medicaid cover abortion?

Generally, no. While federal Medicaid rules allow abortion coverage in cases of rape, incest, or life endangerment, Tennessee law is stricter. Tennessee only allows abortion when necessary to preserve the pregnant person’s life or major bodily function. Because abortion is illegal in cases of rape or incest in Tennessee, Medicaid coverage is not available in those situations.

Does private insurance cover abortion in Tennessee?

Usually, no. Because abortion is only legal in Tennessee when necessary to preserve the pregnant person’s life or major bodily function, private insurance coverage is extremely limited in practice.

How to protect your privacy while searching for abortion care 

If you live in Tennessee and are looking for abortion care, you may want to take extra steps to keep your search private. Here are a few tips:

  • Use personal devices: Search on your own phone, laptop, or email—not on work, school, or government devices.
  • Rely on trusted hotlines: Use confidential hotlines and text lines vetted by reputable reproductive health organizations. 
  • Lean on support networks: Reach out to friends or family you trust for help, information, or emotional support.

Abortion is a basic health care right

And it’s a basic health care need for millions of people who can become pregnant. In fact, about 1 in 4 people with a uterus will have at least one abortion in their lifetime.

Despite this, state restrictions and the lack of in-person providers can make it harder to access care in Tennessee—but not impossible. 

If you need help finding a trusted provider, use resources like Abortion Finder, INeedAnA.com, or Plan C to explore your options. And if you can travel to another state like Illinois or Virginia, you may be eligible for virtual abortion care with Hey Jane. 

What’s new in Tennessee abortion policy in 2026

Abortion access in Tennessee is under serious threat. New laws and court cases are changing how and if people can get abortion care, especially abortion pills.

State abortion laws are constantly evolving. Stay up to date on the latest.

Need safe, affordable abortion care in Tennessee?
Hand holding abortion pills mifepristone and misoprostolHand holding abortion pills mifepristone and misoprostol