The Texas Proof — maternal mortality
D01-009
D01 OB Care & Maternal Mortality
Tier 3 — NGO
Texas white women's maternal mortality rose 95% after the abortion ban (2019–2022).
(2024). Maternal Mortality in the United States After Abortion Bans. Analysis of CDC mortality data, 2019–2022. White women: 20.0 → 39.1 per 100,000 live births.
D01-010
D01 OB Care & Maternal Mortality
Tier 3 — NGO
Texas maternal mortality rose 56% overall, 2019–2022 — five times the national rate.
(2024). Maternal Mortality in the United States After Abortion Bans. National comparator: ~11% increase over same period; Texas rose ~5.1× faster.
D01-011
D01 OB Care & Maternal Mortality
Tier 3 — NGO
Texas racial breakdown — Black women +38%, Hispanic women +30%, post-ban.
(2024). Maternal Mortality in the United States After Abortion Bans. Hispanic women: 14.5 → 18.9 per 100,000; Black women: 31.6 → 43.6 per 100,000.
D20-007
D20 Infection
Tier 3 — News/Advocacy
Texas miscarriage sepsis rates +50% post-Dobbs; Houston +63%, Dallas +29%.
(2025). Sepsis Rates Vary Widely in Dallas and Houston Under Abortion Ban. Analysis of Texas hospital discharge data. Unpublished UT Houston study finds Houston sepsis rate tripled.
The Intersection — violence + reproductive autonomy
D18-004
D18 Violence
Tier 2 — Peer-Reviewed Academic
Homicide is the leading cause of pregnancy-associated death in the United States — 5.23 per 100,000 (2020); 81% involve firearms.
(2022). Trends in Pregnancy-Associated Homicide, United States, 2020. BMJ Open / CDC National Violent Death Reporting System. 2018: 3.30/100,000; 2019: 3.95; 2020: 5.23.
Page originally cited 2018–2019 (3.62/100,000, 68% firearms). Updated on 2026-05-11 to 2020 data — same source, newer figures.
D18-005
D18 Violence
Tier 3 — NGO / Professional Society
Black women aged 18–24 die from pregnancy-associated homicide at 8 per 100,000 — four times the national average.
(2025, February). New National Study Finds Homicide and Suicide is the #1 Cause of Maternal Death in the U.S. Analysis of CDC pregnancy mortality data 2005–2022; 20,421 pregnancy-associated deaths reviewed.
D11-006
D11 Gender-Based Violence Policy
Tier 2 — Peer-Reviewed Academic
IPV incidents increased 7–10% in states with near-total abortion bans post-Dobbs — 9,271–13,998 additional incidents.
(2025). Abortion Restrictions and Intimate Partner Violence in the Dobbs Era. NBER Working Paper No. 33916; subsequently published in Journal of Health Economics. Data: 2017–2023 IPV incidents reported to law enforcement; methodology uses post-Dobbs change in county-level travel distance to abortion facilities.
D18-006
D18 Violence
Tier 2 — Peer-Reviewed Academic
Each additional TRAP law (targeting abortion providers) correlates with a 3.4% increase in the intimate-partner-violence-related homicide rate.
(2024, May). States' Abortion Laws Associated With Intimate Partner Violence–Related Homicide Of Women And Girls In The US, 2014–20. Health Affairs, 43(5). Funded by NICHD; analyzed National Violent Death Reporting System data for ages 10–44 across 47 states.
The 3.4% applies specifically to TRAP laws (Targeted Regulation of Abortion Providers), a subset of all abortion restrictions. Page copy revised on 2026-05-11 to reflect this precision.
Privacy & Criminalization
D16-012
D16 Legal Liability
Tier 3 — NGO
264 cases where the medical team's documentation or communication was used against the patient — of 412 total pregnancy-related criminal charges post-Dobbs.
(2025, September). Pregnancy as a Crime: An Interim Update on the First Two Years After Dobbs. Pregnancy Prosecutions Tracking Study, June 2022 – June 2024, 16 states.
Page originally said "turned in by their own doctors." Pregnancy Justice's exact phrasing is "information supporting criminal prosecution obtained or disclosed in a medical setting" — which includes EHR, pharmacy, hospital staff. Page copy revised on 2026-05-11.
D16-013
D16 Legal Liability
Tier 3 — NGO
412 pregnancy-outcome criminal charges in two years post-Dobbs — more than doubling the historical annual rate.
(2025, September). Pregnancy as a Crime: An Interim Update. Pre-Dobbs baseline: 1,396 cases over 16.5 years (Jan 2006 – Jun 2022) ≈ 85 cases/year. Post-Dobbs: 412 / 2 = 206 cases/year ≈ 2.4× the historical annual rate.
Page originally claimed "8× pre-Dobbs baseline." Actual ratio is ~2.4×. Pregnancy Justice itself notes that methodology changes prevent a direct comparison. Page copy revised on 2026-05-11.
Federal Dismantling — OBBBA, NIH, HHS workforce
D04-011
D04 Insurance & Coverage
Tier 4 — US Federal (Era Policy)
$900 billion Medicaid cut via the One Big Beautiful Bill Act (OBBBA); 10.5 million projected coverage losses.
(2025, July). Estimated Effects of H.R. 1, the One Big Beautiful Bill Act. Analyzed via Center on Budget and Policy Priorities (CBPP) and KFF. Signed Public Law 119-21 on July 4, 2025. Section 71113 defunds Planned Parenthood from federal Medicaid in 39 states.
Era Policy caveat: CBO data is US federal (Chapter 04 Tier 4). The Era Policy framework flags federal sources for political-interference risk; CBO has so far operated independently of the executive branch and is treated as reliable here.
D06-004
D06 Workforce Policy
Tier 4 — US Federal (Era Policy)
~7,100 federal health workers fired across CDC (~2,400), NIH (~1,200), FDA (3,500); HHS workforce being reduced from 82,000 to 62,000 overall.
(2025, April). Fact sheet on HHS Workforce Reductions. Analyzed via Stat News, NPR. PRAMS team fired April 1, 2025.
→statnews.com/2025/04/11/hhs-layoffs-analysis-health-impact-nih-cuts-cdc-rif-fda-reduction-in-force/
📸Wayback snapshot
Page originally said "4,800+" with a breakdown of 1,300+1,500+3,500 = 6,300 — neither figure matched the HHS fact sheet. Page copy revised on 2026-05-11 to ~7,100 with the correct CDC/NIH/FDA breakdown and the 82,000 → 62,000 HHS-wide reduction.
D14-010
D14 Federal Power
Tier 3 — News / NGO
2,300+ NIH grants canceled; $4 billion in funding ordered reversed by federal court (later paused by SCOTUS).
(2025). Documented snapshots: 694 grants by April 8, 2025 ($1.81B); 1,660 HHS-wide grants by April 2025; 2,300 NIH cancellations total by mid-2025. SCOTUS allowed termination of $783M DEI-specific grants. Federal judge ordered ~$4B reversed in June 2025; SCOTUS later paused that order.
Page originally claimed "1,902 NIH grants terminated, $4.4 billion." That specific snapshot couldn't be located in primary sources. Page revised on 2026-05-11 to use the verifiable framing: total grant count, the federal court reversal, and the SCOTUS pause.
Workforce Collapse
D06-005
D06 Workforce Policy
Tier 2 — Peer-Reviewed Academic
Idaho lost 35% of its OB-GYNs in two years post-Dobbs (94 of 268).
(2025, August). Idaho OB-GYN workforce study, 2022–2024. Reported via Oregon Public Broadcasting (OPB). Earlier reporting from Boise State Public Radio (February 2024) documented 22% loss less than a year post-ban.
Page originally claimed "22–43%." The 22% (Feb 2024) and 35% (Aug 2025 JAMA study) endpoints are both documented; the 43% upper bound was not independently verified. Page copy revised on 2026-05-11 to "35% in two years." Half of Idaho's 44 counties now have no practicing obstetrician.