California has few state restrictions that would result in the closure of abortion facilities [41, 42] compared to many other states, particularly in the South and Midwest . However, as unintended pregnancy and abortion rates decline,  the number of abortion providers are also declining . In California, 12 clinics have closed since 2011,  likely due in part to decreased demand. The closure of one facility in a city with many clinics may not have widespread impact on access, but the closure of a facility in a more rural setting may dramatically impact how far women in the surrounding areas have to travel for care, if they are able to reach a provider at all. Even a small reduction in the number of providers has the potential to reduce access to care.