In the 30 days since the Supreme Court overturned Roe v. Wade, the abortion landscape in the United States has dramatically changed.

The 5-4 decision was related to a Mississippi law that banned abortions after 15 weeks. Chief Justice John Roberts voted with the majority to uphold the Mississippi law but joined the liberal justices in voting to not overturn Roe.

Because of the ruling, states can essentially establish their own laws. This means depending on where Americans live, people either have unfettered access, limited access or no access at all to abortion.

Many states had so-called trigger laws that immediately banned abortion once Roe was struck down. Others had laws written prior to the court's decision that they were able to enact after abortion rights were overturned.

A handful of other states have gone the other way and signed executive orders and directives strengthening access to abortion and protecting those who seek or perform the procedure.

Patient care has changed, too. Abortion providers in states where access is still available are seeing more out-of-state patients than ever before, while OBGYNs told ABC News more women are requesting sterilization over concerns their current methods of birth control will fail and they won't be able to get an abortion.

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More states with abortion bans

Since Roe v. Wade was overturned, at least 13 states have ended nearly all abortion services.

Alabama, Arkansas, Mississippi, Missouri, Oklahoma, South Dakota and Texas have completely banned abortion with few restrictions, according to the Guttmacher Institute.

 

 

Georgia, Ohio, South Carolina and Tennessee have enforced six-week bans, and Florida has enforced 15-week bans.

This has led to the U.S. being made up of a patchwork of abortion laws.

At least three other states -- Kentucky, Louisiana and Utah -- have also passed abortion bans, but they have been blocked in court and are awaiting hearings.

On Aug. 2, Kansas voters will get a chance to vote on the Value Them Both constitutional amendment. If passed, it would remove constitutional protection for abortion and could allow lawmakers to regulate abortion in the state. The issue has fueled voter registration. The issue has led to theft of campaign signs and vandalism as well

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Meanwhile, Michigan and West Virginia had pre-Roe bans on the books that were never repealed and went unenforced for years. Judges have issued preliminary injunctions in court against both bans, while Michigan's governor has vowed to protect rights.

Mary Ziegler, a law professor at the University of California, Davis, who specializes in the legal history of reproduction, told ABC News that "this is just the beginning" and she believes more states will pass laws banning abortion in the coming months and years.

She said lawmakers wrote several of these abortion laws under the assumption they would not be legally allowed to actually go into effect. Now that Roe is overturned, some states want to make them even more stringent.