Nearly one-quarter of Americans forced to leave their home state for abortion care now go to Illinois. Since the Supreme Court’s 2022 Dobbs decision, 13 states have near-total bans and another seven bar abortions after six to 12 weeks. In response, Illinois lawmakers poured $10 million into a Complex Abortion Regional Line for Access (CARLA) hotline that has helped more than 1,000 callers coordinate appointments and travel logistics. The state also backfills lost Medicaid payments—especially those blocked by a recent federal provision aimed at Planned Parenthood—and funds training grants that steer patients toward safe providers. In January, Illinois teamed up with the Michael Reese Health Trust to launch the Prairie State Access Fund. It offers direct grants to out-of-state patients seeking reproductive or gender-affirming care. Clinics in Carbondale, near Arkansas, Kentucky and Tennessee, rely on security infrastructure money after a Peoria firebombing in 2023 underscored the risk. Chicago’s Abortion Fund and four hospitals run the CARLA line; smaller clinics say proximity and local support make a big difference for southern travelers. Other Democratic-led states are following suit. Maine’s new budget keeps a $5 million annual family-planning pot and reimburses Medicaid losses. Washington state added a tax on health insurers to cover roughly $10 million for abortion services in year one and $2 million per year after. Advocates want every safe-haven state to match Illinois’s mix of funding, coordination and on-the-ground security.