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When the Supreme Court released its decision overturning Roe v. Wade on June 24, Alexis McGill Johnson was ready. As president and CEO of Planned Parenthood, she had been warning of this outcome long before a leaked draft of the Court’s opinion was published in May. The reproductive rights movement had been working to prevent this moment for years. And yet, McGill Johnson still found it devastating.

Access to abortion quickly changed in about half the country, as providers, patients, lawyers, activists, and state officials scrambled to interpret confusing, overlapping laws–some of which hadn’t been in effect for de…