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State’s 66,511 square miles is rural. In 1994, there were 1.6 million women aged 10–49 in the state, and 17% of them lived in rural areas.5 The state has a long history of legal access to abortion, but the number of providers in rural Washington State has always been limited and has declined further in recent years. In 1983, only 10 of the state’s 28 rural counties had a provider; there were 19 facilities in these 10 rural counties, staffed by 32 providers. By 1994, the total number of facilities providing abortions throughout Washington State had declined from 88 to 65. The majority of this decline was in rural counties, where only four facilities and six providers still reported providing abortions during the period 1993–1994.6 We hypothesize that rural Washington State residents were more likely to have terminated a pregnancy at a later gestational age and were more likely to have traveled farther in 1993–1994 than in Sharon A. Dobie is associate professor, Ann Glusker is research assistant and Roger A. Rosenblatt is professor and vice chair, Department of Family Medicine, University of Washington School of Medicine, Seattle, WA. L. Gary Hart is professor and director, WWAMI (Washington, Wyoming, Alaska, Montana, Idaho) Rural Health Research Center and WWAMI Center for Health Workforce Studies, Department of Family Medicine, University of Washington School of Medicine. Eric H. Larson is deputy director, WWAMI Rural Health Research Center, and David Madigan is associate professor, Department of Statistics, University of Washington College of Arts and Sciences, Seattle, WA. Funding for this project was provided by the Robert Wood Johnson Generalist Physician Faculty Scholars Program. We wish to thank Sharon Estee and the staff of the State of Washington Department of Health, Center for Health Statistics, for collaborating on the design, data preparation and analysis, and Stanley Henshaw for reviewing and commenting on the manuscript. Abortion Services in Rural Washington State, 1983–1984 to 1993–1994: Availability and Outcomes