The aim of this research was to update information on the number and geographic distribution of abortion providers and rates in 1996 in the US. Data were derived from a national abortion survey by the Alan Guttmacher Institute (AGI). The AGI abortion survey included 1279 provider responses to questionnaires mailed to 3032 providers. Fear of reprisals hampered full reporting. Abortions amounted to 1,363,690 in 1995 and 1,365,730 in 1996. The abortion rate declined from 25.9 to 22.9/1000 women 15-44 years old. During 1995-96, the abortion ratio was 26 abortions/100 live births, which is a decline from 28/100 in 1990. California, New York, Florida, and Texas had the most abortions. Under 2000 abortions were performed in Wyoming, Idaho, and North and South Dakota. The highest abortion rates were in Nevada (45/1000 women age 15-44), New York (41/1000), and New Jersey (36/1000). Abortion rates were below 8/1000 in Idaho, Mississippi, South Dakota, West Virginia, and Wyoming. 86% did not have an abortion provider. 92% had no providers performing at least 400 abortions annually. 32% of women lived in counties without a provider. 41% lived in counties without a large provider. 95% of nonmetropolitan counties had no providers. About 50% of metropolitan counties were under served. The rate of decline of abortion services accelerated by 1996.