As states continue to pass and enforce abortion restrictions, anti-abortion extremists are emboldened to disrupt patient services. In 2019, abortion providers continued to report an increase in targeted violence and disruption and incidents of picketing rose from 99,409 in 2018 to more than 123,000 in 2019. As picketers consistently impede patient access to abortion care facilities, incidents of trespassing, obstruction and assault and battery also rose in 2019.