This study reports on the state of reproductive and sexual health in California during the final years of the Roe era. Building on Gender Equity Policy Institute’s The State of Reproductive Health in the United States (January 2023), we analyze data on key reproductive health indicators—maternal mortality, teen births, and newborn deaths—and compare outcomes and trends between states grouped by reproductive healthcare access.2 Our objective in this state focused report is to establish a baseline on women’s reproductive and sexual health in California relative to the nation and other states