Friday’s landmark decision to overturn Roe v. Wade drew swift, emotional reactions all across the country.

Trigger laws put in place before the ruling meant that abortion was effectively outlawed in 13 states as soon as the decision was released Friday morning.

Some members of Congress plotted their next moves, including House Majority Whip Jim Clyburn, D-S.C, who expressed optimism that Democrats can mount a legislative response to the Dobbs decision. 

And many more were concerned about what the Supreme Court ruling could mean for other milestone decisions, particularly after conservative Justice Clarence Thomas called for the Supreme Court to ‘reconsider’ gay marriage and contraception after the Roe ruling. 

Here’s a look at what the ruling means for Americans and how the nation is responding to a fundamental change in reproductive rights.

Is birth control banned? Here’s what to know after Roe v. Wade overturned

With this decision, abortion will likely be banned or greatly restricted in at least 22 states, according to the Guttmacher Institute. Some experts worry these bans could trickle down to restrict the use of emergency contraception and birth control.

“The rhetoric has been really increasing over the last several years,” Mara Gandal-Power, director of birth control access at the National Women’s Law Center, said before the ruling. “There’s definitely a domino effect which I think people are really starting to wake up to.”

Health experts say what’s partly driving this legislation is the misconception that emergency contraceptives are able to terminate a pregnancy. 

“The medications don’t work to abort a pregnancy,” said Dr. Mary Jacobson, an OB-GYN and chief medical officer at Alpha Medical, a telemedicine site for women’s health and sex differences. “If the patient were pregnant and took Plan B it doesn’t increase abortion and it doesn’t have any effects on the ongoing pregnancy.”