One year after the U.S. Supreme Court struck down Roe v. Wade, obliterating abortion access for millions of patients around the country, providers in states where the procedure remains legal say theyve become oases for reproductive care just as they knew they would.

In the lead-up to that decision last year, HuffPost spoke to abortion providers in the Midwest and Mountain West two regions where the Supreme Courts decision left a patchwork of states where abortion access varies widely after it became clear the justices would vote to overturn Roe.

We followed up on the one-year anniversary of the courts 6-3 vote in Dobbs v. Jackson Womens Health Organization to see how things panned out. Heres what they had to say.

Demand at clinics skyrocketed in states where abortion remains legal.

All three of the Planned Parenthood branches HuffPost checked in with have seen the surge in patients they were anticipating as more than a dozen states have enacted strict limits on abortion or outright banned it.

Its terrible. Were at a 50% increase just in the year, said Adrienne Mansaneres, CEO of Planned Parenthood of the Rocky Mountains, or PPRM. Her branch oversees about 20 health centers in Colorado, New Mexico and Southern Nevada three states where abortion access remains broadly protected.

While out-of-state visitors comprised around 20% of PPRMs patients before the Dobbs decision, that population now makes up more than half of its patients, Mansaneres said. Around 90% of them are coming from Texas, with large swaths traveling from Oklahoma, Idaho and Wyoming as well. The average distance for a patient traveling to the region for care, she said, is 650 miles.

Its pretty scary how we knew what was going to happen, Mansaneres said. Those predictions have come true.