The harmful impacts of the Supreme Court’s decision will fall most heavily on people with low incomes, and on Black and other people of color. Women living in poverty account for nearly half of unintended pregnancies, due to unequal access to reproductive health care. People experiencing homelessness – disproportionately Black and Indigenous - are more likely to experience sexual violence that can result in pregnancy. Unintended pregnancies can worsen housing insecurity, deepen poverty, and increase homelessness - with all their associated costs for individuals and society. This decision cannot and must not stand. Congress, governors, and state legislatures must act quickly to protect people’s access to vital reproductive care, including abortion care.