Introduction Of the 6.1 million pregnancies that occurred in the United States in 2011, 45% were unintended. Of those unintended pregnancies, 42% ended in elective abortion. In the United States, the most common contraceptive method used is permanent female sterilization. Senate Bill 8 (SB8), also known as the Texas Heartbeat Act, was put into effect on September 1st, 2021. This act virtually bans all abortions after six weeks gestation. This study is aimed at evaluating the association between the implementation of SB8 and patients who underwent permanent sterilization procedures. Methods Patients who underwent permanent sterilization in Texas within a multi-institute healthcare system from January 2018 through December 2023 were included in the analysis. Independent factors such as race, age, and insurance status were analyzed. Permanent sterilization procedures were categorized utilizing current procedural terminology (CPT) coding . A multiple linear regression analysis was used to evaluate the data set for impact of independent factors on rates of permanent sterilization pre- and post- implementation of SB8. Associations between sterilization rates and date of procedures were analyzed using one-sample proportional T testing. Results A total of 5900 patients met inclusion criteria. Patients ranged from ages 19-52. Of the patients included in the study, 59.1% where Non-Hispanic White (W), 10.9% Non-Hispanic Black (B), 9.3% Hispanic (H), 0.8% American Indian/Alaska Native (N), 1.8% Asian/Pacific Islander (A), and 18.1% Unknown/Other race (U). Sample payer mix included 60.2% Medicaid/Medicare, 33.2% Private Insurance, 3.8% Self Pay, and 2.8% other/unspecified. Utilizing September 01, 2021 as a binomial cutoff, 3505 patients underwent sterilization pre-bill, and 2395 patients in the post-bill grouping. A statistically significant decrease in the number of patients undergoing permanent sterilization procedures was observed following implementation of SB8 (p=