Although she supports the Roe v. Wade decision and legal abortion early in a pregnancy, Hutchison has a "nearly perfect" record of voting in line with the position of anti-abortion interest groups. During her time in the U.S. Senate, Hutchison received consistently high scores from the National Right to Life Committee and consistently low scores from NARAL Pro-Choice America. Hutchison's highest scores from NARAL were a 20% in both 2000 and 2004. In 2005, the Population Institute, which supports voluntary family planning, gave her a 50% score for their positions. In 2008, the pro-abortion rights National Organization for Women gave her a 19% score. Also in 2008, she received a 100% rating for voting in line with the position of Population Action International which advocates for access to family planning services.
