NAF was established in 1977 with the merger of the National Association of Abortion Facilities and the National Abortion Council. They participate in a variety of activities, including lobbying efforts, public outreach campaigns, and a helpline referral service to member practitioners. The organization annually holds a meeting to address areas of concern to abortion facilities such as political challenges, staffing, and legal issues. Since 1981 NAF has also held an annual Risk Management Seminar to address clinical aspects of abortion practice. They also publish clinical guidelines for abortion practitioners.
NAF indicates that “In order to become a member, a clinic must complete a rigorous application process.” Member clinics have agreed to comply with their standards for quality and care, updated annually in their Clinical Policy Guidelines, which set the evidence-based standards for abortion care in North America. NAF periodically conducts site visits to confirm that their abortion clinics are in compliance with their guidelines.