Haha I saw it as meaning in the first trimester a woman can get an abortion with just telling her doctor and having complete privacy without anyone else getting involved. In the second trimester, a doctor may get involved if there's a medical emergency if they need to without the state being involved. I guess in the third trimester, and only then, is it up to each state if they want to get involved. There was some verbal weirdness in the way he said it, but I thought that was the general idea.