This study examines whether changes in the media, political, and civic landscapes give leading non-governmental organizations (NGOs) increased news access. Using longitudinal content analysis (1990–2010) of a purposive sample of US news outlets, it compares the prevalence, prominence, and story location of news articles citing leading human rights NGOs to human rights coverage more generally. In all outlets, NGO prevalence rises over time; media-savvy NGOs drive much of the growth. By contrast, prominence decreases, as do the number of NGO-driven stories. In all outlets, NGOs typically appear in stories already in the media spotlight; as sources, they appear after the statements of government officials. Finally, the news outlets most receptive to NGOs are those that commit the fewest resources to international news coverage. Overall, findings suggest that while NGO news access has indeed increased over time, such access continues to be shaped by established patterns of news construction.