Low-Income Women's Access to Family Planning
Illinois provides increased access to reproductive-health-care services through a Section 1115 family-planning waiver. The waiver allows the state to cover family-planning services for women ages 19 to 44 who would otherwise lose eligibility for Medicaid and for women with incomes up to 200 percent of the federal poverty level who are not otherwise eligible for state and federal health-care programs. Additionally, enrollees must be (1) U.S. citizens or persons who meet the state's defined immigration requirements and (2) Illinois residents.
Beneficiaries of family-planning coverage available through the waiver are not required to pay premiums or co-payments for covered services. (Small co-pays may apply to some brand-name prescription drugs.) Covered services include: reproductive health exam and medical history; patient education and counseling; FDA-approved contraceptives, including emergency contraceptives; sterilization services; pap tests, laboratory tests necessary for family planning, birth control or related reproductive healthcare; testing/medicine for STIs found during the family planning visit and required follow-up visits; and HIV testing. Screening mammograms ordered by the doctor at the family planning visit and multivitamins with folic acid are also covered with State-only funds.
The waiver is set to expire on Dec. 31, 2014. There are no current plans to renew; Illinois Medicaid reform expansions are currently on a moratorium through Jan. 25, 2015.
Illinois Healthy Women, Project No. 11-W-00165/5, at http://www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/1115/downloads/il/il-healthy-women-pa.pdf; NARAL Pro-Choice America Survey of State Medicaid Offices.