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 and meet citizenship and residency requirements.
Beneficiaries of family-planning coverage available through the waiver are not required to pay premiums or co-payments for covered services. However, small co-pays apply to family-planning-related services such as colposcopy, STI testing and treatment, and prescription durgs. Covered services include: reproductive-health exam and medical history; patient education and counseling related to the birth-control visit; FDA-approved contraceptives, including emergency contraceptives; sterilization services; pap tests and abnormal pap follow-up; laboratory tests necessary for family planning; HPV vaccine; testing, treatment, and follow-up 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 folic-acid supplements and prenatal vitamins (prescription only) are also covered with state-only funds.
The waiver was scheduled to expire on March 31, 2012; however, HFS has been granted temporary extensions, currently through December 31, 2013.
NARAL Pro-Choice America Survey of State Medicaid Offices