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Low-Income Women's Access to Family Planning

Michigan 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 with incomes at or below 185 percent of the federal poverty level.  Additionally, enrollees must be (1) U.S. citizens or persons who meet the state's defined immigration requirements and (2) Michigan residents.

Beneficiaries of family-planning coverage available through the waiver are not required to pay premiums or co-payments for covered services.  Covered services include: medically necessary services and supplies related to birth control, pregnancy prevention and preventive services, including contraception, patient education, counseling, and referral as needed to other social services and health-care providers; contraceptive counseling and information; contraceptive supplies, devices, implants and prescriptions; office visits, consultation, examination and medical treatment; laboratory examinations and tests; voluntary sterilization; HIV blood screenings/STI testing in conjunction with a family-planning encounter.  

The waiver expired on Sept. 30, 2014. Beneficiaries who enrolled in the program prior to April 1, 2014, have been grandfathered in and continue to receive the same level of coverage.  However, the state is not accepting new enrollees in the program; with the exception of the grandfathered enrollees, the program is effectively ended.

Michigan Plan First!, Project No. 11-W-00215/5, at,1607,7-132--146295--,00.html; NARAL Pro-Choice America Survey of State Medicaid Offices.

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