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Low-Income Women's Access to Family Planning

Ohio provides increased access to reproductive-health-care services through a State Plan Amendment (SPA) to its Medicaid program.  The SPA allows the state to cover family-planning services for women and men with family incomes at or below 200 percent of the federal poverty level who are not currently enrolled in Medicaid and do not have any other health insurance.  Additionally, enrollees must be (1) U.S. citizens or persons who meet the state's defined immigration requirements and (2) Ohio residents.

Beneficiaries of family-planning coverage through the SPA are not required to pay premiums or co-payments for covered services.  Covered services include: family-planning visits; pregnancy examination and testing; contraceptive management, including but not limited to fertility awareness and natural family planning; medication and supplies for the purpose of temporary pregnancy prevention; injection, fitting, insertion, and removal of contraceptive devices; affiliated laboratory tests; and sterilization.

When provided as part of a family-planning visit or within 60 days of a family-planning visit, covered services also include diagnosis of sexually transmitted infections (STIs); treatment of  STIs, excluding HIV/AIDS and hepatitis; and vaccinations against HPV and hepatitis B.
Ohio Medicaid State Plan Amendment, TN 10-013, at; NARAL Pro-Choice America Survey of State Medicaid Offices.

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