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Low-Income Women's Access to Family Planning

Oklahoma provides increased access to reproductive-health-care services through a State Plan Amendment (SPA) to its Medicaid program.  The SPA creates a limited-eligibility group, allowing individuals who do not otherwise qualify for the Medicaid program to obtain family-planning services.  The SPA allows the state to cover family-planning services for women and men age 19 and older with family incomes at or below 185 percent of the federal poverty level who are not currently enrolled in Medicaid.  Additionally, enrollees must be (1) U.S. citizens or persons who meet Medicaid citizenship requirements and (2) Oklahoma residents.

Members with family-planning coverage available through the SPA are not required to pay premiums or co-payments for covered services.  Covered services include: office visits and physical exams related to family planning; birth-control information and supplies; laboratory tests related to family-planning services, including pregnancy tests, Pap smears, screening for some STDs; sterilization for men and women age 21 and older; and Gardasil for men and women through age 26.  

NARAL Pro-Choice America Survey of State Medicaid Offices

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