Low-Income Women's Access to Family Planning
South Carolina 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 185 percent of the federal poverty level who are not currently enrolled in Medicaid and do not have any other health insurance. Additionally, enrollees must (1) be U.S. citizens or persons who meet the state's defined immigration requirements, (2) be South Carolina residents, and (3) not pregnant.
Beneficiaries of family-planning coverage available through the SPA are not required to pay premiums or co-payments for covered services. Covered services include: family-planning initial or annual examinations, counseling, instruction and education and supply visits; FDA-approved and Medicaid-covered birth control including intrauterine devices, diaphragms, condoms, vaginal spermicides, sterilizations, Norplant, Depo-Provera injections, and all prescription and over-the-counter products; pelvic exams, pap smear and necessary laboratory work; laboratory and radiology procedures associated with a family-planning encounter; family-planning services for adolescents.
South Carolina State Plan Amendment, No. 10-010, at http://www.medicaid.gov/State-Resource-Center/Downloads/SC/SC-10-010-Ltr.pdf; NARAL Pro-Choice America Survey of State Medicaid Offices.