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Virginia

Low-Income Women's Access to Family Planning

Virginia 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 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 (1) be U.S. citizens or persons who meet Medicaid citizenship requirements, (2) be Virginia residents, and (3) not have had a sterilization procedure.

Beneficiaries of family-planning coverage available through the SPA are not required to pay premiums or co-payments for covered services.  Covered services include: reproductive-health exams, including Pap smear; testing for sexually transmitted diseases; counseling services for family planning; laboratory tests; most FDA-approved prescription and over-the-counter contraceptives; emergency contraception; sterilization.  

Plan First, Virginia's Family Planning Services Program Provider Fact Sheet, Va. Dept. of Medical Assistance at http://www.dmas.virginia.gov/Content_atchs/mch/mch-pln1_prov_facts.pdf (last visted Nov. 8, 2012); NARAL Pro-Choice America Survey of State Medicaid Offices.




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