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Low-Income Women's Access to Family Planning

Medicaid Waiver

Washington 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 all men and women of childbearing age with incomes at or below 250 percent of the federal poverty level (FPL), who are not otherwise eligible for state and federal health-care programs.    Additionally, enrollees must be (1) U.S. citizens or persons who meet the state's defined immigration requirements and (2) Washington 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 (includes abstinence counseling, natural family planning, birth-control pills, the contraceptive ring and patch, male and female condoms, contraceptive injections, diaphragms, cervical caps and the contraceptive sponge, emergency contraception, spermicides, IUDs, and male and female sterilization); annual gynecological exam.

The waiver is set to expire Dec. 31, 2015.

Washington Take Charge 1115 Family Planning Demonstration, Project No. 11-W-00134/0-01, at; Washington State Department of Health & Social Services, Take Charge - Family Planning Program, at; NARAL Pro-Choice America Survey of State Medicaid Offices.

Other Measures that Expand Access

Washington law requires all Medicaid programs offered through managed-care plans or fee-for-service programs to cover dispensing a 12-month supply of prescription contraceptive drugs.

WA S.6052 (Enacted 2015).

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