NARAL Pro-Choice America

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Anti-choice extremists are committed to restricting access to birth control. Your gift will help us make sure women get the access they need.

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Low-Income Women's Access to Family Planning

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Stand with Planned Parenthood

Anti-choice members of Congress are already preparing legislation to try to use these phony videos to justify a wave of new attacks on reproductive freedom. Planned Parenthood needs to know we’ve got their back.

Stand Up for D.C. Women and Families

Don't let anti-choice members of Congress overturn two non-discrimination laws passed by the D.C. City Council.

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Fighting discrimination in Washington D.C.

For the first time in 23 years, anti-choice members of Congress, led by Ted Cruz, are trying to overturn two non-discrimination laws passed by the D.C. City Council. Learn More »

How can low-income women get affordable family-planning services?

All women should have access to basic reproductive-health care regardless of their income, but the high cost of health care and health insurance puts family-planning services financially out of reach for many. For these women, the Medicaid program is a vital safety net—but many who need Medicaid do not qualify for their state’s program because of limited-eligibility rules.

Traditionally, to try to remedy this problem, states apply for a waiver from the federal government to expand eligibility. Under the Affordable Care Act, now states may submit a State Plan Amendment (SPA) to expand access to their state’s family-planning program under Medicaid permanently. This type of change, as opposed to a waiver subject to continuous review and modification, has the potential to streamline enrollment and reduce administrative costs, making it a better policy option for many states.

Current State Measures

28 states, as of October 2014, provided expanded access to Medicaid coverage for family-planning services: AL, CA, CT, FL, GA, IA, IL, IN, LA, MD, MN, MS, MO, MT, NC, NH, NM, NY, OH, OK, OR, PA, RI, SC, VA, WA, WI, WY.

  • 15 states provided this coverage through a waiver obtained from the federal government: AL, FL, GA, IL, IA, MD, MN, MS, MO, MT, OR, PA, RI, WA, WY.
  • 13 states provided this coverage through a SPA: CA, CT, IN, LA, NH, NM, NY, NC, OH, OK, SC, VA, WI.

1 state provided expanded access to coverage for family-planning services through its own state-funded program: TX.

2014 Enacted State Legislation

3 states enacted 3 measures expanding access to family planning for low-income women and men: LA, NY, NC.

View a map of all states with Low-Income Women's Access to Family Planning.

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