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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NO shutdowns. NO cuts to Planned Parenthood or other vital programs.

Extremist U.S. senators have already started talking about shutting down the government over their crusade to destroy Planned Parenthood. Make sure Congress knows this is unacceptable

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.

Featured Efforts

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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