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Low-Income Women's Access to Family Planning

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Share This on Choice in the States

Check out and share our infographic on choice-related laws in the states.

Support the Women's Health Protection Act

Call on your members of Congress to cosponsor this bill and keep politicians out of our private decisions about pregnancy.

Featured Efforts

Exposing Anti-Choice Crisis Pregnancy Centers

Anti-choice CPCs mislead and manipulate people facing unintended pregnancies. Learn More »

How can low-income women access costly 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 (ACA), 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 Laws

32 states, as of October 2013, provided expanded access to Medicaid coverage for family-planning services: AL, AZ, AR, CA, CT, DE, FL, GA, IA, IL, IN, LA, MD, MI, MN, MS, MO, MT, NC, NH, NM, NY, OH, OK, OR, PA, RI, SC, VA, WA, WI, WY.

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

2013 Enacted State Legislation

1 state enacted 1 law expanding access to family planning for low-income women and men: NH.

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

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