Coverage for Abortion Services and the ACA
|
Appendix 1: Scope of Abortion Coverage in Medicaid and in Private Plans, By State
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|
State
|
States with No Medicaid
Expansion
|
States with Medicaid Expansion and Restricting Abortion Coverage to Hyde Rules
|
State Law Restricting Abortion Coverage to Limited Circumstances in Marketplace Plans
|
State Law Limiting Abortion on Private Insurance
Issued in the State
|
Total Number of Uninsured Women ages 19 to 49 (2012-2013)
|
Percent of Uninsured Women in the Coverage Gap or Eligible for Medicaid or Private Plans that Restrict Abortion Coverage, by State (2012-2013)
|
|
Grand Total
|
23*
|
13
|
25
|
10 |
11.8 million
|
50%
|
|
Alabama
|
X
|
X
|
190,661
|
87%
|
||
|
Alaska
|
X
|
30,960
|
15%
|
|||
|
Arizona
|
X
|
233,855
|
29%
|
|||
|
Arkansas
|
X
|
X
|
160,494
|
89%
|
||
|
California
|
1,479,007
|
0%
|
||||
|
Colorado
|
X
|
180,735
|
47%
|
|||
|
Connecticut
|
70,518
|
0%
|
||||
|
Delaware
|
X
|
20,207
|
54%
|
|||
|
DC
|
X
|
12,631
|
69%
|
|||
|
Florida
|
X
|
X
|
947,741
|
82%
|
||
|
Georgia
|
X
|
X |
517,898
|
86%
|
||
|
Hawaii
|
21,261
|
0%
|
||||
|
Idaho
|
X
|
X
|
X
|
75,854
|
100%
|
|
|
Illinois
|
393,032
|
0%
|
||||
|
Indiana
|
X
|
X
|
X |
242,016
|
100%
|
|
|
Iowa
|
X
|
79,787
|
54%
|
|||
|
Kansas
|
X
|
X
|
X
|
94,608
|
100%
|
|
|
Kentucky
|
X
|
X
|
X
|
191,284
|
100%
|
|
|
Louisiana
|
X
|
X
|
258,491
|
93%
|
||
|
Maine
|
X
|
31,808
|
26%
|
|||
|
Maryland
|
179,405
|
0%
|
||||
|
Massachusetts
|
56,534
|
0%
|
||||
|
Michigan1
|
X
|
X
|
X
|
304,977
|
100%
|
|
|
Minnesota
|
110,194
|
0%
|
||||
|
Mississippi
|
X
|
X
|
128,006
|
95%
|
||
|
Missouri
|
X
|
X
|
X
|
239,709
|
100%
|
|
|
Montana
|
X
|
50,331
|
29%
|
|||
|
Nebraska
|
X
|
X
|
X
|
53,191
|
100%
|
|
|
Nevada
|
X
|
148,567
|
52%
|
|||
|
New Hampshire
|
X |
39,288
|
24%
|
|||
|
New Jersey
|
276,254
|
0%
|
||||
|
New Mexico
|
113,877
|
0%
|
||||
|
New York
|
587,307
|
0%
|
||||
|
North Carolina
|
X
|
X
|
411,742
|
84%
|
||
|
North Dakota
|
X
|
X
|
X
|
17,046
|
100%
|
|
|
Ohio
|
X
|
X
|
375,764
|
93%
|
||
|
Oklahoma
|
X
|
X
|
X
|
180,106
|
100%
|
|
|
Oregon
|
160,392
|
0%
|
||||
|
Pennsylvania
|
X |
X
|
378,798
|
81%
|
||
|
Rhode Island
|
X
|
32,024
|
51%
|
|||
|
South Carolina
|
X
|
X
|
199,734
|
89%
|
||
|
South Dakota**
|
X
|
X
|
30,435
|
90%
|
||
|
Tennessee
|
X
|
X
|
207,923
|
80%
|
||
|
Texas
|
X
|
1,434,290
|
37%
|
|||
|
Utah
|
X
|
X
|
X
|
100,442
|
100%
|
|
|
Vermont
|
11,872
|
0%
|
||||
|
Virginia
|
X
|
X
|
258,342
|
82%
|
||
|
Washington
|
247,674
|
0%
|
||||
|
West Virginia
|
86,105
|
0%
|
||||
|
Wisconsin
|
X
|
X
|
125,212
|
82%
|
||
|
Wyoming
|
X
|
22,132
|
31%
|
|||
| NOTES: Women ages 19 to 49; Pennsylvania is implementing Medicaid expansion starting January 2015. Indiana and Utah indicated that they are planning on moving forward with Medicaid expansion post-2014. *All 23 states except Montana and Alaska limit Medicaid coverage of abortion to the Hyde Amendment. **South Dakota violates federal law by only providing abortions in cases of life endangerment for Medicaid beneficiaries. SOURCES: Kaiser Family Foundation State Health Facts; Guttmacher Institute State Policies in Brief, Overview of Abortion Laws ; Analysis of the coverage gap and abortion coverage based on data from Kaiser Family Foundation/Urban Institute estimates of ASEC supplement to March 2012 and March 2013 Current Population Surveys, U.S. Bureau of the Census. Methods available |
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