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Coverage for Abortion Services and the ACA

Appendix 1: Scope of Abortion Coverage in Medicaid and in Private Plans, By State
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 Exchange 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
25*
11
24
9
11.8 million
48%
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
517,898
43%
Hawaii
21,261
0%
Idaho
X
X
X
75,854
100%
Illinois
393,032
0%
Indiana
X
X
242,016
89%
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; Indiana and Pennsylvania have indicated that they are planning on moving forward with Medicaid expansion post-2014.
*All 25 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.2

Coverage for Abortion Services and the ACA - Conclusion