Coverage for Abortion Services in Medicaid, Marketplace Plans and Private Plans
| Appendix Table 1: Scope of Abortion Coverage in Medicaid and Private Plans, by State as of May 2019 | ||||
| State | States with No Medicaid Expansion and Not Using State Funds to Pay for Abortions |
States with Medicaid Expansion and Not Using State Funds to Pay for Abortions |
State Law Restricting Abortion Coverage to Limited Circumstances in Marketplace Plans |
State Law Limiting Abortion in Private InsuranceIssued in the State |
| United States | 14 | 22 | 26 | 11 |
| Alabama | X | X | ||
| Alaska | ||||
| Arizona* | X | X | ||
| Arkansas | X | X | ||
| California | ||||
| Colorado | X | |||
| Connecticut | ||||
| Delaware | X | |||
| DC | X | |||
| Florida | X | X | ||
| Georgia | X | X | ||
| Hawaii | ||||
| Idaho | X | X | X | |
| Illinois | ||||
| Indiana | X | X | X | |
| Iowa | X | |||
| Kansas | X | X | X | |
| Kentucky | X | X | X | |
| Louisiana | X | X | ||
| Maine** | X | |||
| Maryland | ||||
| Massachusetts | ||||
| Michigan | X | X | X | |
| Minnesota | ||||
| Mississippi | X | X | ||
| Missouri | X | X | X | |
| Montana | ||||
| Nebraska | X | X | X | |
| Nevada | X | |||
| New Hampshire | X | |||
| New Jersey | ||||
| New Mexico | ||||
| New York | ||||
| North Carolina | X | X | ||
| North Dakota | X | X | X | |
| Ohio | X | X | ||
| Oklahoma | X | X | X | |
| Oregon | ||||
| Pennsylvania | X | X | ||
| Rhode Island | X | |||
| South Carolina | X | X | ||
| South Dakota*** | X | X | ||
| Tennessee | X | X | ||
| Texas | X | X | X | |
| Utah | X | X | X | |
| Vermont | ||||
| Virginia | X | X | ||
| Washington | ||||
| West Virginia | X | |||
| Wisconsin | X | X | ||
| Wyoming | X | |||
| NOTES: *Arizona’s state Medicaid program does not pay for medically necessary abortions, despite court order. **Maine has passed a law that abortion services will be covered for all MaineCare members. This requires all abortion services that are not federally approved Medicaid services be funded by state funds. This part of the law is effective March 2020. This law also requires all private health insurance plans that cover maternity care in Maine to cover abortion services. This provision will be in effect January 2020. ***South Dakota pays for abortion only in cases of life endangerment. SOURCE: Kaiser Family Foundation State Health Facts; Guttmacher Institute, State Policies in Brief, Overview of Abortion Laws, June 2019. |
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| Appendix Table 2: Health Insurance Coverage of Women Ages 15-49 | ||||||
| State | Total | Employer | Medicaid | Other | Direct Purchase | Uninsured |
| U.S. Total | 72,811,478 | 42,778,519 | 14,490,605 | 1,569,461 | 5,528,416 | 8,443,630 |
| Alabama | 1,083,980 | 624,045 | 187,236 | 34,753 | 87,069 | 150,877 |
| Alaska | 165,031 | 83,193 | 36,749 | 12,489 | 7,096 | 25,504 |
| Arizona* | 1,533,095 | 841,013 | 361,079 | 30,014 | 102,432 | 198,557 |
| Arkansas | 648,833 | 343,901 | 172,400 | 15,726 | 47,823 | 68,983 |
| California | 9,255,238 | 5,063,680 | 2,434,123 | 152,049 | 790,389 | 814,997 |
| Colorado | 1,297,912 | 772,508 | 255,827 | 39,981 | 107,609 | 121,987 |
| Connecticut | 770,052 | 482,155 | 171,271 | 11,622 | 52,204 | 52,800 |
| Delaware | 205,504 | 132,396 | 36,688 | 6,245 | 15,052 | 15,123 |
| DC | 190,247 | 124,471 | 43,468 | 3,040 | 13,493 | 5,775 |
| Florida | 4,433,626 | 2,285,358 | 712,826 | 112,536 | 537,114 | 785,792 |
| Georgia | 2,453,499 | 1,417,987 | 301,206 | 79,980 | 198,659 | 455,667 |
| Hawaii | 298,401 | 191,654 | 54,199 | 22,172 | 14,173 | 16,203 |
| Idaho | 372,380 | 208,777 | 51,797 | 7,436 | 43,756 | 60,614 |
| Illinois | 2,898,140 | 1,803,691 | 605,796 | 34,618 | 195,971 | 258,064 |
| Indiana | 1,469,052 | 920,513 | 267,537 | 20,645 | 97,576 | 162,781 |
| Iowa | 660,809 | 444,699 | 124,506 | 7,849 | 46,111 | 37,644 |
| Kansas | 624,810 | 406,069 | 72,121 | 23,539 | 50,638 | 72,443 |
| Kentucky | 963,443 | 547,500 | 279,907 | 22,490 | 47,594 | 65,952 |
| Louisiana | 1,060,358 | 546,659 | 312,524 | 23,598 | 72,917 | 104,660 |
| Maine* | 267,211 | 165,978 | 47,628 | 4,175 | 20,445 | 28,985 |
| Maryland | 1,371,743 | 899,380 | 249,573 | 37,317 | 86,307 | 99,166 |
| Massachusetts | 1,533,232 | 984,287 | 390,819 | 13,448 | 97,273 | 47,405 |
| Michigan | 2,155,734 | 1,329,323 | 543,535 | 22,404 | 130,712 | 129,760 |
| Minnesota | 1,215,704 | 820,978 | 231,886 | 15,657 | 78,586 | 68,597 |
| Mississippi | 663,521 | 349,244 | 130,634 | 20,541 | 49,050 | 114,052 |
| Missouri | 1,320,510 | 834,358 | 178,798 | 30,005 | 107,416 | 169,933 |
| Montana | 217,557 | 118,588 | 46,141 | 4,414 | 23,024 | 25,390 |
| Nebraska | 406,614 | 262,143 | 43,241 | 11,295 | 40,009 | 49,926 |
| Nevada | 686,486 | 403,515 | 124,289 | 17,166 | 40,442 | 101,074 |
| New Hampshire | 275,094 | 194,338 | 37,952 | 5,750 | 17,765 | 19,289 |
| New Jersey | 2,004,561 | 1,295,179 | 335,819 | 26,752 | 133,129 | 213,682 |
| New Mexico | 448,293 | 193,055 | 163,787 | 14,322 | 22,129 | 55,000 |
| New York | 4,524,937 | 2,645,195 | 1,215,128 | 43,212 | 307,394 | 314,008 |
| North Carolina | 2,321,229 | 1,321,710 | 370,953 | 85,714 | 195,033 | 347,819 |
| North Dakota | 157,832 | 105,946 | 14,697 | 5,266 | 15,922 | 16,001 |
| Ohio | 2,515,633 | 1,538,192 | 615,117 | 41,803 | 141,078 | 179,443 |
| Oklahoma | 861,106 | 482,518 | 119,278 | 27,079 | 61,800 | 170,431 |
| Oregon | 922,510 | 527,426 | 224,041 | 11,504 | 78,010 | 81,529 |
| Pennsylvania | 2,681,877 | 1,700,565 | 570,345 | 45,478 | 181,075 | 184,414 |
| Rhode Island | 230,392 | 139,320 | 59,883 | 3,353 | 14,837 | 12,999 |
| South Carolina | 1,094,681 | 614,719 | 191,702 | 33,444 | 85,397 | 169,419 |
| South Dakota*** | 174,117 | 110,457 | 20,542 | 3,202 | 19,415 | 20,501 |
| Tennessee | 1,499,939 | 860,104 | 319,042 | 44,155 | 105,578 | 171,060 |
| Texas | 6,707,147 | 3,717,353 | 766,624 | 140,650 | 477,420 | 1,605,100 |
| Utah | 749,681 | 515,905 | 65,698 | 10,241 | 74,128 | 83,709 |
| Vermont | 125,190 | 69,659 | 39,560 | 8,709 | 6,415 | |
| Virginia | 1,905,914 | 1,208,329 | 194,750 | 117,232 | 159,384 | 226,219 |
| Washington | 1,668,709 | 1,027,071 | 344,964 | 49,656 | 117,740 | 129,278 |
| West Virginia | 372,596 | 197,957 | 123,024 | 7,965 | 15,134 | 28,516 |
| Wisconsin | 1,228,349 | 833,447 | 215,205 | 11,723 | 88,155 | 79,819 |
| Wyoming | 118,969 | 72,011 | 14,690 | 3,756 | 8,244 | 20,268 |
| NOTES: *Arizona’s state Medicaid program does not pay for medically necessary abortions, despite court order. **South Dakota pays for abortion only in cases of life endangerment. |
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| Blue shading indicates states with limitations on abortion coverage in private plans. | ||||||
| Gray shading indicates states restricting Medicaid abortion coverage to Hyde Amendment rules. | ||||||
| *Arizona’s state Medicaid program does not pay for medically necessary abortions, despite court order. **Maine has passed a law that abortion services will be covered for all MaineCare members. This requires all abortion services that are not federally approved Medicaid services be funded by state funds. This part of the law is effective March 2020. This law also requires all private health insurance plans that cover maternity care in Maine to cover abortion services. This provision will be in effect January 2020. ***South Dakota pays for abortion only in cases of life endangerment. SOURCES: Kaiser Family Foundation estimates based on 2017 Census Bureau’s American Community Survey; Guttmacher Institute State Policies in Brief Overview of Abortion Laws, June 2019 |
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