Want to Fight for Reproductive Health? Fight for Medicaid, Too.

rePROs Fight Back

Medicaid, the largest public health insurance program for people in the United States, exists on a state-by-state basis. But how could Medicaid possibly relate to sexual and reproductive health? Fabiola De Liban, Director, Sexual and Reproductive Health, with the National Health Law Program, sits down to talk with us about what is covered under the program, what’s not covered, Medicaid’s disturbing history related to family planning, and the barriers that patients face on a day-to-day basis.

Medicaid is the largest public payer of family planning, covering 75% of all family planning expenditures. It covers almost half of U.S. births, including prenatal, labor, delivery, and postpartum. Medicaid also covers prescription drugs, sterilization, breast cancer services, and some gender -affirming care services. Medicaid does not cover abortion due to the Hyde amendment. Medicaid expansion allows someone who is not pregnant or who doesn't have a child or a disability to be able to qualify to the Medicaid program. When the Affordable Care Act passed, Medicaid expansion would have gone into effect nationwide, if not for states who sued to prevent expansion. Medicaid expansion is now optional, with only 9 states having chosen to not expand.

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