TRACE
Tracking State Policy for Reproductive Access, Care & Equity
Explore RFA’s searchable database for more information on state policies related to abortion, contraception and fertility care that protect and expand reproductive rights and access in RFA member states. This database includes enacted policies including legislation, executive orders, rules and regulations, guidance, and more, and will periodically be updated.
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| State | Topic | SubTopic | Policy | Type | Date Enacted | Policy Summary | Statutes | Link | Effective Date |
|---|---|---|---|---|---|---|---|---|---|
| Hawaii | Abortion | Shield laws | HB 1875 | Enacted bill | May 29, 2026 | This bill expands the state’s existing shield law protections to include gender-affirming care, clarifies protected health information (PHI) disclosures, and protects providers from insurer retaliation. Statutes: H.R.S. §§ 323J; 451J-12; 453-8; 453D-13; 457-12; 636C-9; 836-2 | H.R.S. §§ 323J | www.capitol.hawaii.gov/session/measure_indiv.aspx?billtype=HB&billnumber=1875&year=2026 | July 1, 2026 |
| Colorado | Abortion | Medication abortion | HB 26-1335 | Enacted bill | May 27, 2026 | This bill requires higher education institutions that operate student health centers to provide access to abortion medication services to enrolled students and includes data privacy protections and insurance protections related to compliance. Statutes: C.R.S. § 23-5-151 | C.R.S. § 23-5-151 | leg.colorado.gov/bills/HB26-1335 | May 27, 2026 |
| Connecticut | Abortion | Data privacy | SB 4 | Enacted bill | May 27, 2026 | The bill establishes a comprehensive framework for regulating data brokers, prohibits the sale, sharing, transferring or allowing access to precise geolocation data, and adds additional protections for reproductive health data. | www.cga.ct.gov/asp/cgabillstatus/cgabillstatus.asp?selBillType=Bill&bill_num=SB00004&which_year=2026 | October 1, 2026 | |
| Maryland | Abortion | EMTALA | HB 372 / SB 169 | Enacted bill | May 26, 2026 | This bill requires hospitals with emergency departments to provide stabilizing care to pregnant patients. Statutes: §§ 19–342.1; 20–214(b) | §§ 19–342.1 | mgaleg.maryland.gov/mgawebsite/Legislation/Details/hb0372?ys=2026RS | October 1, 2026 |
| Maryland | Contraception | OTC coverage | HB 1076 / SB 532 | Enacted bill | May 26, 2026 | This bill requires public higher education institutions and community colleges to provide over-the-counter contraception access. Statutes: §§ 11–407.2; 16-111 | §§ 11–407.2 | mgaleg.maryland.gov/mgawebsite/Legislation/Details/HB1076 | July 1, 2026 |
| Virginia | Fertility | IVF coverage Medicaid coverage | HB 328 | Enacted bill | April 22, 2026 | This bill requires the Bureau of Insurance to select a new essential health benefits benchmark plan for the 2028 plan year that includes coverage for doula care services, iatrogenic infertility treatment, fertility treatment and diagnosis, including a maximum of three cycles per lifetime of assisted reproductive technology. Statutes: §§ 38.2-3418.21; 38.2-3418.22 | §§ 38.2-3418.21 | lis.virginia.gov/bill-details/20261/HB328 | July 1, 2026 |
| Virginia | Contraception | Insurance coverage No cost-sharing OTC coverage | HB 1182 | Enacted bill | April 22, 2026 | This bill requires insurance coverage for FDA-approved contraception without cost-sharing, including for OTC hormonal contraception. Statutes: §§ 38.2-3407.5:1; 38.2-3407.5:2 | §§ 38.2-3407.5:1 | lis.virginia.gov/bill-details/20261/HB1182 | July 1, 2026 |
| Virginia | Contraception | Insurance coverage No cost-sharing OTC coverage | SB 361 | Enacted bill | April 22, 2026 | This bill requires insurance coverage for FDA-approved contraception without cost-sharing, including for OTC hormonal contraception. Statutes: §§ 38.2-3407.5:1; 38.2-3407.5:2 | §§ 38.2-3407.5:1 | lis.virginia.gov/bill-details/20261/SB361/text/SB361 | July 1, 2026 |
| Virginia | Abortion | Clinic safety | SB 137 | Enacted bill | April 22, 2026 | This bill creates penalties for obstructing access to health care facilities. Statutes: § 18.2-404.1 | § 18.2-404.1 | lis.virginia.gov/bill-details/20261/SB137 | July 1, 2026 |
| Virginia | Abortion | Shield laws | SB 794 | Enacted bill | April 13, 2026 | This bill is a shield law that prohibits law enforcement from cooperating with investigations into protected health care and protects providers against extradition to other states for providing care protected in the Commonwealth. It also creates a private right of action. Statutes: §§ 8.01-412.10; 19.2-88; 19.2-99; 19.2-100; 19.2-273; 9.2-274 (new); 19.2-87.1 (new); Title 32.1 Chapter 21 (new) | §§ 8.01-412.10 | lis.virginia.gov/bill-details/20261/SB794 | July 1, 2026 |
| Virginia | Contraception | Rights | HB 6 | Enacted bill | April 8, 2026 | This bill creates statutory rights to obtain and provide contraceptives and creates a cause of action that may be instituted against anyone who infringes upon this right. Statutes: §§ 32.1-376; 32.1-377; 32.1-378 | §§ 32.1-376 | lis.virginia.gov/bill-details/20261/HB6 | July 1, 2026 |
| Virginia | Contraception | Rights | SB 596 | Enacted bill | April 8, 2026 | This bill creates statutory rights to obtain and provide contraceptives and creates a cause of action that may be instituted against anyone who infringes upon this right. Statutes: §§ 32.1-376; 32.1-377; 32.1-378 | §§ 32.1-376 | lis.virginia.gov/bill-details/20261/SB596 | July 1, 2026 |
| Washington | Abortion | State funding | SB 5998 | Enacted bill | April 1, 2026 | This operations budget bill includes $15 million in funding over two years for programs and grants to maintain access to | app.leg.wa.gov/BillSummary/?BillNumber=5998&Initiative=false&Year=2025&utm_medium=email&utm_source=govdelivery | April 1, 2026 | |
| Oregon | Abortion | Shield laws | HB 4088 | Enacted bill | March 31, 2026 | This bill amends Oregon’s existing shield law, adding new restrictions on extradition of individuals sought by other states for providing legally protected reproductive health and gender affirming care, prohibits employees or agents of public bodies from cooperating with federal or out-of-state investigations of legally protected reproductive or gender affirming health care, prohibits officers associated with the state’s medicaid program from providing individually identifiable information, creates exceptions for licensing penalties when related to providing legally protected reproductive or gender affirming care, and creates additional protections relating to gender affirming care. Statutes: ORS §§ 15.430; 24.500; 33.420; 33.460; 192.345; 435.190; 676.612; 687.445 | olis.oregonlegislature.gov/liz/2026R1/Measures/Overview/HB4088 | March 31, 2026 | |
| Oregon | Abortion | State funding | HB 4127 | Enacted bill | March 31, 2026 | This bill establishes a grant program to provide payments to reproductive health providers ineligible for federal Medicaid funds. Statutes: ORS § 414 | olis.oregonlegislature.gov/liz/2026R1/Measures/Overview/HB4127 | March 31, 2026 | |
| New Jersey | Abortion Contraception | Medication abortion Scope of practice Medication abortion Scope of practice | SB 2996 | Enacted bill | March 30, 2026 | This bill eliminates certain practice restrictions for advanced practice nurses, allowing them to practice without physician supervision after following certain requirements, and to be able to continue to prescribe medication, including contraception and abortion medication, and provide primary care. Statutes: N.J.S.A. 45:11-23; C.45:11-49; C.45:11-49.3; C.45:11-50 | www.njleg.state.nj.us/bill-search/2026/S2996 | March 30, 2026 | |
| Washington | Abortion | State funding | SB 6182 | Enacted bill | March 25, 2026 | This bill creates an abortion access grant program funded by an assessment on insurers based on the premiums charged and number of coverage months in the previous year. Statutes: RCW §§ 43.70; 43.84.092; 48.14 | app.leg.wa.gov/billsummary?BillNumber=6182&Year=2025&Chamber=Senate | June 11, 2026 | |
| Wisconsin | Contraception | Medicaid Postpartum Extension | SB 23 | Enacted bill | March 18, 2026 | This bill extends Medicaid coverage for pregnant women through 1-year postpartum. | docs.legis.wisconsin.gov/2025/proposals/sb23 | March 18, 2026 | |
| Washington | Abortion | Medication abortion | SB 5917 | Enacted bill | March 14, 2026 | This bill amends an existing law that had authorized the state to purchase a supply of abortion medications for a variety of purposes and to sell them to health care providers and facilities. This bill expands the ability of the Department of Corrections to sell, distribute, or deliver abortion medications that the state has purchased to health care providers and health care entities. DOC may, but is not required to, obtain payment for delivering, dispensing, or distributing abortion medication. Statutes: RCW § 72.09.780 | app.leg.wa.gov/billsummary/?BillNumber=5917&Year=2025&Initiative=false | March 14, 2026 | |
| New Mexico | Abortion | Data privacy | SB 40 | Enacted bill | March 4, 2026 | This bill prohibits state agencies from disclosing license plate data for the purposes of investigations related to legal health care, immigration and other constitutionally protected rights. | www.nmlegis.gov/Legislation/Legislation?chamber=S&legType=B&legNo=40&year=26 | July 1, 2026 | |
| Virginia | Abortion Contraception | Rights Rights | HB 781 / SB 449 | Enacted bill | February 6, 2026 | This bill provides for a referendum at the November 3, 2026, election to approve or reject an amendment to the Constitution of Virginia relating to the right to make one’s own decisions related to reproductive health care, including access to abortion. | lis.virginia.gov/bill-details/20261/HB781 | February 6, 2026 | |
| New York | Abortion | Shield laws | AB 5480C / SB 4914B | Enacted bill | December 19, 2025 | This bill expands New York’s earlier shield laws, adding new protections individuals who provide or receive legally protected health activity, including reproductive health care and gender-affirming care, from criminal and civil liability or professional sanctions imposed by out-of-state jurisdictions, as well as adding new protections for attorneys involved in supporting access to that care. The bill also expanded other areas of the shield law. Statutes: CVP §§ 3119; 3102; 4550 (https://www.nysenate.gov/legislation/laws/CVP/4550), CPLR § Art 3-A §350; EDN §§ 6505-d; 6510; 6531-b (https://www.nysenate.gov/legislation/laws/EDN/6531-B ), § 6509-f; PBH § 230; JUD § 90; ISC § 3436-a; GBS § 394-i; CPL § 570.19 (Repealed); CPL § 140.10 (; CPL § 570.17; EXC §837-x (Repealed); CVR §70-b; FCT § 659 | CVP §§ 3119 | legislation.nysenate.gov/pdf/bills/2025/S4914B | |
| Illinois | Contraception | Emergency contraception Insurance coverage Pharmacist prescriber | Provider Notice issued 11/03/2025 | Notice | November 3, 2025 | This provider notice from the Illinois Department of Healthcare and Family Services (HFS) informs providers of changes to billing procedures for emergency contraception and confirms HFS coverage of patient care services provided by a pharmacist for contraceptives, including emergency contraceptives and Opill. | hfs.illinois.gov/medicalproviders/notices/notice.prn251103b.html | November 3, 2025 | |
| Oregon | Contraception | Unbundling IUDs | OR-25-0019 | Medicaid SPA | October 30, 2025 | This state plan amendment carves out selected high-cost drugs and long acting reversible contraceptive (LARC) devices from the DRG reimbursement for hospitals and use actual acquisition cost. | www.medicaid.gov/medicaid/spa/downloads/OR-25-0019.pdf | January 1, 2026 | |
| California | Fertility | IUI treatment coverage IVF coverage | SB 62 | Enacted bill | October 13, 2025 | This bill adds infertility services, including IVF and IUI treatments, to California’s 2027 Essential Health Benefits Benchmark Plan for health insurance available in the individual and small group market, including Covered California, as well as some services unrelated to reproductive health. This bill was signed by the Governor but is awaiting approval by the federal government in order to be enacted. Statutes: HSC § 1367.005 | leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202520260SB62 | January 1, 2027 | |
| New Mexico | Abortion Contraception | State funding State funding | HB 1 | Enacted bill | October 2, 2025 | This bill provides $3 million for Planned Parenthood and its health care clinics across the state, amidst federal attacks on reproductive health care providers. | www.nmlegis.gov/Sessions/25%20Special/final/HB0001.pdf | October 2, 2025 | |
| California | Abortion | Data privacy | AB 45 | Enacted bill | September 26, 2025 | This bill expands and clarifies an existing law that had already largely prohibited the collection, use, disclosure, sale, sharing, or retention of the personal information of an individual who is physically located at, or within a precise geolocation of, a family planning center. Statutes: CIV §§ 1798.99.90; 1798.99.91; 1798.99.92; 1798.99.93 | leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202520260AB45 | January 1, 2026 | |
| California | Contraception | Emergency contraception No cost-sharing OTC coverage | AB 50 | Enacted bill | September 26, 2025 | This bill allows pharmacists to provide emergency contraception, over the counter contraception to patients without requiring the protocols that are otherwise required for self-administered prescribed hormonal contraception. Pharmacists may also provide a 12 month supply of over-the-counter contraception if requested. | leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202520260AB50 | September 26, 2025 | |
| California | Abortion | Medication abortion Scope of practice Shield laws | AB 260 | Enacted bill | September 26, 2025 | This bill is a shield law that authorizes a pharmacist to dispense mifepristone or other drugs used for medication abortions without the name of the patient, prescriber, or name and address of the pharmacy. The pharmacist must maintain a log that is not open to inspection by law enforcement without a subpoena and would prohibit the disclosure of information to out-of-state entities or individuals. Pharmacists are protected from criminal, civil, and professional disciplinary action for acts relating to the provision of mifepristone or other abortion medications. Other healing arts practitioners, clinics, and health facilities are also protected from these penalties. The bill would also require mifepristone to be covered for medication abortion by various insurers under certain conditions, as long as the World Health Organization recognizes it as a medication for medication abortion. Statutes: BPC §§ 2519 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=2519.& lawCode=BPC), 2761 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=2761.& lawCode=BPC), 2878 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=2878.& lawCode=BPC), 4076 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=4076.& lawCode=BPC), 4521 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=4521.& lawCode=BPC), 687 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=687.& lawCode=BPC), 850.3 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=850.3.& lawCode=BPC), 4318 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=4318.& lawCode=BPC), 601 (repealed); CIV § 56.110; FAM § 6925; §§ HSC 1367.21 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=1367.21.& lawCode=HSC), 1375.61 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=1375.61.& lawCode=HSC), 111480 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=111480.& lawCode=HSC), 1220.2 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=1220.2.& lawCode=HSC), 1265.12 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=1265.12.& lawCode=HSC), 111376; INS §§ 10123.195 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=10123.195.& lawCode=INS), 10133.641; PEN §§ 3405 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=3405.& lawCode=PEN), 4028 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=4028.& lawCode=PEN), 1108 (repealed); WIC §§ 220 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=220.& lawCode=WIC), 1773 | BPC §§ 2519 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=2519.&lawCode=BPC), 2761 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=2761.&lawCode=BPC), 2878 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=2878.&lawCode=BPC), 4076 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=4076.&lawCode=BPC), 4521 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=4521.&lawCode=BPC), 687 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=687.&lawCode=BPC), 850.3 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=850.3.&lawCode=BPC), 4318 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=4318.&lawCode=BPC), 601 (repealed) | leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202520260AB260 | September 26, 2025 |
| California | Abortion | Shield laws | AB 1525 | Enacted bill | September 26, 2025 | This bill is a shield law that protects attorneys from State Bar discipline based on the fact that they have assisted individuals in other states with seeking or obtaining sensitive services . Attorneys are protected from experiencing professional discipline based on out-of-state civil action, judicial sanctions, indictments or felony charges, findings of professional misconduct or impositions of disciple for activities related to sensitive services. Statutes: BPC § 6106.4 | leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202520260AB1525 | January 1, 2026 | |
| California | Abortion | State funding | AB 144 | Enacted bill | September 17, 2025 | This bill establishes the Abortion Access Fund, a continuously appropriated fund, to provide funding for grants for abortion care. From 2025 through 2029, the bill also requires the Director of the Department of Managed Health Care to order health care service plans that provide qualified health plans through the Exchange to transfer to the Abortion Access Fund a specified amount of the current balance of the plans’ segregated accounts, which had been funded originally by the Exchange. Statutes: HSC §§ 127640 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=127640.& lawCode=HSC) 127641; 127642 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=127642.& nodeTreePath=49.2.6& lawCode=HSC) 127643 | HSC §§ 127640 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=127640.&lawCode=HSC) 127641 | leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202520260AB144 | September 17, 2025 |
| Colorado | Abortion Contraception | State funding State funding | SB 25B-002 | Enacted bill | August 26, 2025 | This bill ensures that Medicaid patients can continue to receive health care services from Planned Parenthood and other providers targeted by H.R.1; allows the use of state funds to reimburse reproductive health care providers facing federal funding prohibitions. Statutes: C.R.S, Sec 1, 25.5-2-107 | leg.colorado.gov/bills/sb25b-002 | August 26, 2025 | |
| Kentucky | Contraception | Medicaid Family Planning Expansion Medicaid Postpartum Extension | 2026 Kentucky Medicaid Maternal Health & Wellness Resource Guide | Resource Guide | August 25, 2025 | The Cabinet for Health and Family Services released an updated Kentucky Medicaid Maternal Health & Wellness Resource Guide, outlining maternal health and reproductive health services covered by the state’s Medicaid program like free contraception, regular prenatal visits, and midwife-assisted births. Moreover, the guide provides critical information for pregnant and postpartum Medicaid patients. | khbe.ky.gov/About/Documents/2026-Medicaid-Matenal-Health-Resource-Guide.pdf | August 25, 2025 | |
| Illinois | Abortion | Medication abortion Shield laws | HB 3637 | Enacted bill | August 22, 2025 | This bill updates the state’s shield law and mandates that if a drug’s status is not approved by the FDA, that drug shall not be deemed an adulterated drug if it remains recommended for use by the WHO, even if the drug’s labelling reflects prior approval that is no longer in effect, so long as the labelling was true and accurate at the time of manufacture. Additionally, shield law protections are extended to all health care providers. Statutes: 225 ILCS 6/60; 225 ILCS 15/15; 225 ILCS 20/19; 225 ILCS 55/85; 225 ILCS 60/22; 225 ILCS 60/23; 225 ILCS 64/100; 225 ILCS 65/65-65; 225 ILCS 65/70-5; 225 ILCS 85/30; 225 ILCS 85/30.1; 225 ILCS 95/21; 225 ILCS 107/80; 225 ILCS 120/55; 225 ILCS 130/75; 225 ILCS 135/95; 410 ILCS 620/7; 410 ILCS 620/14; 410 ILCS 620/15 | 225 ILCS 6/60 | www.ilga.gov/Legislation/BillStatus?DocNum=3637&GAID=18&DocTypeID=HB&SessionID=114&GA=104 | January 1, 2026 |
| Illinois | Abortion Contraception | Emergency contraception Medication abortion Emergency contraception Medication abortion | HB 3709 | Enacted bill | August 22, 2025 | This bill requires public institutions of higher education with student health services to provide enrolled students with access to one or more health care professionals whose scopes of practice collectively include prescribing and dispensing contraception, emergency contraception and medication abortion to patients. Statutes: 110 ILCS 167/5; 110 ILCS 167/20 | www.ilga.gov/legislation/PublicActs/View/104-0433 | August 22, 2025 | |
| Guam | Abortion Contraception | Emergency contraception EMTALA Hospital/ER requirements Emergency contraception EMTALA Hospital/ER requirements | Bill No. 24-38 | Enacted bill | August 18, 2025 | This bill codifies emergency care protections at the state level. More specifically, the bill requires emergency rooms to provide information on emergency contraception and sexually transmitted diseases to survivors of sexual assault. Additionally, the bill states that upon request, providers must provide emergency contraception for survivors, as long as the survivor is not pregnant. Statutes: § 163.40, Chapter 163, Title 8; Chapter 98, Title 10, Guam Code | § 163.40, Chapter 163, Title 8 | guamlegislature.gov/38th_Guam_Legislature/Committee_Reports_38th/CR%20Bill%20No.%2024-38%20(COR)%20As%20amended.pdf | August 18, 2025 |
| Illinois | Contraception | Emergency contraception No cost-sharing Pharmacist prescriber | HB 3489 | Enacted bill | August 15, 2025 | This bill expands the scope of contraceptives that pharmacists are authorized to dispense, including emergency contraceptives. It also mandates Medicaid coverage of emergency contraceptives and patient care services provided by a pharmacist. | www.ilga.gov/legislation/PublicActs/View/104-0312 | January 1, 2026 | |
| Wisconsin | Contraception | Scope of practice | AB 257 | Enacted bill | August 8, 2025 | This bill creates a new system of licensure that allows a registered nurse to be licensed by the Board of Nursing as an advanced practice registered nurse (APRN) and authorizes an APRN to issue prescription orders, though they are required to practice in collaboration with a physician. Statutes: § 441.16 | docs.legis.wisconsin.gov/2025/proposals/ab257 | September 1, 2026 | |
| Massachusetts | Abortion Contraception | Data privacy EMTALA Nondiscrimination Shield laws Data privacy EMTALA Nondiscrimination Shield laws | SB 2543 | Enacted bill | August 7, 2025 | This bill updates and expands Massachusetts’ shield law. The law strengthens protections for providers and patients by prohibiting state agencies and law enforcement from cooperating with outside state or federal investigations into reproductive or gender-affirming health care provided in Massachusetts; limiting the collection and sharing of electronic health information related to reproductive or gender-affirming health care and patient data; allowing providers to list their practice’s name on abortion and gender-affirming medications, rather than their own name; excluding certain reproductive and gender-affirming medications from the state’s drug monitoring programs; limiting third-party access to related medical records; reaffirming that “health care professionals are free to provide legal care services in Massachusetts;” increasing license protections and expands protections against disciplinary actions for providers; forbidding insurance companies from discriminating against or penalizing such providers; protecting attorneys licensed in the state from removal or discipline for advising or representing clients on matters pertaining to reproductive or gender-affirming care; explicitly mandating that acute care hospitals provide stabilizing health services, including emergency abortion care; and more. Statutes: MGL 4 § 7; 12 § 11I.5; 12C § 12; 31 § 73; 66 § 10B; 94C § 21; 94C § 22; 94C § 24A; 111 § 51.25; 112 § 12Q.5; 112 § 61; 119 § 26; 147 § 63; 175 § 193V; 176Q § 19; 208 § 56 (https://malegislature.gov/Laws/GeneralLaws/PartII/TitleIII/Chapter208/Section56) 209A § 12; 209B § 15; 209C § 25 | MGL 4 § 7 | malegislature.gov/Bills/194/S2543 | January 20, 2026 |
| Delaware | Abortion | Emergency contraception Shield laws | HB 205 | Enacted bill | July 21, 2025 | This bill strengthens the state’s shield law. More specifically, it bars state agencies and employees from cooperating with federal and out-of-state investigations regarding the provision of reproductive health care legal in the state; creates a cause of action for persons against whom a judgment was entered in another state based upon that person allegedly providing, receiving, or helping another person to provide reproductive health care services; and prohibits an insurer from taking an adverse action against a health care provider or organization for performing or providing reproductive health care services that are lawful in Delaware. The law also expands the entire shield law to cover “all lawful health care services” in Delaware. Statutes: Title 24 §§ 1702; 1731; 1773; 1922; Title 10 § 3928 (https://delcode.delaware.gov/title10/c039/index.html#3928) 3929; 11, Title 18 § 2535 (https://delcode.delaware.gov/title18/c025/index.html#2535) Title 29 § 611 | Title 24 §§ 1702 | www.legis.delaware.gov/BillDetail?legislationId=142421 | July 21, 2025 |
| Oregon | Abortion Contraception | Insurance coverage Insurance coverage | SB 822 | Enacted bill | July 17, 2025 | This bill updates state law on network adequacy, including by directing the Department of Consumer and Business Services (DCBS) to adopt standards to evaluate networks for all covered services, including services for reproductive health care. Statutes: ORS §§ 743B.505; 743A.058 | olis.oregonlegislature.gov/liz/2025R1/Measures/Overview/SB822 | January 1, 2026 | |
| Massachusetts | Abortion Contraception | Extended supply State funding Extended supply State funding | HB 4240 | Enacted bill | July 4, 2025 | This FY 26 budget bill appropriates $2 million to the Planned Parenthood League of Massachusetts to support continuing access to sexual and reproductive health care and community needs amid federal Medicaid cuts. This budget bill also allocates $1.98 million for grants to support improvements in reproductive health access, infrastructure and security, including grants to local abortion funds. The budget also includes $6.7 million to enhance comprehensive family planning services previously funded by Title X ; $500,000 for a public service campaign to promote awareness about the right to receive a 12-month contraceptive supply; $150,000 for an abortion legal hotline. | malegislature.gov/Bills/194/H4240/BillHistory?pageNumber=2 | July 4, 2025 | |
| Maine | Abortion Contraception | State funding State funding | LD 143 | Enacted bill | July 1, 2025 | This bill appropriates state general funds for a statewide family planning grant. | www.mainelegislature.org/legis/bills/getPDF.asp?paper=SP0079&item=7&snum=132 | July 1, 2025 | |
| Maine | Contraception | Emergency contraception Insurance coverage No cost-sharing OTC coverage | LD 163 | Enacted bill | July 1, 2025 | This bill requires most insurance plans to cover over the counter (OTC) oral contraceptives and emergency contraception without a prescription starting January 1, 2026. The law also requires the Bureau of Insurance to monitor compliance. Statutes: 24 MRSA § 2332-J, sub-§1 | legislature.maine.gov/LawMakerWeb/dockets.asp?ID=280095744 | January 1, 2026 | |
| Rhode Island | Contraception | Extended supply | HB 6038 | Enacted bill | June 30, 2025 | This bill removes current statutes limiting coverage of contraceptive prescriptions to three-month supplies. Statutes: R.I.G.L. § 5-19.1-36 | webserver.rilegislature.gov/BillText/BillText25/HouseText25/H6038.pdf | June 30, 2025 | |
| New Jersey | Abortion Contraception | Clinic safety State funding Clinic safety State funding | AB 5800 / SB 2026 | Enacted bill | June 30, 2025 | The FY26 state budget includes $22.3 million in appropriations for the Reproductive Health Access Fund for the following purposes: reproductive health staff recruitment, retention and training for reproductive health care providers, security improvements and technological upgrades for reproductive health care clinics. | pub.njleg.state.nj.us/Bills/2024/AL25/74_.PDF | July 1, 2025 | |
| Washington | Contraception | Unbundling IUDs | WA-25-0012 | Medicaid SPA | June 26, 2025 | This state plan amendment updates long-acting reversible contraceptive devices provided immediately postpartum at an acute care hospital which are exempt from the DRG payment method and are reimbursed via the fee schedule. | www.medicaid.gov/medicaid/spa/downloads/WA-25-0012.pdf | April 1, 2025 | |
| Michigan | Abortion | EMTALA Rights | Right to Receive Adequate and Appropriate Care | Notice | June 24, 2025 | This notice, from the Michigan Department of Licensing and Regulatory Affairs (LARA), reiterates hospitals’ responsibility under both EMTALA and state law to provide adequate and appropriate reproductive care to patients, including emergency abortion care. Statutes: MCL § 333.20201 | content.govdelivery.com/attachments/MIEOG/2025/06/23/file_attachments/3301089/LARA%20Draft%20Reproductive%20Health%20Correspondence%20to%20Hospitals%2006.13.2025%20Generic%20to%20State%20Regulations%20062025.pdf | June 24, 2025 | |
| Connecticut | Abortion Contraception | EMTALA Shield laws State funding EMTALA Shield laws State funding | HB 7287 | Enacted bill | June 23, 2025 | This appropriation package establishes a “Safe Harbor Account.” The Safe Harbor Account is a separate non-lapsing account to receive funds and disperse grants to health care providers that provide gender affirming and reproductive health care as well as non-profit organizations. Moreover, this law expands the state’s shield law protections, protecting providers and allowing patients, providers, and assistants to recover damages when an out of state actor seeks to enforce an out of state judgement. This bill also requires licensed hospitals with an emergency department to provide reproductive health care services related to complications of pregnancy that are legal in the state and necessary to treat the patient, including, but not limited to, miscarriage management and treatment for ectopic pregnancies. | www.cga.ct.gov/2025/ACT/PA/PDF/2025PA-00168-R00HB-07287-PA.PDF | July 1, 2025 | |
| Rhode Island | Contraception | Pharmacist prescriber | SB 0103A | Enacted bill | June 23, 2025 | This bill authorizes pharmacists to prescribe and dispense hormonal contraceptives. Statutes: R.I.G.L. § 5-19.1-36 | webserver.rilegislature.gov/BillText/BillText23/SenateText23/S0103Aaa.pdf | January 1, 2024 | |
| Connecticut | Contraception | Minor consent Rights | HB 7213 | Enacted bill | June 9, 2025 | This bill guarantees that minors in Connecticut may consent to their own contraceptive and pregnancy-related care without requiring permission from their parents. | www.cga.ct.gov/2025/ACT/PA/PDF/2025PA-00028-R00HB-07213-PA.PDF | July 1, 2025 | |
| Colorado | Fertility | IUI treatment coverage IVF coverage Rights | HB 25-1259 | Enacted bill | May 30, 2025 | This bill protects access to reproduction technologies, infertility medical care options, and gamete donation in Colorado. This bill repeals certain provisions relating to gamete donor record stewardship, protecting donor identities. Statutes: C.R.S. §§ 25-57-113; 25-57-104; 25-57-106; 25-57-107; 25-57-108; 25-57-109; 25-57-110 | C.R.S. §§ 25-57-113 | leg.colorado.gov/bill_files/40875/download | May 30, 2025 |
| Maine | Abortion | Medication abortion | LD 538 | Enacted bill | May 29, 2025 | This bill allows prescribers to use the name of their facility in place of their own name on the label for medication abortion and gender affirming care prescriptions. Statutes: 32 MRSA § 13794 | legislature.maine.gov/legis/bills/getPDF.asp?paper=HP0357&item=3&snum=132 | August 27, 2025 | |
| Colorado | Contraception | No cost-sharing | SB 25-118 | Enacted bill | May 29, 2025 | This bill prohibits cost-sharing for prenatal care under most insurance plans. Statutes: C.R.S. 10-16-104 | leg.colorado.gov/bills/sb25-118 | July 1, 2025 | |
| Washington | Abortion | Decriminalization | SB 5093 | Enacted bill | May 20, 2025 | This bill decriminalizes pregnancy outcomes in Washington state. Prior law allowed for criminal prosecution of certain abortions and pregnancy losses. This bill also repeals a rule which required coroners to investigate every fetal death based on a suspicion the individual had an abortion. Statutes: RCW §§ 68.50.010; 43.70; 9.02.050 (Repealed) | lawfilesext.leg.wa.gov/biennium/2025-26/Htm/Bills/Session%20Laws/Senate/5093-S.SL.htm | July 27, 2025 | |
| Washington | Abortion Contraception | Clinic safety State funding Clinic safety State funding | SB 5167 | Enacted bill | May 20, 2025 | This Fiscal Biennium 2025 – 2027 appropriations bill provides $3.5 million per year for programs to maintain access to abortion care in Washington, including but not limited to: provider support, workforce retention and recruitment initiatives, and clinic security investments. It also creates the “reproductive access alliance,” which will develop a website and support helpline for patients seeking care. | app.leg.wa.gov/billsummary?Year=2025&BillNumber=5167 | May 20, 2025 | |
| Colorado | Abortion | EMTALA | SB 25-130 | Enacted bill | May 15, 2025 | This bill requires emergency care be provided by relevant health care facilities in order to stabilize any patient who appears to need that care, without ascertaining ability to pay. Statutes: C.R.S. §§ 25-3-133; 12-240-121 | leg.colorado.gov/bills/sb25-130 | May 15, 2025 | |
| Maryland | Abortion | State funding | HB 930 / SB 848 | Enacted bill | May 13, 2025 | This bill establishes the Public Health Abortion Grant Program to provide grants to improve access to abortion care, and designates funds from health plan segregated funds created under 1303 of the ACA to be transferred to the Grant Program. The bill also includes a clause stating that “if, on or before June 30, 2031, the Centers for Medicare and Medicaid Services advises the Maryland Insurance Administration that the provisions of Section 1 of this Act violate § 1303 of the federal Patient Protection and Affordable Care Act, Section 1 of this Act, with no further action required by the General Assembly, shall be abrogated and of no further force and effect.” Statutes: §§ 15–147; 13-5501; 13-5502; 13-5503 (https://mgaleg.maryland.gov/mgawebsite/laws/StatuteText?article=ghg& section=13-5503& enactments=False& archived=False) 6-226 | §§ 15–147 | mgaleg.maryland.gov/mgawebsite/Legislation/Details/HB0930?ys=2025RS | January 1, 2025 |
| Maryland | Abortion | Data privacy Shield laws | HB 1045 | Enacted bill | May 13, 2025 | This bill updates the state’s shield law by amending the definitions of “legally protected health care” and “sensitive health services” to include gender-affirming care for purposes of law governing the disclosure of information regarding sensitive health services. It also amends definitions related to family planning providers to apply to those providers who were receiving Title X as of December 31, 2024. Statutes: §§ 13-3401; 13-3402; 15-101; 15-102.1; 4-301; §§ 15-1A-01; 15-1A-03; 15-1A-04; 15-1A-15; 15-1A-16; 15-1A-18; 15-1A-19; 15-1A-20; 15-1A-21; 15-1A-22; 2-202 | §§ 13-3401 | mgaleg.maryland.gov/mgawebsite/Legislation/Details/HB1045?ys=2025rs | June 1, 2025 |
| Washington | Abortion | Shield laws | SB 5632 | Enacted bill | May 12, 2025 | This bill updates the state’s shield law to define “assistance” as that term relates to the provision or receipt of protected health care services that are legal in Washington. In doing so, the bill expands shield law protections that prohibits agents of state or local agencies, commissions, boards, and departments from cooperating with or providing information to other entities for the purpose of advancing out-of-state anti-abortion prosecutions. It also requires Washington businesses that provide electronic communication services to notify the Attorney General’s Office if the entity receives legal process related to the provision or receipt of protected health care services when the required attestation is missing or incomplete. Statutes: RCW §§ 7.115.010; 7.115.020 | app.leg.wa.gov/billsummary?BillNumber=5632&Year=2025&Chamber=Senate | July 27, 2025 | |
| New York | Abortion Contraception | EMTALA Insurance coverage Rights State funding EMTALA Insurance coverage Rights State funding | SB 3007C | Enacted bill | May 9, 2025 | The FY2026 enacted state budget includes a $34.2 billion investment in Medicaid to maintain coverage and services in the state and invest in programs aimed at expanding access. Moreover, the budget codifies federal emergency care, including emergency abortion care, protections into state law. It also provides funding for providers to help cover the cost of abortion services, invests in abortion training programs, and provides funding for the modernization of reproductive healthcare facilities. | www.budget.ny.gov/pubs/archive/fy26/index.html | May 9, 2025 | |
| Maryland | Contraception | OTC coverage | SB 674 | Enacted bill | May 6, 2025 | This bill requires the Maryland Commission for Women to establish the Maryland Collaborative to Advance Implementation of Coverage of Over-the-Counter Birth Control to study access to over-the-counter birth control and to submit a final report of its findings and recommendations to the Governor and General Assembly by December 1, 2027. | mgaleg.maryland.gov/webmga/frmMain.aspx?id=SB0674&stab=01&pid=billpage&tab=subject3&ys=2025RS | June 1, 2025 | |
| Virginia | Fertility | IVF coverage | HB 1609 | Enacted bill | May 2, 2025 | This bill requires the Health Insurance Reform Commission to consider coverage for the diagnosis and treatment of infertility and for standard fertility preservation procedures in its 2025 review of the essential health benefits benchmark plan. Statutes: § 30-343.1 | lis.virginia.gov/bill-details/20251/HB1609 | May 2, 2025 | |
| Washington | Contraception | Medicaid Family Planning Expansion | 11 -W-00134/0 | Medicaid waiver | May 1, 2025 | This state waiver pertains to Washington’s Medicaid Family Planning Only (FPO) Program and provides family planning and related services to individuals at or below 260% of the federal poverty level, who are not eligible for other Medicaid or CHIP programs and are capable of producing children. This demonstration program covers a range of services, including contraception (all FDA-approved methods), counseling, education, and STD testing and treatment. The program was expanded in 2025 to include individuals up to age 26 seeking confidential services. | www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/wa-family-planning-only-program-mntrng-rdsgn-ovrly-ltr-06252025.pdf | May 1, 2025 | |
| Washington | Abortion | EMTALA Hospital/ER requirements Rights | SB 5557 | Enacted bill | April 29, 2025 | This bill protects the right of a pregnant person to access treatment, including abortion, for emergency medical conditions in hospital emergency departments. Statutes: RCW §§ 70.170.060; 70.41.020 | app.leg.wa.gov/billsummary?BillNumber=5557&Year=2025 | April 29, 2025 | |
| Colorado | Abortion | Medication abortion Shield laws | SB 25-129 | Enacted bill | April 24, 2025 | This bill expands the state’s shield law and allows a provider to list the practice’s name on the prescription of abortion medications instead of their name. It also provides additional protections for out-of-state telehealth providers, and places additional restrictions on subpoena, investigations, and summons against reproductive care providers, as well as giving the Attorney General some enforcement authority. Statutes: C.R.S. §§ 12-30-124; 12-280-124; 13-1-140; 13-21-133; 16-19-115; 24-31-101 | C.R.S. §§ 12-30-124 | leg.colorado.gov/bills/sb25-129 | July 1, 2025 |
| Colorado | Abortion | Insurance coverage State funding | SB 25-183 | Enacted bill | April 24, 2025 | This bill provides abortion coverage using state dollars for Medicaid-eligible patients and codifies expanded insurance coverage in line with Amendment 79, with an exception for religious employers. Statutes: C.R.S. §§ 10-16-104; 25.5-4-412; 25.5-2-106; 24-75-109; 25.5-8-107 | leg.colorado.gov/bills/sb25-183 | July 1, 2025 | |
| Washington | Contraception | Extended supply | SB 5498 | Enacted bill | April 22, 2025 | This bill requires most insurers to cover a 12-month supply of contraceptives obtained at one time, rather than applying only to a 12-month refill. Statutes: RCW 48.43.195 | app.leg.wa.gov/billsummary?BillNumber=5498&Year=2025 | January 1, 2026 | |
| Washington | Abortion | Rights | HB 1215 | Enacted bill | April 16, 2025 | This bill removes the prohibition against executing the advance directive of a a terminally ill or permanently unconscious pregnant person while they remain pregnant. Statutes: RCW § 70.122.030 | lawfilesext.leg.wa.gov/biennium/2025-26/Pdf/Bills/Session%20Laws/House/1215.SL.pdf?q=20260311122323 | July 27, 2025 | |
| New Mexico | Abortion | Data privacy | SB 57 | Enacted bill | April 7, 2025 | This bill amends the Inspection of Public Records Act (IPRA) to exempt from disclosure any record containing personal identifying information or sensitive information related to the practice of a medical provider who works for a public entity and performs medical services related to abortion. Statutes: N.M.S.A. § 14-2-1 | www.nmlegis.gov/Legislation/Legislation?chamber=S&legType=B&legNo=57&year=25 | July 1, 2025 | |
| Pennsylvania | Contraception | Unbundling IUDs | PA-25-0002 | Medicaid SPA | April 1, 2025 | This state plan amendment implements an alternative payment methodology (APM) for Federally Qualified Health Centers (FQHC) and Rural Health Clinics (RHC) for a supplemental payment at the Medical Assistance (MA) program fee schedule rate for a Long-Acting Reversible Contraceptive (LARC) device and its insertion, or the removal of a LARC device, in addition to payment for an encounter. | www.medicaid.gov/medicaid/spa/downloads/PA-25-0002.pdf | January 1, 2025 | |
| New Mexico | Abortion | State funding | HB 450 | Enacted bill | April 1, 2025 | This bill invests $10 million in capital for the board of regents of the state university system to plan, design, construct, equip and furnish a reproductive health care clinic in northern New Mexico. | www.nmlegis.gov/Legislation/Legislation?chamber=H&legType=B&legNo=450&year=25 | July 1, 2025 | |
| Virginia | Abortion Contraception Fertility | Nondiscrimination Rights Nondiscrimination Rights Nondiscrimination Rights | HJR 1 | Resolution | March 24, 2025 | This joint resolution proposes an amendment to the Constitution of Virginia to establish the fundamental right to reproductive freedom, including contraception, abortion, pregnancy care and fertility care. It protects against discrimination in the protection and enforcement of this right. It must be approved by the voters in 2026 in order to become part of the Constitution. Statutes: Article I § 11A | Article I § 11A | lis.virginia.gov/bill-details/20251/HJ1 | July 1, 2025 |
| Virginia | Abortion | Rights | HJ 1 / SJ 247 | Enacted bill | March 23, 2025 | This resolution places the Right to Reproductive Freedom Amendment on the ballot in November 2026. If approved by voters, this measure will amendment the state constitution to enshrine “the fundamental right to reproductive freedom, including the ability to make and carry out decisions relating to one’s own prenatal care.” | lis.virginia.gov/bill-details/20251/SJ247 | July 1, 2025 | |
| Virginia | Abortion Contraception | Data privacy Data privacy | SB 754 | Enacted bill | March 23, 2025 | This bill provides that obtaining, disclosing, selling, or disseminating personally identifiable reproductive or sexual health information without the consent of the consumer is a prohibited practice under the Virginia Consumer Protection Act. Statutes: §§ 59.1-198; 59.1-200 | lis.virginia.gov/bill-details/20251/SB754 | July 1, 2025 | |
| Minnesota | Abortion Contraception | Insurance coverage Insurance coverage | DHS-2327 | Guidance | March 13, 2025 | This updated MinnesotaCare coverage and billing guidance updated the requirements for when the Medical Necessity Statement needs to be submitted with the claim and clarified billing codes for the treatment of incomplete legally induced abortions. | www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=MNDHS-074375 | March 13, 2025 | |
| Connecticut | Abortion | Medication abortion State funding | HB 7066 | Enacted bill | March 3, 2025 | This bill granted $800,000 to Planned Parenthood of Souther New England, Inc. Although not explicitly mentioned in the bill, the VP of the organization confirmed the funding would be used to stockpile mifepristone in Connecticut. | www.cga.ct.gov/2025/act/pa/pdf/2025PA-00001-R00HB-07066-PA.pdf | March 3, 2025 | |
| Colorado | Abortion Contraception | State funding State funding | SB 93 | Enacted bill | February 27, 2025 | This supplemental appropriations bill allocates $3.6 million for reproductive health services for individuals who are not eligible for Medicaid. | leg.colorado.gov/bills/sb25-093 | July 1, 2025 | |
| New York | Abortion | Data privacy Medication abortion Shield laws | AB 2145A / SB 36A | Enacted bill | February 3, 2025 | This bill updates the state’s shield law to allow health care providers to omit their names on prescriptions for medication abortions and instead use the names of their medical practices. Statutes: §§6807 & 6810, Ed L | §§6807 & 6810, Ed L | www.nysenate.gov/legislation/bills/2025/A2145/amendment/A | February 3, 2025 |
| Michigan | Contraception | No cost-sharing OTC coverage Pharmacist prescriber | HB 5435 | Enacted bill | January 21, 2025 | This bill requires insurance companies to cover the cost of pharmacist-prescribed hormonal contraception in the state. Statutes: MCL § 3406tt | www.legislature.mi.gov/documents/2023-2024/billenrolled/House/htm/2024-HNB-5435.htm | December 31, 2025 | |
| Michigan | Contraception | Emergency contraception Pharmacist prescriber | HB 5436 | Enacted bill | January 21, 2025 | This bill allows pharmacists to prescribe hormonal contraceptives and emergency contraception. Statutes: MCL §§ 17703; 17704; 17706; 17708; 17709; 17744; 17751; 17757 | www.legislature.mi.gov/documents/2023-2024/billenrolled/House/htm/2024-HNB-5436.htm | December 31, 2025 | |
| Michigan | Abortion | Shield laws | HB 5956 | Enacted bill | January 21, 2025 | This bill is a shield law that prohibits discrimination against a health care provider who is acting within the scope of that provider’s license or certification. Statutes: MCL § 500.3406jj | legislature.mi.gov/Bills/Bill?ObjectName=2024-HB-5956 | April 2, 2025 | |
| Michigan | Contraception | Emergency contraception OTC coverage | Take Control of Your Birth Control Initiative | Other agency action | January 16, 2025 | This initiative makes birth control and STI prevention supplies available for free across the state of Michigan. Locations throughout the state provide OTC contraceptives and emergency contraception, as well as condoms, at no cost. | www.michigan.gov/mdhhs/adult-child-serv/childrenfamilies/familyhealth/familyplanning/take-control-of-your-birth-control | January 16, 2025 | |
| North Carolina | Abortion Contraception | Data privacy Shield laws Data privacy Shield laws | EO 8 | Executive order | January 16, 2025 | This executive order is a shield law that directs cabinet agencies to safeguard medical privacy, ensures women receive accurate information about their pregnancies, and protects doctors providing lawful reproductive health care. | governor.nc.gov/executive-order-no-8-reproductive-rights | January 16, 2025 | |
| Washington | Abortion Contraception | Rights Rights | EO 25-01 | Executive order | January 15, 2025 | This executive order directs the Washington State Department of Health to convene a roundtable of medical providers, reproductive health experts and policy makers to recommend strategies for protecting reproductive freedom. Additionally, the Executive Order affirms Washington State’s commitment to protecting and advancing access to abortion care that meets each patient’s needs. | governor.wa.gov/sites/default/files/exe_order/25-01%20-%20Reproductive%20Roundtable.pdf | January 15, 2025 | |
| Washington | Abortion | EMTALA Rights | 25-01 | Guidance | January 10, 2025 | This directive of the governor directs the Department of Health to adopt a regulation on an emergency basis to ensure that all hospitals provide emergency care to pregnant patients, including abortion when warranted. | governor.wa.gov/sites/default/files/directive/25-01%20-%20EMTALA%20Rule%20Directive.pdf | January 10, 2025 | |
| Massachusetts | Abortion | Shield laws | 244 CMR 7.00: | Regulation | January 8, 2025 | The Massachusetts Department of Public Health’s (DPH) Board of Registration in Nursing approved emergency amendments to codify into regulation provisions in the 2022 shield law that protect nurses from disqualification from licensure and from Board discipline for providing, or assisting in providing, reproductive health care services in Massachusetts. | www.mass.gov/doc/244-cmr-7-investigations-complaints-and-board-actions/download | January 8, 2025 | |
| Massachusetts | Abortion | Shield laws | 244 CMR 8.00 | Regulation | January 8, 2025 | The Massachusetts Department of Public Health’s (DPH) Board of Registration in Nursing approved emergency amendments to codify into regulation provisions in the 2022 shield law that protect nurses from disqualification from licensure and from Board discipline for providing, or assisting in providing, reproductive health care services in Massachusetts. | www.mass.gov/doc/244-cmr-8-licensure-requirements/download | January 8, 2025 | |
| New Mexico | Contraception | Pharmacist prescriber | Standing Order for Registered Pharmacist to Dispense Over the Counter (OTC) Progestin-Only Oral Contraceptive Pills | Standing Order | December 23, 2024 | This standing order authorizes registered pharmacists to dispense any FDA approved OTC progestin-only contraceptive. | www.nmhealth.org/publication/view/policy/8801/ | December 23, 2025 | |
| Michigan | Abortion Contraception | Rights Rights | MCL § 333.26103 | Statute | December 11, 2024 | This law includes in Michigan statutes a codification of the state constitutional right to make decisions about all matters relating to pregnancy, including contraception and abortion care. It also prohibits the criminalization of pregnancy outcomes for patients and providers. | www.legislature.mi.gov/Laws/MCL?objectName=mcl-333-26103 | February 13, 2024 | |
| Oregon | Abortion Contraception | Insurance coverage Medication abortion Insurance coverage Medication abortion | PH 117-2024 | Rule | December 9, 2024 | The Oregon Health Authority issued an Permanent Administrative Order which amended the Reproductive Health Program requirements and coverage. The order clarifies the scope of the Reproductive Health Equity Act (RHEA), which covers services, drugs, devices, and procedures related to reproductive health, and provides additional details relating to coverage of contraceptive devices, clinically indicated follow-ups for the contraceptive method, abortion services including medication abortion, and non-emergency transportation to appointments for care. | www.oregon.gov/oha/PH/RULESREGULATIONS/Documents/PH_117-2024TrackedChanges.pdf | January 1, 2025 | |
| Colorado | Abortion | Rights State funding | Amendment 79 | Enacted bill | December 5, 2024 | This ballot initiative enshrines the right to abortion in the state’s constitution, repeals the ban on public funding for abortion care, and prohibits state and local governments from denying, impeding, or discriminating against the exercise of reproductive freedoms. It was approved in Nov. 2024. Statutes: Colo. Const. Art. II, Section 32; Art, V, Section 50 (repealed) | Colo. Const. Art. II, Section 32 | www.coloradosos.gov/pubs/elections/Initiatives/titleBoard/filings/2023-2024/89Final.pdf | December 5, 2024 |
| Connecticut | Contraception | Emergency contraception Pharmacist prescriber | PR2024-006 | Regulation | November 27, 2024 | This regulation sets forth educational training requirements and patient assessment standards for pharmacists prescribing emergency and hormonal contraception. | eregulations.ct.gov/eRegsPortal/Search/getDocument?guid=30300894-0000-CF1B-A909-AF4EB47D0FAD | December 27, 2024 | |
| Arizona | Abortion | Decriminalization Rights | Proposition 139 | Constitutional amendment | November 25, 2024 | This constitutional amendment enshrines reproductive freedom and a fundamental right to an abortion into the Arizona state constitution. The state shall not deny, restrict, or interfere with that right nor penalize any person for aiding or assisting a pregnant individual in exercising the right to an abortion. Statutes: Arizona State Constitution Arizona Article II Section 8.1 | www.azleg.gov/viewDocument/?docName=www.azleg.gov/const/2/8_1.htm | November 25, 2024 | |
| New Jersey | Contraception | Pharmacist prescriber | NJ-24-0016 | Medicaid SPA | November 22, 2024 | This state plan amendment updates Supplemental Payment for Pharmacies Furnishing Self-Administered Hormonal Contraceptives. | www.medicaid.gov/medicaid/spa/downloads/NJ-24-0016.pdf | July 1, 2024 | |
| Connecticut | Contraception | Unbundling IUDs | CT-24-0011 | Medicaid SPA | November 19, 2024 | This state plan amendment increases the rates for long-acting reversible contraceptive (LARC) devices. | www.medicaid.gov/medicaid/spa/downloads/CT-24-0011.pdf | May 1, 2024 | |
| New York | Abortion | Rights | Proposition 1: Equal Rights Amendment | Ballot initiative | November 5, 2024 | Passed by New York voters in 2024, the Equal Rights Amendment (ERA) amends the New York Constitution. The expanded ERA, as passed by the legislature and approved by voters, prohibits discrimination based on race, color, ethnicity, national origin, age, disability, creed, religion, and sex, which includes sexual orientation, gender identity, gender expression, pregnancy, and pregnancy outcomes. The ERA explicitly includes protections for “reproductive healthcare and autonomy” and “pregnancy, pregnancy outcomes,” constitutionally protecting reproductive freedoms. | elections.ny.gov/system/files/documents/2024/07/ballot-prop-and-abstract-staff-draft-2024.pdf | January 1, 2025 | |
| New Jersey | Abortion Contraception | State funding State funding | New Jersey Reproductive Training and Education Initiative | Initiative | October 24, 2024 | The Murphy Administration allocated $5 million in state funding in the FY24 budget to help create the ‘New Jersey Reproductive Training and Education Initiative’ – a partnership between the Division of Consumer Affairs (DCA), within the New Jersey Attorney General’s Office, and Rutgers University to grow the pool of trained abortion providers to enhance the state’s ability to meet the increased demand for reproductive health services. Through this initiative, Rutgers University will integrate abortion care into training curricula for health professionals, and develop a new training site to expose learners to comprehensive abortion care and hands-on training. | www.nj.gov/oag/grants/2023-1222_SFY24-Program-Administrative-and-Guidelines-2024-0202.pdf | October 24, 2024 | |
| Arizona | Contraception | Unbundling IUDs | AZ-23-0003 | Medicaid SPA | October 9, 2024 | This state plan amendment includes updates to the reimbursement methodology for Long-Acting Reversible Contraceptives (LARCs) to ensure that they are reimbursed at the Wholesale Acquisition Cost. | www.medicaid.gov/medicaid/spa/downloads/AZ-23-0003.pdf | January 1, 2023 | |
| Connecticut | Contraception | Unbundling IUDs | CT-24-0005 | Medicaid SPA | October 4, 2024 | This state plan amendment makes updates to rates for long-acting reversible contraceptive (LARC) devices and updates the physician services fee schedule. | www.medicaid.gov/medicaid/spa/downloads/CT-24-0005.pdf | February 1, 2024 | |
| California | Fertility | IVF coverage | SB 729 | Enacted bill | September 29, 2024 | This bill requires large-group insurance plans to cover infertility diagnosis and fertility care, including 3 complete retrievals, without additional limitations that do not apply to other types of care. There is an exception for religious employers. Statutes: HSC § 1374.55; INS § 10119.6 | leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240SB729 | January 1, 2025 | |
| Delaware | Abortion Contraception | Emergency contraception Medication abortion Emergency contraception Medication abortion | Sub. 1 for SB 301 | Enacted bill | September 26, 2024 | This bill requires public universities in Delaware to provide access to abortion medication and emergency contraception. The medication abortion and contraception must be provided on-site by schools whose health centers are qualified to do so, and for those who do not have appropriate staff, students must be offered telehealth appointments with providers and given space for those appointments. Statutes: Title 14 Chapter 90F | legis.delaware.gov/json/BillDetail/GenerateHtmlDocument?legislationId=141572&legislationTypeId=6&docTypeId=2&legislationName=SS1forSB301 | July 1, 2025 | |
| Kentucky | Contraception | Emergency contraception Pharmacist prescriber | VI Hormonal Contraception Protocol | Protocol | September 25, 2024 | The Kentucky Board of Pharmacy approved protocols enabling pharmacists to dispense hormonal contraceptives and requiring referrals for other related care, including emergency contraception. | pharmacy.ky.gov/Documents/Self-Care%20Conditions%20Protocol%20Hormonal%20Contraception%20Final%20approved%209.25.pdf | September 25, 2024 | |
| Delaware | Fertility | IUI treatment coverage IVF coverage Shield laws | HB 374 | Enacted bill | September 24, 2024 | This bill is a shield law that provides the same legal protections afforded providers of contraceptive and abortion services to providers of fertility treatment. More specifically, it clarifies that medical professionals who provide fertility treatment care cannot be disciplined for such services even if such services are illegal or considered to be unprofessional conduct or the unauthorized practice of medicine in another state; prohibits health care providers from disclosing communications and records concerning fertility treatment; protects health care providers from out-of-state civil actions relating to fertility treatment that is legal in Delaware; creates a cause of action for recouperation of out-of-state judgments relating to fertility treatment that is lawful in Delaware; and prohibits insurance companies from taking any adverse action against health care professionals who provide fertility treatment and services. Statutes: Title 24 § 1702; Title 10 § 3928 | legis.delaware.gov/BillDetail/141216 | September 24, 2024 | |
| Connecticut | Contraception | Unbundling IUDs | CT-24-0002 | Medicaid SPA | September 20, 2024 | This state plan amendment updates reimbursement rates for long-acting reversible contraceptives (LARCs). | www.medicaid.gov/medicaid/spa/downloads/CT-24-0002.pdf | January 1, 2024 | |
| Delaware | Abortion | Insurance coverage State funding | HS2 for HB 110 | Enacted bill | September 9, 2024 | This bill requires Delaware Medicaid and private insurance plans to cover abortion care up to $750/year and prohibits co-pays and deductibles in most situations. Statutes: Title 18 §§ 102, 3370G, 3571AA,; Title 29 § 5217; Title 31 §§ 502, 525, 531, 532, 533 | Title 18 §§ 102, 3370G, 3571AA, | legis.delaware.gov/BillDetail/141171 | January 1, 2025 |
| Delaware | Contraception | Emergency contraception No cost-sharing OTC coverage | SB 232 | Enacted bill | August 29, 2024 | This bill expands existing coverage of the full range of contraceptive methods to include OTC emergency contraception. Statutes: Title 18 §§ 3342A, 3559 | legis.delaware.gov/BillDetail/140986 | August 29, 2024 | |
| New Jersey | Abortion Contraception | Clinic safety Clinic safety | SFY 2025 Family Planning Facilities Upgrade Forgivable Loan Program | Other agency action | August 22, 2024 | This continued program provides a $10 million zero-interest, one-year forgivable loan program for family planning clinics to upgrade facilities and expand capacity. | nj.gov/health/hcf/documents/family-planning-facilities-upgrades-program-announcement-sfy2025.pdf | August 22, 2024 | |
| Illinois | Abortion | Data privacy Minor consent Shield laws | HB 5239 | Enacted bill | August 7, 2024 | This bill is a shield law that prohibits Illinois from providing any information or using any resources to assist any person or entity that seeks to impose civil or criminal liability upon another for providing lawful healthcare, defined as reproductive health care and gender affirming care. Prohibits disclosure of information related to lawful healthcare under FOIA, allows a minor to sign and file an application under the family planning program. Statutes: 775 ILCS 55/1-40 new | www.ilga.gov/Legislation/BillStatus?DocNum=5239&GAID=17&DocTypeID=HB&SessionID=112&GA=103 | August 7, 2024 | |
| Illinois | Fertility | IUI treatment coverage IVF coverage | SB 773 | Enacted bill | August 2, 2024 | This bill provides that no group policy for accident and health insurance that provides pregnancy-related benefits may be issued, amended, delivered, or renewed in Illinois after January 1, 2026 unless the policy covers IVF. There is a religious exemption, employers with fewer than 25 employees do not have to provide coverage nor do self-insured employers. Statutes: 225 ILCS 5/2 | www.ilga.gov/Legislation/BillStatus?DocNum=773&GAID=17&DocTypeID=SB&SessionID=112&GA=103 | August 2, 2024 | |
| Massachusetts | Contraception Fertility | Extended supply IVF coverage Scope of practice Extended supply IVF coverage Scope of practice | HB 4800 | Enacted bill | July 29, 2024 | This FY25 budget bill appropriates $500,000 for FY25 for a public information campaign to educate and promote awareness to pharmacies and the public about individual’s eligibility to receive a 12-month prescription for contraceptives in the commonwealth. It includes a provision that allows registered practitioners to dispense over-the-counter oral contraception to MassHealth patients. Further, this bill includes a provision that requires insurance coverage for standard fertility preservation services including but not limited to procurement, cryopreservation and storage of gametes, embryos, or other reproductive tissue, when the enrollee has been diagnosed with a medical or genetic condition that may directly or indirectly cause infertility. Statutes: MGL 32A § 17T(a); 175 § 47VV(a); 176A § 8WW(a); 176B § 4WW; 176G § 4OO; 118E § 83 | MGL 32A § 17T(a) | malegislature.gov/Bills/193/H4800#:~:text=An%20Act%20making%20appropriations%20for,and%20for%20certain%20permanent%20improvements | July 1, 0124 |
| North Carolina | Contraception | Medicaid Family Planning Expansion No cost-sharing OTC coverage | Opill to be Covered Without a Prescription | Bulletin | July 17, 2024 | This bulletin affirms that NC Medicaid beneficiaries may obtain the over the counter (OTC) oral contraceptive Opill without a prescription and at no cost. | medicaid.ncdhhs.gov/blog/2024/07/17/opill-be-covered-without-prescription | August 1, 2024 | |
| Rhode Island | Abortion | Data privacy | SB 2500 | Enacted bill | June 28, 2024 | This bill establishes the right to some specific data privacy protections for consumers in Rhode Island, including special rights and protections for sensitive information. Statutes: R.I.G.L. § 48 | webserver.rilegislature.gov/BillText/BillText24/SenateText24/S2500Aaa.pdf | January 1, 2026 | |
| Rhode Island | Abortion | Shield laws | SB 2262 / HB 7577 | Enacted bill | June 27, 2024 | This bill is a shield law protecting providers of reproductive health care and gender affirming care (legally protected healthcare) from out of state investigations in a variety of ways including: providing a cause of action for anyone who had been sued for providing legally protected health care to respond with a civil action to recover any damages, preventing state courts from enforcing a foreign judgment in connection with legally protected activity, prohibiting state courts from ordering anyone in the state to give testimony or produce evidence to an out of state court regarding this type of care or issue a search warrant for such investigations, prohibiting all state agencies, employees from cooperating with or using state resources in furtherance of such investigations. The law also protects providers from licensure discipline and discriminatory actions on the part of insurers for providing this care. Finally, the bill prohibits the governor from extraditing someone accused of a crime relating to legally protected healthcare, in most cases. Statutes: R.I.G.L. §§ 23-100; 23-17-53; 5-37-9.2.; 23-1-42.2; 5-30-19 (https://webserver.rilegislature.gov/Statutes/TITLE5/5-30/INDEX.htm) 5-32-22.; 5-36.1-20; 5-39.1-15; 5-40.1-22; 5-48-16; 5-54-29; 5-92-12 | R.I.G.L. §§ 23-100 | webserver.rilegislature.gov/BillText/BillText24/SenateText24/S2262.pdf | June 27, 2024 |
| New Jersey | Abortion | Scope of practice | AB 4655 / SB 3490 | Enacted bill | June 24, 2024 | This bill allows physician assistants, certified nurse midwives, certified midwives, and advanced practice nurses to provide both aspiration and medication abortions, with some specific requirements. Statutes: N.J.S.A. 13:35-2A.17A; Minor Procedures in Scope of Practice: N.J.S.A 13:35-4A.19 | N.J.S.A. 13:35-2A.17A | pub.njleg.state.nj.us/Bills/2024/A5000/4655_I1.PDF | May 6, 2024 |
| Massachusetts | Abortion | EMTALA Rights Shield laws | EO 633 | Executive order | June 24, 2024 | This executive order protects access to emergency abortion care across Massachusetts. More specifically, E.O. 633 reaffirms that Massachusetts law provides a right to prompt treatment in an emergency – including emergency abortion care – without discrimination on account of economic status or source of payment. It also reaffirms that Massachusetts state law protects the right to an abortion, protects providers and pharmacists from professional licensure consequences and out-of-state legal actions for providing reproductive health care services or gender-affirming health care services in Massachusetts, and protects patients from out-of-state legal actions when seeking those services. | www.mass.gov/executive-orders/no-633-protecting-access-to-emergency-abortion-care-in-massachusetts | June 24, 2024 | |
| Minnesota | Contraception | Extended supply | MN-24-0011 | Medicaid SPA | June 12, 2024 | This state plan amendment expands coverage for prescription contraceptives to up to a 12-month supply. | www.medicaid.gov/medicaid/spa/downloads/MN-24-0011.pdf | January 1, 2024 | |
| Minnesota | Contraception | Extended supply | MN-24-0011 | Medicaid SPA | June 12, 2024 | This state plan amendment expands coverage for prescription contraceptives to up to a 12-month supply. | www.medicaid.gov/medicaid/spa/downloads/MN-24-0011.pdf | January 1, 2024 | |
| Minnesota | Abortion | Insurance coverage State funding | HF 5247 | Enacted bill | May 24, 2024 | This appropriations bill includes provisions that require health plans, including Medicaid, to cover abortion and abortion-related services, including preabortion and follow up services. Cost sharing cannot be disparate from similar covered services. Statutes: Minn. Stat. §§ 62Q.524; 256B.0625 Subd. 16 | www.revisor.mn.gov/laws/2024/0/127/#laws.57.39.0 | January 1, 2025 | |
| California | Abortion | Shield laws | SB 233 | Enacted bill | May 23, 2024 | This bill is a shield law that allowed abortion providers who were licensed physicians in Arizona but not California to temporarily provide abortion care in California to patients from Arizona who travel to California for care, during a period when Arizona’s 1864 abortion ban was in effect. The bill repeals these provisions on 1/1/2025. Statutes: BPC § 2076.6 | BPC § 2076.6 | leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202320240SB233 | May 23, 2024 |
| New Jersey | Contraception | Pharmacist prescriber | N.J.A.C. 13:35-6.28 and 13:35-6.28 | Regulation | May 20, 2024 | This standing order implements pharmacists’ ability to prescribe and dispense hormonal contraceptives. | s3.amazonaws.com/fn-document-service/file-by-sha384/a081fca75a7ce132a2ecd4d17d7ddea719ee675de83e77045d209dc01ce828b5287615120be44a57ad027e1d6f7ed7e4 | May 20, 2024 | |
| Arizona | Contraception | No cost-sharing OTC coverage | EO 2024-03 | Executive order | May 17, 2024 | This executive order makes over-the-counter (OTC) self-administered hormonal contraceptives an “essential health benefit” at no cost for state employees under the State Plan, and directs specific agencies to engage in public education and implementation efforts to expand access to all forms of contraception. | azgovernor.gov/office-arizona-governor/executive-order/2024-03 | May 17, 2024 | |
| Maryland | Contraception | Scope of practice | HB 1171 | Enacted bill | May 16, 2024 | This authorizes registered nurses to provide, without a prescription, nonprescription drugs and devices in a local health department. It also removes some existing penalties for selling condoms and other contraceptives in vending machines in schools, but adds a criminal prohibition on selling condoms with “natural membranes” through a vending machine. Statutes: §§ 21-1215; 21-228; 3-403; 8-512 | mgaleg.maryland.gov/mgawebsite/Legislation/Details/HB1171?ys=2024RS | October 1, 2024 | |
| Arizona | Abortion | Decriminalization Rights | HB 2677 | Enacted bill | May 2, 2024 | This bill repeals the state’s 1864 near-total abortion ban. Statutes: A.R.S. § 13-3603 | apps.azleg.gov/BillStatus/BillOverview/80760 | September 14, 2024 | |
| New York | Abortion | State funding | AB 8803-D / SB 8303-D | Enacted bill | May 1, 2024 | This budget bill appropriates $25M in state grants for abortion access, including the Reproductive Freedom and Equity Grant program, in order to expand capacity and ensure access for patients. It also appropriates an additional $375,000 to the CUNY Graduate School of Public Health and Health Policy Sexual and Reproductive Justice Hub for the CUNY-sponsored midwifery program. | www.nysenate.gov/legislation/bills/2023/S8303/amendment/D | May 1, 2024 | |
| Arizona | Contraception | Emergency contraception Pharmacist prescriber | Standing Order for Self-Administered Hormonal Contraception | Standing Order | May 1, 2024 | This updated standing order authorizes pharmacists to prescribe and dispense hormonal contraceptives – including the pill, patch, ring and emergency contraception – to patients 18 years old or older. | www.azdhs.gov/documents/prevention/womens-childrens-health/womens-health/family-planning/contraceptive-use-2023.pdf | May 1, 2024 | |
| Minnesota | Abortion | Data privacy | HF 4757 | Enacted bill | April 25, 2024 | This budget bill incorporates a Consumer Data Privacy law relating to sensitive data, including mental and physical health data, geolocation data, genetic data, and biometric data. | www.revisor.mn.gov/bills/93/2024/0/HF/4757/ | July 31, 2025 | |
| Maine | Abortion | Shield laws | LD 227 | Enacted bill | April 22, 2024 | This bill is a shield law that protects providers and patients from hostile laws enacted in other states and ensures that access to gender-affirming and reproductive care can continue consistent with Maine’s laws. State resources may not be used to further hostile litigation from other states; the bill also creates a civil right of action to respond to litigation filed by other states against Maine health care providers; protecting providers’ personal contact information; and enhancing protections for related to medical records being sought by states where reproductive and gender-affirming health care is banned. Statutes: 14 MRSA §§ 9001; 9002; 9006; 9007; 402; 403; 15 MRSA § 203; 16 MRSA § 642; 5 MRSA § 90-B; 10 MRSA § 8012; 24 MRSA § 2513; 24-A MRSA § 2159-F; 24-A MRSA § 4301-A; 24-A MRSA §4303; 22 MRSA §1711-C | 14 MRSA §§ 9001 | legislature.maine.gov/backend/App/services/getDocument.aspx?documentId=107326 | August 9, 2025 |
| Virginia | Contraception | Medicaid ACA Expansion | HB 30 | Enacted bill | April 17, 2024 | This bill appropriates funds for the Medicaid program and services including for newly eligible groups under the ACA, which had the effect of expanding access to contraception. The bill directs state departments to disenroll and eliminate coverage for newly eligible individuals in the event that federal medical assistance percentages are reduced. | legacylis.virginia.gov/cgi-bin/legp604.exe?241+sum+HB30 | ||
| Virginia | Abortion | Data privacy | HB 78 / SB 16 | Enacted bill | April 5, 2024 | This bill prohibits law enforcement from obtaining menstrual health data via warrants or subpoenas. Statutes: § 19.2-53 | legacylis.virginia.gov/cgi-bin/legp604.exe?241+sum+SB16 | July 1, 2024 | |
| New Mexico | Contraception | Emergency contraception Medicaid Family Planning Expansion Non-step therapy OTC coverage | N/A | Guidance | March 27, 2024 | This New Mexico Human Services Department guidance announces that Medicaid will provide coverage of Opill and no-cost pregnancy tests and emergency contraception for Medicaid enrollees. | www.hsd.state.nm.us/2024/03/27/new-mexico-medicaid-announces-coverage-of-opill-the-over-the-counter-oral-contraceptive/?utm_source=twitter&utm_medium=social&utm_content=ap_gikp6izrtt | March 28, 2024 | |
| Washington | Abortion | Data privacy Medication abortion Shield laws | HB 2115 | Enacted bill | March 26, 2024 | This bill updates the state’s shield law to allow prescribers to use the name of their facility in place of their own name on prescriptions for medication abortion. Statutes: RCW § 69.41.050 | app.leg.wa.gov/billsummary/?BillNumber=2115&Year=2023&Initiative=false | June 6, 2024 | |
| New York | Contraception | Extended supply Pharmacist prescriber | Non-Individual Specific Prescription for Self-Administered Hormonal Contraceptives with Pharmacy Dispensing Protocol | Standing Order | March 19, 2024 | This standing order from the commissioner of health authorizes pharmacists to dispense three types of hormonal contraception without a prescription. It also permits pharmacists to dispense up to 12-month supplies of contraception. | health.ny.gov/community/reproductive_health/docs/hormonal_contraceptives_so.pdf | January 1, 2024 | |
| Wisconsin | Contraception | No cost-sharing OTC coverage | Standing Order for OTC Norgestrel Pills for Members of Wisconsin’s Medicaid Programs | Standing Order | March 18, 2024 | This standing order allows pharmacists to dispense over-the-counter contraceptives to Medicaid patients. | content.govdelivery.com/attachments/WIGOV/2024/03/18/file_attachments/2817410/SO_Norgestrel_032024.pdf | March 18, 2024 | |
| New Mexico | Contraception | Medicaid ACA Expansion | HB 2 | Enacted bill | March 6, 2024 | This budget bill appropriates funds to the medical assistance program of the health care authority department and includes language that assumes the state will receive an enhanced federal medical assistance percentage rate for those enrolled in the expansion adult category through fiscal year 2025 as provided for in the federal ACA, which had the effect of expanding access to contraception. Per this bill, should the federal government reduce or rescind the federal medical assistance percentage rates established by the ACA, the health care authority department shall reduce or rescind eligibility for the new adult category. | www.nmlegis.gov/Legislation/Legislation?chamber=H&legType=B&legNo=2&year=24 | ||
| Illinois | Contraception | Medicaid Family Planning Expansion | IL-21-0019 | Medicaid SPA | February 26, 2024 | This state plan amendment elects the Individuals Eligible for Family Planning Services eligibility group and elects to add Presumptive Eligibility (PE) for the Family Planning eligibility group. | www.medicaid.gov/medicaid/spa/downloads/IL-21-0019.pdf | November 30, 2022 | |
| New Jersey | Contraception | Medicaid Family Planning Expansion | NJ-23-0023 | Medicaid SPA | February 21, 2024 | This state plan amendment updates the fee schedules for Family Planning Services. | www.medicaid.gov/medicaid/spa/downloads/NJ-23-0023.pdf | October 1, 2023 | |
| Maryland | Contraception | Unbundling IUDs | MCO Transmittal No. 203 | Guidance | February 15, 2024 | This transmittal notifies MCOs, providers and hospitals about rate increases for billing for LARC devices and procedures for Medicaid patients. | health.maryland.gov/mmcp/provider/Documents/Transmittals_FY2024/PT%2059-24%20Fiscal%20Year%202024%20Long-Acting%20Reversible%20Contraception%20Rate%20Increases%20sk%20signed%202.23.2024.pdf | February 15, 2024 | |
| Massachusetts | Contraception | Pharmacist prescriber | 105 CMR 700.00 | Regulation | February 2, 2024 | This regulation implements pharmacists’ ability to prescribe and dispense hormonal contraceptives. | www.mass.gov/regulations/105-CMR-70000-implementation-of-mgl-c94c#:~:text=105%20CMR%20700.00%20sets%20forth%20regulations%20that%20implement,Act.Download%20a%20PDF%20copy%20of%20the%20regulation%20below. | February 2, 2024 | |
| Delaware | Contraception | Pharmacist prescriber | Admin Code 4110 | Regulation | February 1, 2024 | These regulations expand conditions and establish | regulations.delaware.gov/AdminCode/title16/4110 | February 1, 2024 | |
| Wisconsin | Contraception | Emergency contraception No cost-sharing OTC coverage | Standing Order for Emergency Contraception for Members of Wisconsin’s Medicaid Program | Standing Order | January 25, 2024 | This standing order ensures Medicaid members can access OTC emergency contraception without cost. | content.govdelivery.com/attachments/WIGOV/2024/01/24/file_attachments/2759406/Standing_Order_Emergency%20Contraception_01.2024.pdf | January 25, 2024 | |
| Massachusetts | Abortion | Clinic safety Medication abortion | Reminder to Licensees Regarding Licensure Obligations and Providing Standard of Care | Guidance | January 3, 2024 | The Department of Public Health issued a memorandum to outline and remind licensees of their obligations under state law and as a condition of licensure. Specifically, the guidance states that medication abortion “reversal” is unproven, unethical, and unsafe to provide to patients and nurses and physicians may not engage in behavior that us likely to have an adverse impact on the health, safety and welfare of the public. | www.mass.gov/doc/reminder-to-licensees-regarding-licensure-obligations-and-providing-standard-of-care-january-3-2024/download | January 3, 2024 | |
| Colorado | Contraception | Emergency contraception Extended supply No cost-sharing Non-step therapy OTC coverage | 3 CCR 702-4:4-2-95 | Regulation | December 30, 2023 | This regulation prohibits insurers from imposing cost-sharing, step therapy and quantity or fill limits that would restrict access to a 12-month supply of contraception. It also requires coverage without cost-sharing for over-the-counter oral and emergency contraception with or without a prescription. | www.sos.state.co.us/CCR/GenerateRulePdf.do?ruleVersionId=12162 | December 30, 2023 | |
| Oregon | Contraception | Pharmacist prescriber | BP 54-2022 | Rule | December 20, 2023 | This permanent administrative order expands pharmacists’ ability to prescribe, administer, and dispense hormonal contraceptives, including injectable hormonal contraceptives. As such, this order builds on HB 2879 (2015). | records.sos.state.or.us/ORSOSWebDrawer/Recordhtml/9317108 | December 20, 2023 | |
| Michigan | Abortion | Decriminalization Insurance coverage | HB 4949 | Enacted bill | December 11, 2023 | This bill repeals Michigan’s ban on insurance coverage for abortion without purchase of a separate rider. It also implements other protections for doctors and patients. Statutes: MCL §§ 750.90h (https://www.legislature.mi.gov/Laws/MCL?objectName=mcl-750-90h) (Repealed); 750.323 (https://www.legislature.mi.gov/Laws/MCL?objectName=mcl-750-323) (Repealed); 333.1081-333.1085 (https://www.legislature.mi.gov/Laws/MCL?objectName=mcl-Act-135-of-2004) (Repealed); 333.1091 (https://www.legislature.mi.gov/Laws/MCL?objectName=mcl-act-360-of-2002) (Repealed); 550.541 – 550.551 | MCL §§ 750.90h (https://www.legislature.mi.gov/Laws/MCL?objectName=mcl-750-90h) (Repealed) | www.legislature.mi.gov/documents/2023-2024/publicact/pdf/2023-PA-0286.pdf | February 13, 2024 |
| Minnesota | Abortion Contraception | Medicaid Family Planning Expansion Medicaid Family Planning Expansion | MN-23-0018 | Medicaid SPA | December 8, 2023 | This state plan amendment makes changes to family planning, and doula services and rates, as well as to the limited abortion care covered under federal medicaid. | www.medicaid.gov/medicaid/spa/downloads/MN-23-0018.pdf | January 1, 2024 | |
| New Jersey | Contraception | Medicaid Family Planning Expansion | NJ-23-0018 | Medicaid SPA | November 1, 2023 | This state plan amendment updates the fee schedules for Family Planning services . | www.medicaid.gov/medicaid/spa/downloads/NJ-23-0018.pdf | July 1, 2023 | |
| New Jersey | Abortion | Medication abortion | SB 3275 | Enacted bill | October 24, 2023 | This bill created a website called the Reproductive Health Information Hub, which provides comprehensive information about reproductive rights under State law, as well as information about health benefits coverage for reproductive health care services and other relevant reproductive health information. See website here: https://www.nj.gov/health/reproductivehealth/ Statutes: N.J.S.A. §§ 26:2-200 | www.njleg.state.nj.us/bill-search/2022/S3275 | March 24, 2024 | |
| New Jersey | Contraception | Emergency contraception | SB 4978 | Enacted bill | October 17, 2023 | This bill establishes the Division of Violence Intervention and Victim Assistance in the Department of Law and Public Safety to oversee that incarcerated victims of crimes including sexual assault are provided information and access related to emergency contraception. Statutes: N.J.S.A. § 52:4b-44 | njleg.state.nj.us/bill-search/2022/A4978 | October 17, 2023 | |
| North Carolina | Contraception | Medicaid ACA Expansion | HB 259 | Enacted bill | October 3, 2023 | This appropriations bill and subsequent state regulations expand Medicaid eligibility to adults aged 19-64 who have incomes up to 138% FPL, which has the effect of increasing access to contraception along with broader health care services. | www.ncleg.gov/BillLookup/2023/H259 | December 1, 2023 | |
| California | Abortion | Data privacy | AB 254 | Enacted bill | September 27, 2023 | This bill protects reproductive and sexual health digital data included in personal health tracking applications. Statutes: CIV §§ 56.05; 56.06 | leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240AB254 | January 1, 2024 | |
| California | Abortion | Data privacy | AB 352 | Enacted bill | September 27, 2023 | This bill allows sensitive information from individual electronic health records related to reproductive health care and gender affirming care services to be segregated from other records and kept from records-sharing outside of the state. Statutes: CIV § 56.101; HSC § 130290 | leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240AB352 | January 1, 2024 | |
| California | Abortion Contraception | Shield laws Shield laws | AB 571 | Enacted bill | September 27, 2023 | This bill is a shield law that protects reproductive health care service providers from an insurer’s refusal to issue or renew professional liability insurance, termination of professional liability insurance, or increase premiums or deductibles solely based on the provision of abortion, contraception, gender-affirming health care, or care related to those lawful health care services in California but unlawful in another state. Insurers cannot deny coverage for liability for damages arising from the aforementioned services. Statutes: INS § 11589.1 | leginfo.legislature.ca.gov/faces/billStatusClient.xhtml?bill_id=202320240AB571 | September 27, 2023 | |
| California | Abortion | Clinic safety Shield laws | AB 1707 | Enacted bill | September 27, 2023 | This bill is a shield law that protects licensed health care professionals, clinics, and health facilities from being denied a license or subjected to discipline on the basis of a civil judgment, criminal conviction, or disciplinary action imposed by another state based solely on the application of a law that interferes with a person’s right to receive “sensitive services,” including abortion, that are lawful in California. Statutes: BPC §§ 805; 850; HSC §§ 1220; 1265 | leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240AB1707 | January 1, 2024 | |
| California | Abortion | Scope of practice | AB 1720 | Enacted bill | September 27, 2023 | This bill establishes that ultrasounds may only be offered in licensed facilities, with certain exceptions for nurse midwives. Statutes: HSC §§ 123621; 123622 | leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240AB1720 | January 1, 2024 | |
| California | Abortion | Shield laws | SB 487 | Enacted bill | September 27, 2023 | This bill is a shield law that prohibits a health care service plan or health insurer from discriminating against a licensed provider solely on the basis of a civil judgement, criminal conviction, or other professional disciplinary action solely based on the application of another state’s law which interferes with protected healthcare in California. This shields providers from licensure, insurance, and Medicaid related consequences. This was incorporated into California’s existing abortion related shield law. Statutes: HSC §§ 123467.5 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=123467.5.& lawCode=HSC), 1375.61; INS § 10133.641; WIC §§ 14043.6 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=14043.6.& lawCode=WIC), 14123 | HSC §§ 123467.5 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=123467.5.&lawCode=HSC), 1375.61 | leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202320240SB487 | January 1, 2024 |
| California | Abortion | Shield laws | SB 345 | Enacted bill | September 27, 2023 | This bill is a shield law that enacts various safeguards against the enforcement of other states’ laws that prohibit, criminalize, sanction, authorize civil liability against, or otherwise interfere with a person, provider, or other entity in California that offers reproductive health care services or gender-affirming health care services. Additionally, this bill replaces the language of “unborn child” and “unborn person” with “fetus” in those provisions. Statutes: BPC § 2746.5; CCP §§ 762.020 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=762.020.& lawCode=CCP), 872.520 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=872.520.& lawCode=CCP), 1710.50; EDC §§ 22171; HSC §§ 1317.1 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=1317.1.& lawCode=HSC), 123468.5 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=123468.5.& lawCode=HSC), 123450 (repealed); PEN §§ 187 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=187.& lawCode=PEN), 847.5 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=847.5.& lawCode=PEN), 1299.02 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=1299.02.& lawCode=PEN), 1334.2; PRO §§ 1003 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=1003.& lawCode=PROB), 10954 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=10954.& lawCode=PROB), 15405 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=15405.& lawCode=PROB), 19507; WIC § 11486.5 | BPC § 2746.5 | leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240SB345 | January 1, 2024 |
| Delaware | Abortion | Data privacy | HB 154 | Enacted bill | September 11, 2023 | This bill creates the Delaware Personal Data Privacy which establishes a consumer’s personal data rights and provides that residents have the right to know what information is being collected about them, see the information, correct any inaccuracies, or request deletion of their personal data that is being maintained by entities or people. Statutes: Title 6 Chapter 12D | legis.delaware.gov/BillDetail?LegislationId=140388 | January 1, 2025 | |
| California | Abortion | Scope of practice | SB 385 | Enacted bill | September 8, 2023 | This bill expands the ability of appropriately trained physician assistants to provide abortion care. Statutes: BPC §§ 3502.4; 3527.5 | leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202320240SB385 | January 1, 2024 | |
| Illinois | Abortion | Data privacy Shield laws | HB 3326 | Enacted bill | August 11, 2023 | This bill is a shield law prohibits the sharing of data collected by Automated License Plate Readers (ALPRs) with any state or local jurisdiction for the purpose of prosecuting a law that would interfere with accessing reproductive health care and gender affirming care. Statutes: 5 ILCS 140-7; 625 ILCS 5/2-130 | www.ilga.gov/Legislation/BillStatus?DocNum=3326&GAID=17&DocTypeID=HB&LegId=148488&SessionID=112 | January 1, 2024 | |
| Massachusetts | Contraception | Pharmacist prescriber | HB 4055 | Enacted bill | August 9, 2023 | This FY24 budget bill allows pharmacists to prescribe hormonal contraceptives, including the patch and pill. | malegislature.gov/Bills/193/H4055 | August 9, 2023 | |
| Delaware | Abortion | Shield laws | SB 158 | Enacted bill | August 9, 2023 | This bill is a shield law that allows reproductive health care service providers or employees who fear for their safety to apply for Delaware’s address confidentiality program. Statutes: Title 11 §§ 9611; 9612; 9613; 9615; 9616; 9616A; 9618 | legis.delaware.gov/BillDetail?LegislationId=140495 | August 9, 2023 | |
| Illinois | Abortion | Medication abortion | SB 1344 | Enacted bill | August 4, 2023 | This bill requires insurance coverage for FDA-approved drugs that are prescribed or ordered for off-label use to provide abortion care, such as misoprostol, as a single-drug regimen. Statutes: 215 ILCS 5/356z.60 | www.ilga.gov/Legislation/BillStatus?DocNum=1344&GAID=17&DocTypeID=SB&LegId=145644&SessionID=112 | August 4, 2023 | |
| Illinois | Contraception | Emergency contraception | SB 1907 | Enacted bill | August 4, 2023 | This bill requires public institutions of higher education to make emergency contraception available at a discount on campus via Wellness Kiosks. The Kiosks could also carry condoms, menstrual supplies,pregnancy tests, and nonprescription drugs. | www.ilga.gov/Legislation/publicacts/view/103-0465 | August 4, 2023 | |
| Maine | Abortion | Decriminalization Rights | LD 1619 | Enacted bill | July 19, 2023 | This bill removes the requirement that abortions after viability only may be performed to preserve the life or health of the mother, and instead allows for later-in-pregnancy abortions when necessary in the professional judgment of a licensed physician. The bill also eliminates language in current law that subjects medical providers who perform abortions to criminal penalties under certain circumstances, instead regulating abortion like other safe, legal medical procedures. It also updates data collection policies related to abortion care to reduce stigma, protect patient privacy, and protect reproductive health care providers. Statutes: 22 MRSA § 1596; 22 MRSA §1598 | www.mainelegislature.org/legis/bills/display_ps.asp?ld=1619&PID=1456&snum=131 | October 17, 2023 | |
| Oregon | Abortion | Data privacy | SB 619 | Enacted bill | July 18, 2023 | This bill permits consumers to obtain information from data processors regarding whether their personal data is being processed, request corrections to inaccuracies, and establishes consumer rights to personal data and how it is shared with third parties. Statutes: ORS § 180.095 | olis.oregonlegislature.gov/liz/2023R1/Measures/Overview/SB619 | January 1, 2024 | |
| Michigan | Contraception | Medicaid Family Planning Expansion | MI-23-0010 | Medicaid SPA | July 17, 2023 | This state plan amendment provides authority for access to family planning for Michiganders who do not qualify under the income eligibility for Healthy Michigan or traditional Medicaid but have incomes below 200 percent of the federal poverty level (195 percent of the federal poverty level with a 5 percent income disregard). | www.medicaid.gov/medicaid/spa/downloads/MI-23-0110.pdf | July 1, 2023 | |
| Michigan | Contraception | Medicaid Family Planning Expansion | MI-23-0011 | Medicaid SPA | July 17, 2023 | This state plan amendment provides an update to language regarding family planning services. | www.medicaid.gov/medicaid/spa/downloads/MI-23-0011.pdf | July 1, 2023 | |
| Oregon | Abortion Contraception | Clinic safety Extended supply Minor consent Non-Step therapy Rights Shield laws Clinic safety Extended supply Minor consent Non-step therapy Rights Shield laws | HB 2002 | Enacted bill | July 13, 2023 | This bill is a shield law that establishes a broad right of individuals, including minors, to make decisions about their reproductive health care, use of contraception, and abortion. It protects patients and providers from out-of-state legal action, clinic interference, criminalization and penalty. It requires insurance coverage for gender-affirming care and expands contraceptive coverage requirements to include a 12-month supply. This bill clarifies existing provisions allowing employees of a public health facility to decline to provide reproductive health care services and adds a new requirement that the declining provider must immediately make arrangements for the patient to receive the requested care from another provider. The bill also broadens protections against discrimination. Statutes: ORS §§ 15.430; 109.640 (https://oregon.public.law/statutes/ors_109.640), 161.005; 192.345; 192.820; 192.822 (https://oregon.public.law/statutes/ors_192.822), 192.826; 243.144; 243.877; 418.307; 435.215; 435.225 (https://oregon.public.law/statutes/ors_435.225) 436.225; 659A.029; 675.070; 675.540; 675.745; 676.177; 677.190; 677.225; 677.320; 678.111; 685.110; 689.405; 743A.067 | ORS §§ 15.430 | olis.oregonlegislature.gov/liz/2023R1/Measures/Overview/HB2002 | July 13, 2023 |
| Arizona | Contraception | Pharmacist prescriber Scope of practice | Ariz. Admin. Code § R4-23-407.2 | Regulation | July 5, 2023 | Under an Arizona statute, pharmacists may dispense self-administered hormonal contraception under a standing order, meaning patients can access it directly from the pharmacist without visiting a health care provider for a prescription first. This order sets forth the rules for pharmacists for dispensing that contraception. | www.law.cornell.edu/regulations/arizona/Ariz-Admin-Code-SS-R4-23-407.02 | July 5, 2023 | |
| New Jersey | Abortion | Clinic safety | AB 5669 | Enacted bill | June 30, 2023 | The Fiscal Year 2024 state budget included $5 million to the Reproductive Health Security Grant Program to enable security upgrades for reproductive health care facilities in New Jersey. | www.nj.gov/treasury/omb/publications/24bill/AppropriationsAct.pdf | July 1, 2023 | |
| Maine | Abortion | Shield laws | LD 616 | Enacted bill | June 28, 2023 | This bill is a shield law that protects healthcare providers offering abortion care to people traveling to Maine. It prohibits an insurer that provides medical malpractice insurance in Maine from discriminating or taking any adverse action against a healthcare professional who provides abortion or other reproductive healthcare services on the sole basis that the healthcare professional is acting in violation of another state’s law or is subject to an adverse action against the healthcare professional’s license in another state. Statutes: 24-A MRSA § 2159-F | www.mainelegislature.org/legis/bills/getPDF.asp?paper=HP0393&item=3&snum=131 | September 26, 2023 | |
| Maine | Abortion | Insurance coverage | LD 935 | Enacted bill | June 28, 2023 | This bill prohibits health plans in Maine from imposing any deductible, co-payment, coinsurance, or other cost-sharing requirement for abortion services. Statutes: 24-A MRSA § 4320-M | legislature.maine.gov/legis/bills/getPDF.asp?paper=HP0582&item=4&snum=131#:~:text=Notwithstanding%20subsection%202%2C%20a%20health,the%20costs%20of%20abortion%20services. | January 1, 2024 | |
| Maine | Abortion | Rights | LD 1343 | Enacted bill | June 28, 2023 | This bill prevents municipalities from enacting any local ordinance in conflict with Maine’s Reproductive Privacy Act. Statutes: 22 MRSA § 1598 | legislature.maine.gov/legis/bills/getPDF.asp?paper=HP0857&item=3&snum=131 | September 26, 2023 | |
| Connecticut | Abortion | Shield laws | HB 6820 | Enacted bill | June 27, 2023 | This bill is a shield law that prohibits health care providers from being disciplined or adversely affected by Connecticut licensing agencies, institutional employers, and professional liability insurers due to other states’ disciplinary actions for certain reproductive health care services, and limits these employers or insurers from taking these adverse actions. Statutes: C.G.A. § 19a-14; 19a-17 | www.cga.ct.gov/2023/act/Pa/pdf/2023PA-00128-R00HB-06820-PA.PDF | June 27, 2023 | |
| Connecticut | Abortion | Data privacy | HB 6941 | Enacted bill | June 27, 2023 | This budget bill sets standards on accessing and sharing consumer health data by certain private entities that do business in Connecticut. The bill prohibits them from (1) selling this data without the consumer’s consent or (2) using a “geofence” to create a virtual boundary near mental health or reproductive or sexual health facilities to collect consumer health data, among other restrictions. | www.cga.ct.gov/asp/cgabillstatus/cgabillstatus.asp?selBillType=Bill&bill_num=HB06941&which_year=2023 | July 1, 2023 | |
| Connecticut | Fertility | Insurance coverage IUI treatment coverage IVF coverage | SB 1039 | Enacted bill | June 27, 2023 | This bill prohibits certain health insurance policies, beginning January 1, 2024, from discriminating on the basis of gender identity or expression, sexual orientation, or age with respect to health insurance coverage for medically necessary infertility diagnosis and treatment. It also revises the allowed parameters for a policy to cover infertility-related expenses to conform to the federal Affordable Care Act. Statutes: C.G.A. §§ 38a-11; 38a-769; 38a-784 | www.cga.ct.gov/2023/act/pa/pdf/2023PA-00127-R00SB-01039-PA.pdf | October 1, 2023 | |
| New York | Abortion | Shield laws | SB 1066B | Enacted bill | June 23, 2023 | This bill is a shield law that protects the provision of reproductive health care by a provider in New York State regardless of the patient’s location, prohibits the arrest of anyone for engaging in provision of or seeking reproductive health care, prohibits state employees from cooperating with out of state investigations of reproductive health care, and prohibits the introduction of certain evidence relating to reproductive health care in court. Statutes: CPL §§ 570.17; 140.10; EXC §837x; CVP §§ 3119; 3102; 4550 (https://www.nysenate.gov/legislation/laws/CVP/4550), ISC §3436A; EDN § 6531B | CPL §§ 570.17 | www.nysenate.gov/legislation/bills/2023/S1066/amendment/B | June 23, 2023 |
| Connecticut | Abortion | Data privacy | SB 3 | Enacted bill | June 23, 2023 | This bill establishes safeguards for the collection, sharing, and selling of personal health data by businesses and service providers operating online platforms in Connecticut. While this law protects a wide scope of personal health information, it explicitly includes safeguards regarding reproductive health. Statutes: C.G.A. §§ 42-515; 42-516; 42-517; 42-518; 42-519; 42-520; 42-520; 42-522; 42-523; 42-524; 42-525 | C.G.A. §§ 42-515 | www.cga.ct.gov/2023/act/Pa/pdf/2023PA-00056-R00SB-00003-PA.PDF | July 1, 2023 |
| Massachusetts | Abortion | Shield laws | 950 CMR 131.00 | Regulation | June 23, 2023 | This regulation titled “Alternative address for those engaged in protected health care services” includes shield law provisiions that allow for the inclusion of those engaged in such services into the Address Confidentiality Program. Protected health care services include reproductive care and gender-affirming care. The program allows for health care participants to shield their addresses from any state or local agency, including the DMV. | www.mass.gov/doc/950-cmr-131-alternative-address-for-those-engaged-in-protected-health-care-services/download | June 23, 2023 | |
| Arizona | Abortion | Shield laws | EO 2023-11 | Executive order | June 23, 2023 | This executive order is a shield law to protect patients and providers by ensuring that only the Attorney General can prosecute criminal abortion in Arizona under remaining criminal laws, prohibiting state agencies from participating in out of state criminal, civil or disciplinary investigations of abortions, asserting that the governor will not extradite those charged with abortion in other states under most circumstances, and creating the Reproductive Freedom Advisory Council. | azgovernor.gov/office-arizona-governor/executive-order/2023-11 | June 23, 2023 | |
| Connecticut | Abortion Contraception | Emergency contraception Medication abortion Pharmacist prescriber Emergency contraception Medication abortion Pharmacist prescriber | HB 6768 | Enacted bill | June 13, 2023 | This bill requires, in a situation where a pharmacy does not stock a particular type of medication, that the pharmacists to give patients a list of nearby pharmacies that dispense medication, including medication to terminate a pregnancy. It also allows pharmacists to prescribe certain types of birth control without patients first needing to visit their doctor. The bill, however, permits pharmacists to prescribe a hormonal contraceptive and emergency contraceptive only if they have completed an accredited educational training program related to the prescribing of hormonal contraceptives and emergency contraception. Statutes: C.G.A. 400j § 20-633b | cga.ct.gov/2023/ACT/PA/PDF/2023PA-00052-R00HB-06768-PA.PDF | January 1, 2024 | |
| New York | Contraception | Medicaid Postpartum Extension | NY-23-0006 | Medicaid SPA | June 13, 2023 | This state plan amendment provides 12 months of continuous postpartum coverage to pregnant individuals enrolled in its Medicaid program. | www.medicaid.gov/medicaid/spa/downloads/NY-23-0006.pdf | March 1, 2023 | |
| Maine | Contraception | Pharmacist prescriber | LD 351 | Enacted bill | June 1, 2023 | This bill authorizes a pharmacist who meets training and certification requirements to prescribe, dispense, and administer self-administered and injectable contraceptives. Statutes: 32 MRSA § 13826 | www.mainelegislature.org/legis/statutes/32/title32sec13826.pdf | January 1, 2025 | |
| Colorado | Contraception | Extended supply No cost-sharing Non-step therapy OTC coverage | SB 23-284 | Enacted bill | May 30, 2023 | This bill requires coverage of extended 12-month supplies of contraception, alternative contraception methods, and over-the-counter contraception at no cost to commercially covered Coloradans. It also prohibits management restrictions like step therapy. Statutes: C.R.S, Sec 1, 10-16-104.2 (https://advance.lexis.com/documentpage/?pdmfid=1000516& crid=31c55098-be2b-43f5-8e2d-b01a393c4f31& nodeid=AAKAARAACAAB& nodepath=%2FROOT%2FAAK%2FAAKAAR%2FAAKAARAAC%2FAAKAARAACAAB& level=4& haschildren=& populated=false& title=10-16.5-101+to+10-16.5-116.+(Repealed)& config=014FJAAyNGJkY2Y4Zi1mNjgyLTRkN2YtYmE4OS03NTYzNzYzOTg0OGEKAFBvZENhdGFsb2d592qv2Kywlf8caKqYROP5& pddocfullpath=%2Fshared%2Fdocument%2Fstatutes-legislation%2Furn%3AcontentItem%3A61P5-WPS1-DYDC-J079-00008-00& ecomp=6gf59kk& prid=fe0d384f-7846-4b54-a47a-94f4c96f8deb) | C.R.S, Sec 1, 10-16-104.2 (https://advance.lexis.com/documentpage/?pdmfid=1000516&crid=31c55098-be2b-43f5-8e2d-b01a393c4f31&nodeid=AAKAARAACAAB&nodepath=%2FROOT%2FAAK%2FAAKAAR%2FAAKAARAAC%2FAAKAARAACAAB&level=4&haschildren=&populated=false&title=10-16.5-101+to+10-16.5-116.+(Repealed)&config=014FJAAyNGJkY2Y4Zi1mNjgyLTRkN2YtYmE4OS03NTYzNzYzOTg0OGEKAFBvZENhdGFsb2d592qv2Kywlf8caKqYROP5&pddocfullpath=%2Fshared%2Fdocument%2Fstatutes-legislation%2Furn%3AcontentItem%3A61P5-WPS1-DYDC-J079-00008-00&ecomp=6gf59kk&prid=fe0d384f-7846-4b54-a47a-94f4c96f8deb) | leg.colorado.gov/bills/sb23-284 | August 7, 2023 |
| Minnesota | Contraception | No cost-sharing | SF 287 | Enacted bill | May 24, 2023 | This bill requires insurance coverage of contraceptives at no cost. Statutes: Minn. Stat. 62Q.522 | www.revisor.mn.gov/bills/93/2023/0/SF/287/versions/latest/ | January 1, 2024 | |
| Minnesota | Abortion Contraception | Extended supply No Cost-sharing Rights State funding Unbundling IUDs Extended supply No cost-sharing Rights State funding Unbundling IUDs | SF 2995 | Enacted bill | May 24, 2023 | This Health and Human Services Omnibus Finance bill repealed outdated and/or unconstitutional abortion statutes, the majority of which were not in effect. Repealed provisions include: MinnesotaCare and Medicaid abortion coverage bans; a 24-hour waiting period requirement for abortions; the requirement that only physicians can perform abortions; and a statutory definition of viability that had been deemed unconstitutional since the 1976 Hodgson case. Moreover, the omnibus health package requires both hospitals and primary care providers to provide information about all contraception options to all patients, and requires reimbursement for immediate postpartum provision of long-acting reversible contraception. It also requires Medicaid coverage for a 12-month supply of contraception and prohibits health insurance plans from imposing cost-sharing for contraception coverage. Statutes: Minn. Stat. §§ 256B.0625; 256B.764 (https://www.revisor.mn.gov/statutes/cite/256b.764), 256L.03; 144.222; 144.615; 145.411; 145.4131; 145.412 (Repealed) | Minn. Stat. §§ 256B.0625 | www.revisor.mn.gov/laws/2023/0/Session+Law/Chapter/70/ | January 1, 2024 |
| Minnesota | Contraception | Emergency contraception Hospital/ER requirements | SB 2909 | Enacted bill | May 19, 2023 | This bill adds other health care facilities providing emergency care to a preexisting law that required hospitals to inform female victims of sexual assault about emergency contraception, offer and administer EC upon request and with a prescription. Statutes: Minn. Stat. § 145.4712 | www.revisor.mn.gov/bills/93/2023/0/SF/2909/?body=senate | May 20, 2023 | |
| Rhode Island | Abortion | Insurance coverage State funding | HB 5006 | Enacted bill | May 18, 2023 | This bill establishes abortion coverage in the Medicaid program, covered by state funds except when authorized to be covered under federal law, and removes a previous prohibition on state employee insurance coverage. Statutes: R.I.G.L. §§ 42-12.3-3; 36-12-2.1 | webserver.rilegislature.gov/BillText/BillText23/HouseText23/H5006.pdf | May 18, 2023 | |
| Washington | Contraception | Emergency contraception | SB 5187 | Enacted bill | May 16, 2023 | The FY23-25 budget, among other things, appropriates $6M for abortion providers experiencing an influx in care due to the Dobbs decision, to ensure access for low-income Washingtonians, as well as $200,000 to establish vending machines dispensing emergency contraceptives, pregnancy tests, condoms, and OTC medications on additional college campuses. | app.leg.wa.gov/billsummary?billnumber=5187&year=2023 | May 16, 2023 | |
| Delaware | Contraception | Medicaid Postpartum Extension | DE-22-0012 | Medicaid SPA | May 15, 2023 | This state plan amendment provides 12 months of postpartum coverage to Medicaid-eligible pregnant individuals. | www.medicaid.gov/CHIP/Downloads/DE-22-0012.pdf | July 1, 2022 | |
| Arizona | Abortion Contraception | State funding State funding | SB 1720 | Enacted bill | May 11, 2023 | This FY24 state budget includes $7.5 million in funds supporting access to on-call OB/GYN services in rural Arizona and redirects $200k in funding previously allocated to “crisis pregnancy centers” towards funding for comprehensive pregnancy services. | www.azleg.gov/legtext/56leg/1R/laws/0133.pdf | May 11, 2023 | |
| New Jersey | Contraception | Extended supply | NJ-23-0002 | Medicaid SPA | May 5, 2023 | This state plan amendment updates the pharmacy page’s provision to cover all prescriptions for FDA-approved oral contraceptives for up to a 12-month supply at one time. | www.medicaid.gov/medicaid/spa/downloads/NJ-23-0002.pdf | January 1, 2023 | |
| Illinois | Contraception | Extended supply Pharmacist prescriber | SO 5 10 2023 | Standing Order | May 4, 2023 | This standing order allows pharmacists to dispense a 12-month supply of hormonal birth control upon the patient’s completion of a self-screening risk assessment tool. | idfpr.illinois.gov/content/dam/soi/en/web/idfpr/forms/dpr/Standing%20Order%205%2010%202023.pdf | May 4, 2023 | |
| New York | Abortion | Data privacy Insurance coverage Medication abortion State funding | SB 4007C | Enacted bill | May 3, 2023 | The FY2024 enacted budget includes increased Medicaid reimbursement rates to boost New York abortion access, additional data protections for patients seeking reproductive health care, requirements for private insurers to cover medication abortion when prescribed off-label for abortion. | www.budget.ny.gov/pubs/archive/fy24/en/index.html | May 3, 2023 | |
| Maryland | Contraception | OTC coverage | HB 477 | Enacted bill | May 3, 2023 | This bill requires public higher education institutions to develop and implement a reproductive health services plan to be provided or refer students to a range of reproductive health services. It also requires the University of Baltimore, in lieu of developing and implementing a reproductive health services plan, to provide students with access to over-the-counter contraception on campus. Statutes: §15–136 | mgaleg.maryland.gov/mgawebsite/Legislation/Details/hb0477?ys=2023RS#:~:text=Requiring%2C%20on%20or%20before%20August,health%20services%3B%20requiring%20the%20University | July 1, 2023 | |
| Maryland | Abortion | Shield laws | HB 808 / SB 859 | Enacted bill | May 3, 2023 | This bill is a shield law that prohibits a judge from requiring testimony or evidence to be given in a case involving an alleged violation of the criminal law of another state relating to health care that is legally protected in the state, as well as prohibiting other orders relating to investigations of legally protected health care activities, with certain exceptions. Statutes: §§ 9–302; 9–402; 10–408; 11-802; 9-106; 1–227; 15-857; 19-117; 2–312 | mgaleg.maryland.gov/mgawebsite/Legislation/Details/HB0808?ys=2023rs | June 1, 2023 | |
| Maryland | Abortion | Data privacy Medication abortion Shield laws | HB 812 / SB 786 | Enacted bill | May 3, 2023 | This bill is a shield law that regulates the disclosure of certain information related to legally protected health care by health care information entities and creates the Protected Health Care Commission to develop further regulations regarding the protection of clinical information to be exchanged through the state–designated exchange. | mgaleg.maryland.gov/webmga/frmMain.aspx?id=HB0812&stab=01&pid=billpage&tab=subject3&ys=2023RS | June 1, 2023 | |
| Maryland | Abortion Contraception | Rights Rights | SB 798 | Enacted bill | May 3, 2023 | This bill was passed to advance a constitutional referendum that, if approved by voters, would enshrine the right to reproductive freedom in the state constitution. Voters approved this constitutional amendment in November 2024 and Governor Moore signed a proclamation in January 2025. Statutes: Article 48 | mgaleg.maryland.gov/2023RS/chapters_noln/Ch_244_sb0798T.pdf | May 3, 2023 | |
| New York | Contraception | Pharmacist prescriber | SB 1043A | Enacted bill | May 2, 2023 | This bill authorizes pharmacists to prescribe and dispense hormonal contraceptives with a non-patient specific order from a physician or certified nurse practitioner or the commissioner of health. Statutes: EDN §§ 6527; 6802; 6801; 6909; PBH § 267-a | www.nysenate.gov/legislation/bills/2023/S1043/amendment/A | January 1, 2024 | |
| New York | Abortion | Medication abortion | SB 1213B | Enacted bill | May 2, 2023 | This bill requires all campuses of state universities (SUNY) and New York City universities (CUNY) to provide access to medication abortion. Statutes: EDN § 6438B | www.nysenate.gov/legislation/bills/2023/S1213/amendment/B | August 1, 2023 | |
| Washington | Abortion | Insurance coverage | SB 5242 | Enacted bill | April 27, 2023 | This bill eliminates cost-sharing for abortions, with the exception of qualifying health plans for a health savings account. For those accounts, carriers are required to establish cost sharing for abortion services at the minimum level necessary to preserve the tax exempt status of contributions and withdrawals from the health savings account. Statutes: RCW §§ 48.41.05; 48.43.073, | app.leg.wa.gov/billsummary?BillNumber=5242&Initiative=false&Year=2023 | July 23, 2023 | |
| Minnesota | Abortion | Shield laws | HF 366 | Enacted bill | April 27, 2023 | This bill is a shield law that incorporates licensure protections for health care providers who provide reproductive health care, protections against subpoenas, a “clawback” provision, and protecting from extradition for anyone charged with a crime relating to seeking or providing reproductive health care in Minnesota. | www.revisor.mn.gov/laws/2023/0/Session+Law/Chapter/31/ | April 28, 2023 | |
| Washington | Abortion | Data privacy | HB 1115 | Enacted bill | April 27, 2023 | This bill establishes consumer rights over health data and defines obligations of regulated entities that collect, use, and share consumer health data. It prohibits selling consumer health data and implementing a geofence around certain health care entities. Statutes: RCW § 19.373 | app.leg.wa.gov/billsummary?Year=2023&BillNumber=1155 | July 23, 2023 | |
| Washington | Abortion | Data privacy | HB 1155 | Enacted bill | April 27, 2023 | This bill is called the Washington My Health, My Data law, and requires companies to get explicit consent from a consumer to collect, share or sell the consumer’s health data. Additionally, companies are prohibited from geofencing particular locations to collect and sell data. Under this bill, consumers can sue organizations that don’t get their explicit consent to use their data, and the attorney general can also take legal action on behalf of consumers. Statutes: RCW 19 | RCW 19 | app.leg.wa.gov/billsummary?BillNumber=1155&Initiative=false&Year=2023 | July 23, 2023 |
| Washington | Abortion | Shield laws | HB 1340 | Enacted bill | April 27, 2023 | This bill is a shield law that protects health providers from being disciplined or having their licenses revoked for providing legal reproductive health services or gender-affirming care in Washington. Under this bill, any provider punished under another state’s laws will not have their license denied in Washington as long as the service was lawfully provided in the state. Statutes: RCW §§ 18.130.180; 18.130.055; 18.130 | app.leg.wa.gov/billsummary?BillNumber=1340&Initiative=false&Year=2023 | April 27, 2023 | |
| Washington | Abortion | Shield laws | HB 1469 | Enacted bill | April 27, 2023 | This bill is a shield law that prohibits state courts from issuing subpoenas or requiring testimony or issuing warrants related to investigations or suits about abortion and gender-affirming care services; restricts the governor from agreeing to extraditions related to abortion and gender-affirming care services that occur legally in Washington; protects providers from harassment for providing these services; and allows victims of litigation intended to interfere with legally protected healthcare to sue to recover damages. Statutes: RCW §§ 5.51.020; 5.56.010; 9.73.040; 9.73.260; 10.55.020; 10.88.250; 10.88.320; 10.88.330; 10.96.020; 10.96.040; 40.24.030 | RCW §§ 5.51.020 | app.leg.wa.gov/billsummary?BillNumber=1469&Initiative=false&Year=2023 | April 27, 2023 |
| Rhode Island | Abortion | Medication abortion | Mifepristone in Rhode Island | Advisory | April 17, 2023 | The Rhode Island Department of Health issued a Provider Advisory on mifepristone reiterating the Attorney General’s guidance that the medication is legally protected in Rhode Island and remains approved by the FDA. There are no changes in clinical practice for prescribing, dispensing, or administering mifepristone or any other reproductive health medication in Rhode Island | us2.campaign-archive.com/?u=ece9b1661b3bf3b864a6894d1&id=5b29942c77 | April 17, 2023 | |
| Colorado | Contraception | Minor consent | SB 23-189 | Enacted bill | April 14, 2023 | This bill expands access to reproductive health care services in both commercial insurance and Medicaid; expands zero-cost coverage of abortion and certain contraceptives; allows minors to access contraception without parental notice or consent. | leg.colorado.gov/bills/sb23-189 | April 14, 2023 | |
| Colorado | Abortion Contraception | Emergency contraception Medication abortion Emergency contraception Medication abortion | SB 23-190 | Enacted bill | April 14, 2023 | This bill makes it a deceptive trade practice for a person to make or disseminate to the public any advertisement that indicates the person provides abortions, emergency contraceptives, or referrals for abortions or emergency contraceptives when they do not provide those services. This includes advertisements for medication abortion reversal. Statutes: C.R.S. §§ 6-1-734; 12-30-120 | leg.colorado.gov/bills/sb23-190 | April 14, 2023 | |
| Colorado | Abortion Contraception | Emergency contraception Emergency contraception | SB 190 | Enacted bill | April 14, 2023 | This bill combats fake clinics by making it a deceptive trade practice to advertise that a person provides abortions, emergency contraceptives, or referrals for those services when they know or reasonably should have known that they do not provide those services. This bill also bans the harmful and damaging practice known as abortion pill reversal. Statutes: C.R.S. § 6-1-105 | leg.colorado.gov/bills/sb23-190 | April 14, 2023 | |
| Colorado | Abortion | Rights Shield laws | SB 23 188 | Enacted bill | April 14, 2023 | This bill is a shield law that protects health care providers from discrimination and adverse actions by insurers, public entities, other states, and regulators as the result of their choice to provide or assist in the provision of health care that is legal in Colorado. The bill also requires correctional facilities to ensure pregnant incarcerated people have the ability to get transportation to and access to abortion and miscarriage management through referrals to providers regardless of the ability to pay. Additionally, it protects providers by adding them to the list of protected persons whose information may be withheld from the internet for safety concerns as well as the state address confidentiality program. Statutes: C.R.S. §§ 10-4-109.6; 10-16-121; 10-16-705.7; 12-30-121; 13-1-140.1; 13-21-133; 13-64-402.5; 16-3-102; 16-3-301; 16-5-104; 16-15-102; 16-19-107; 17-1-114.5; 18-9-313; 18-13-133; 24-30-2102; 24-30-2103; 24-30-2104; 24-30-2105; 24-31-101; Title 24 Article 116; 25-6-404; 25-6-407; 25-37-103; 29-20-104; 30-28-115 | C.R.S. §§ 10-4-109.6 | leg.colorado.gov/bills/sb23-188 | April 14, 2023 |
| Connecticut | Abortion | Medication abortion | Formal Opinion on Mifepristone Access in Connecticut | AG opinion | April 14, 2023 | During a pending Supreme Court case that could have resulted in mifepristone being unavailable in the future, AG William Tong issued an opinion, “Re: Formal Opinion on Mifepristone Access in Connecticut”, stating that the FDA’s approval of branded and generic Mifepristone remains in full force and effect in the state. CT must continue to cover mifepristone prescriptions for Medicaid beneficiaries and the state cannot take disciplinary action against prescribers. Prescribing mifepristone by itself is not “illegal conduct”. | portal.ct.gov/-/media/ag/opinions/2023/2023-03_formal_opinion_on_mifepristone_access_in_connecticut.pdf | April 14, 2023 | |
| Massachusetts | Abortion | Shield laws | EO 609 | Executive order | April 10, 2023 | This executive order confirms protections for medication abortion under existing Massachusetts law, following a federal court ruling in Texas in the case of Alliance for Hippocratic Medicine v. U.S. Food & Drug Administration that blocked the FDA’s approval of the abortion medication mifepristone. It affirms that the state shield law covers providers dispensing medication abortion and tasks agencies with issuing guidance and continuing the implementation of existing law, including the Public Institution of Higher Education Medication Abortion Readiness Plan. | www.mass.gov/executive-orders/no-609-protecting-access-to-medication-abortion-services-in-the-commonwealth | April 10, 2023 | |
| New Mexico | Abortion | State funding | HB 505 | Enacted bill | April 6, 2023 | This capital expenditures legislation appropriates $10M to plan, design and construct a reproductive health clinic in Dona Ana county. | www.nmlegis.gov/Legislation/Legislation?Chamber=H&LegType=B&LegNo=505&year=23 | ||
| Michigan | Abortion | Decriminalization | HB 4006 | Enacted bill | April 5, 2023 | This bill repeals the state’s 1931 law banning abortion without exceptions for rape or incest and criminalizing nurses and doctors who offer reproductive care. Statutes: MCL §§ 750.14(https://www.legislature.mi.gov/Laws/MCL?objectName=mcl-750-14) (Repealed); 750.15 (https://www.legislature.mi.gov/Laws/MCL?objectName=mcl-750-15) (Repealed) | MCL §§ 750.14(https://www.legislature.mi.gov/Laws/MCL?objectName=mcl-750-14) (Repealed) | www.legislature.mi.gov/documents/2023-2024/publicact/pdf/2023-PA-0011.pdf | February 12, 2024 |
| Michigan | Abortion | Decriminalization | SB 2 | Enacted bill | April 5, 2023 | This bill repeals a 1931 criminal law that prohibited providing information or publishing information about or accessing contraceptive methods. Statutes: MCL § 750.40 (https://www.legislature.mi.gov/Laws/MCL?objectName=MCL-750-40) (Repealed) | MCL § 750.40 (https://www.legislature.mi.gov/Laws/MCL?objectName=MCL-750-40) (Repealed) | www.legislature.mi.gov/documents/2023-2024/publicact/htm/2023-PA-0012.htm | February 13, 2024 |
| New Mexico | Abortion | Shield laws | SB 13 | Enacted bill | April 5, 2023 | This bill is a shield law prohibits public entities from releasing information related to a provider’s provision of protected health care activity, including reproductive health care or gender affirming care, in relation to an out-of-state civil or criminal investigation, permits individuals who have been the subject of such suits from out of state to sue for recovery of damages, prohibits health records from being released for the purposes of these types of investigations and allows both a private right of action and Attorney General enforcement. Statutes: N.M.S.A. §§ 24-35-1 – 24-35-8; 31-4-6 | www.nmlegis.gov/Legislation/Legislation?Chamber=S&LegType=B&LegNo=13&year=23 | July 1, 2023 | |
| Arizona | Contraception | Medicaid Postpartum Extension | AZ-22-0009 | Medicaid SPA | April 1, 2023 | This state plan amendment provides 12 months of postpartum coverage to Medicaid-eligible pregnant individuals. | www.medicaid.gov/medicaid/spa/downloads/AZ-22-0009.pdf | April 1, 2023 | |
| North Carolina | Contraception | Medicaid ACA Expansion | HB 76 | Enacted bill | March 27, 2023 | This bill stipulates that if the federal medical assistance percentage for Medicaid coverage provided to the category of individuals described in G.S. 108A‑54.3A(a)(24) falls below ninety percent (90%), then Medicaid coverage for this category of individuals shall be discontinued as expeditiously as possible but no earlier than the date the lower federal medical assistance percentage takes effect. Statutes: G.S. § 108A-54.3C | www.ncleg.gov/BillLookup/2023/H76 | December 1, 2023 | |
| Massachusetts | Abortion | Medication abortion | 2023-05 | Guidance | March 22, 2023 | The Massachusetts Department of Public Health issued guidance to all pharmacies in the Commonwealth clarifying that all pharmacies and pharmacy departments are required to stock and/or procure all reproductive health medications, including Mifepristone, and dispense those medications pursuant to a valid prescription and/or order. | www.mass.gov/doc/2023-05-access-to-reproductive-health-medications/download | March 22, 2023 | |
| Virginia | Contraception | Emergency contraception | SB 975 | Enacted bill | March 22, 2023 | This bill defines emergency contraception within the context of treatment protocols for survivors of sexual assault. Statutes: § 32.1-162.15:2 | legacylis.virginia.gov/cgi-bin/legp604.exe?231+sum+SB975 | July 1, 2023 | |
| Hawaii | Abortion | Data privacy Rights Scope of practice Shield laws | SB 1 | Enacted bill | March 22, 2023 | This bill protects reproductive freedoms by clarifying that the state of Hawai’i, and local government, cannot interfere with or deny a pregnant person’s right to an abortion. It is also a shield law that protects providers from legal action from within or outside of the state, protects patients from out-of-state prosecution, and prohibits the disclosing of health information to other states, blocks subpoenas related to abortion care, and expands licensing for reproductive services. This bill also allowed physician assistants and advanced practice registered nurses (APRNs) to provide medication or aspiration abortion care during the first trimester if the nurse has prescriptive authority, practices within the nurse’s specialty, and holds a valid, unencumbered license. Statutes: H.R.S. §§ 453-16; 457-8.7; 836-2; 442-9 (https://www.capitol.hawaii.gov/hrscurrent/Vol10_Ch0436-0474/HRS0442/HRS_0442-0009.htm), 453-8; 455-11; 457-12 | H.R.S. §§ 453-16 | www.capitol.hawaii.gov/session/archives/measure_indiv_Archives.aspx?billtype=SB&billnumber=1&year=2023 | March 22, 2023 |
| Kentucky | Fertility | IVF coverage | HB 170 | Enacted bill | March 20, 2023 | This bill requires health benefit plans to cover medically necessary oocyte and sperm preservation services when a medically necessary treatment may directly or indirectly cause iatrogenic infertility to an insured. The mandate does not extend to religious organizations. Statutes: K.R.S. §§ 304.17A-261; 304.17C; 18A.225; 304.38A; 164.2871 | apps.legislature.ky.gov/record/23RS/hb170.html | January 1, 2025 | |
| New Mexico | Abortion | Shield laws | HB 7 | Enacted bill | March 16, 2023 | This bill is a shield law that broadly expands the right to reproductive healthcare without state body restrictions or interference and prohibits any public entity from interfering with the right of a person to access and provide reproductive health care and gender-affirming care and protects against discrimination. It also allows the Attorney General to enforce the law and creates a private right of action for those whose rights are violated under the law.It further establishes enforcement and penalties in district court for the violation of this law. Statutes: N.M.S.A. §§ 24-31-1 to 25-31-5 | www.nmlegis.gov/Legislation/Legislation?Chamber=H&LegType=B&LegNo=7&year=23 | July 1, 2023 | |
| Colorado | Contraception | Medicaid Postpartum Extension | CO-22-0009 | Medicaid SPA | March 14, 2023 | This state plan amendment provides 12 months of continuous postpartum coverage to individuals enrolled in Medicaid. | www.medicaid.gov/medicaid/spa/downloads/CO-22-0009.pdf | July 1, 2022 | |
| New York | Abortion | Shield laws | SB 1351 | Enacted bill | March 3, 2023 | This bill expands the state’s shield law protections for those seeking or providing abortion, specifically in the context of an out-of-state criminal investigation or demand for extradition. Statutes: CPL § 570.17; CPL § 140.10 (3-a); EXC § 837-w | legislation.nysenate.gov/pdf/bills/2023/S1351 | March 3, 2023 | |
| New Jersey | Fertility | IUI treatment coverage IVF coverage | AB 5235 | Enacted bill | February 23, 2023 | This bill requires most health insurers in the state to provide coverage for medically necessary infertility services as determined by a physician including a range of newly covered services such as intrauterine insemination and unlimited single embryo transfers. Statutes: N.J.S.A. §§ 17:48-6x; 17:48A-7w; 17:48E-35.22; 17B:27-46.1x; 26:2J-4.23; 52:14-17.46.6g | N.J.S.A. §§ 17:48-6x | www.njleg.state.nj.us/bill-search/2022/A5235/bill-text?f=A5500&n=5235_I1 | February 23, 2023 |
| Washington | Abortion | Shield laws | 22-12.1 | Other agency action | February 1, 2023 | This directive is addressed to Washington State Patrol, advising patrol not to cooperate with out-of-state law enforcement agencies, public entities, or private parties regarding investigations lawful abortion-related conduct. The directive establishes a process for reviewing requests and all requests for cooperation or assistance related to reproductive health care must be reported to the Governor. The directive notes that Washington, Oregon and California have all committed to protecting to protect patients seeking abortion within their borders and to working together. The directive also notes that nothing shall prevent providing information or assistance when required by Washington or federal law. | governor.wa.gov/sites/default/files/directive/22-12.1%20-%20Prohibiting%20assistance%20with%20interstate%20abortion%20investigations%20%28tmp%29.pdf | February 1, 2023 | |
| Minnesota | Abortion Contraception | Minor consent Rights Minor consent Rights | HF 1 | Enacted bill | January 31, 2023 | This bill establishes a fundamental right to reproductive health care, including abortion, in Minnesota. The bill also specifies that no local unit of government may infringe on this right with local ordinances or regulations. Statutes: Minn. Stat. § 145.409 | www.revisor.mn.gov/laws/2023/0/Session+Law/Chapter/4/ | February 1, 2023 | |
| Illinois | Abortion | Insurance coverage Shield laws | HB 4664 | Enacted bill | January 13, 2023 | This bill is a shield law that requires health plans to cover out-of-network or non-preferred providers if the patient has sought out an in-network provider but none was available due to providers availing themselves of the state’s conscience protection. The bill reduces reporting requirements for abortions performed in the state to quarterly reports to the Department of Public Health and prohibits the reports from being admissible as evidence. | ilga.gov/documents/legislation/publicacts/102/102-1117.htm | January 13, 2023 | |
| New Jersey | Contraception | Pharmacist prescriber | SB 275 | Enacted bill | January 13, 2023 | This bill allows pharmacists with certain training to dispense hormonal contraceptives without an individual prescription, and authorizes a statewide public awareness campaign to inform the general public that contraception can be obtained at a pharmacy without an individual prescription. Statutes: N.J.S.A. §§ 45 :14-67.9; 45:14-67.10 | pub.njleg.state.nj.us/Bills/2022/PL23/2_.PDF | May 1, 2023 | |
| New Jersey | Abortion | Insurance coverage | N.J.A.C. 11:24A-2A.2 | Regulation | December 30, 2022 | The New Jersey Department of Banking and Insurance promulgated rules that established new requirements for comprehensive abortion coverage among insurers in the individual and small employer markets that took effect for the start of the 2023 plan year on January 1, 2023, with an exception for religious employers. | advance.lexis.com/documentpage/?pdmfid=1000516&crid=ef8a01b5-db41-4132-aab0-8daa353f35f1&nodeid=AAQABDAAEAAC&nodepath=%2FROOT%2FAAQ%2FAAQABD%2FAAQABDAAE%2FAAQABDAAEAAC&level=4&haschildren=&populated=false&title=%C2%A7+11%3A24A-2A.2+Required+benefits&config=00JAA1YTg5OGJlYi04MTI4LTRlNjQtYTc4Yi03NTQxN2E5NmE0ZjQKAFBvZENhdGFsb2ftaXPxZTR7bRPtX1Jok9kz&pddocfullpath=%2Fshared%2Fdocument%2Fadministrative-codes%2Furn%3AcontentItem%3A694G-9MM1-F7G6-603B-00008-00&ecomp=6gf5kkk&prid=228c4719-4d4f-4651-b976-a0222846f888 | January 1, 2023 | |
| Michigan | Abortion Contraception | Rights Rights | EO 2022-13 | Executive order | December 14, 2022 | This executive directive instructs Michigan departments and agencies to review aspects of reproductive rights that fall within their jurisdiction and identify ways they can protect and increase protections for the fundamental right to reproductive healthcare under the Michigan Constitution. | content.govdelivery.com/attachments/MIEOG/2022/12/14/file_attachments/2355774/ED%202022-XX%20-%20Prop%203%20%28for%20signature%29.pdf | December 14, 2022 | |
| North Carolina | Contraception | Medicaid Family Planning Expansion | NC-22-0025 | Medicaid SPA | November 29, 2022 | This state plan amendment allows Medicaid to cover and reimburse six family planning inter-periodic visits in addition to an annual assessment and comprehensive preventive medicine exam per 365 days. | www.medicaid.gov/medicaid/spa/downloads/NC-22-0025.pdf | July 1, 2022 | |
| Illinois | Contraception | Pharmacist prescriber | IL-22-0017 | Medicaid SPA | November 9, 2022 | This state plan amendment authorizes pharmacists to provide counseling regarding hormonal contraceptives. | www.medicaid.gov/medicaid/spa/downloads/IL-22-0017.pdf | August 1, 2022 | |
| Michigan | Abortion Contraception | Decriminalization Minor consent Rights Scope of practice Decriminalization Minor consent Rights Scope of practice | Proposal 3 (Article I § 28) | Constitutional amendment | November 8, 2022 | This approved ballot initiative amended the Michigan Constitution establishing the right to make decisions about all matters relating to pregnancy, including contraception and abortion care. It also prohibits the criminalization of pregnancy outcomes for patients and providers. In 2025, a Michigan Court of Claims decision in Northland Family Planning Center v. Michigan permanently enjoined Michigan’s physician-only abortion restriction and other abortion regulations as violating the RFFA. | www.legislature.mi.gov/Laws/MCL?objectName=mcl-Article-I-28#:~:text=The%20Michigan%20Constitution%20of%201963%20states%20that,provision%20of%20abortion%20care%20after%20fetal%20viability. | December 24, 2022 | |
| California | Abortion Contraception | Rights Rights | Article 1 Section 1.1 | Constitutional amendment | November 8, 2022 | This constitutional amendment enshrines the right to choose to have an abortion, contraception, and other forms of reproductive health care in the California Constitution. Statutes: Constitution, Article 1, Section 1 – Sec. 32 | Constitution, Article 1, Section 1 – Sec. 32 | leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=CONS§ionNum=SEC.%201.1.&article=I | December 21, 2022 |
| Michigan | Contraception | Emergency contraception | MCA Protocols, 2022 | Other agency action | November 2, 2022 | These new protocols allow emergency responders to carry emergency contraception and post-exposure prophylaxis for sexually transmitted infections, ensuring crucial and appropriate reproductive and medical care to sexual assault survivors. | www.michigan.gov/whitmer/news/press-releases/2022/11/02/gov-whitmer-announces-new-protocols | November 2, 2022 | |
| Illinois | Contraception | Pharmacist prescriber | Provider Notice Issued 10/31/2022 | Notice | October 31, 2022 | This provider notice emphasizes that pharmacists are allowed to bill and be reimbursed for patient care services for hormonal contraceptives as part of Public Act 102-0103. Pharmacists must have a standing order with an associated physician, be licensed to practice medicine in all its branches and be enrolled in the Illinois Medical Assistance Program to perform the consultation service. This new policy applies to the Medicaid fee-for-service (FFS) program and the HealthChoice Illinois (HCI) managed care organization (MCO) plans. | hfs.illinois.gov/medicalproviders/notices/notice.prn221031b.html | August 1, 2022 | |
| Pennsylvania | Contraception | Medicaid Postpartum Extension | PA-22-0016 | Medicaid SPA | October 26, 2022 | This state plan amendment provides 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program. | www.medicaid.gov/medicaid/spa/downloads/PA-22-0016.pdf | April 1, 2022 | |
| Illinois | Contraception | Medicaid Postpartum Extension | IL-22-0020 | Medicaid SPA | October 20, 2022 | This state plan amendment provides 12 months of postpartum coverage to individuals who were pregnant when they enrolled in Medicaid. | www.medicaid.gov/medicaid/spa/downloads/IL-22-0020.pdf | July 1, 2022 | |
| Hawaii | Abortion | Data privacy Shield laws | EO 22-05 | Executive order | October 11, 2022 | This executive order is a shield law that prohibits state agencies and subdivisions from providing private information regarding or authorizing an arrest warrant based on accessing or providing reproductive health care services that are lawful in the state and requires the Department of Health to maintain a website with information about abortion access. | www.scribd.com/document/599948254/Executive-Order-22-05 | October 11, 2022 | |
| Colorado | Contraception | Medicaid Family Planning Expansion | CO-22-0044 | Medicaid SPA | October 6, 2022 | This state plan amendment adds family-planning-related services to the family planning services coverage page. | www.medicaid.gov/medicaid/spa/downloads/CO-22-0044.pdf | July 1, 2022 | |
| Massachusetts | Abortion Contraception | State funding State funding | Sexual and Reproductive Health Residency Program | Grant | October 4, 2022 | The Massachusetts Department of Public Health awarded a grant to the Planned Parenthood League of Massachusetts (PPLM) to launch the Sexual and Reproductive Health Residency Program for Nurse Practitioners and Physician Assistants. | cdn.plannedparenthood.org/uploads/filer_public/bd/c9/bdc9b5f8-b42f-4de1-a0a7-e9b8d1e7a218/focus_local_campaign_leveraging_our_expertise.pdf?utm_source=chatgpt.com | January 1, 2024 | |
| California | Abortion | Rights | SB 1142 | Enacted bill | September 27, 2022 | This bill creates California’s abortion access website where the public can access information on abortion services in the state, including with respect to their legal rights, provider locations, practical support for patients, and combating misinformation. Statutes: HSC §§ 123430; 123452.5 | leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB1142 | July 1, 2023 | |
| California | Abortion | Scope of practice | SB 1375 | Enacted bill | September 27, 2022 | This bill allows trained nurse practitioners and nurse midwives, to perform first-trimester abortions by aspiration in first trimester without physician supervision, as long as they complete required clinical and didactic training and act within applicable standards of care. Statutes: BPC §§ 2253(b); 2725.4; 3502.4 | BPC §§ 2253(b) | leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB1375 | January 1, 2023 |
| California | Abortion | Scope of practice | AB 657 | Enacted bill | September 27, 2022 | This bill creates an expedited licensure process for health care professionals who demonstrate they plan to provide abortion care within their scope of practice. Statutes: BPC § 870 | leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB657 | January 1, 2023 | |
| California | Abortion | Shield laws | AB 1242 | Enacted bill | September 27, 2022 | This bill is a shield law that prohibits law enforcement, state agencies and employees, and California corporations from cooperating with out-of-state civil and criminal investigations or prosecutions regarding abortion care that is legal in California. | leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB1242 | September 27, 2022 | |
| California | Abortion | Shield laws | AB 2091 | Enacted bill | September 27, 2022 | This bill is a shield law that prohibits health care providers, health care service plans, contractors, employers, or prison staff from releasing medical information that would identify or is related to an individual seeking or obtaining an abortion in response to subpoena, request, or law enforcement based on another state’s interference with protected abortion care. The Insurance Commissioner can assess a civil penalty against an insurer who has disclosed an insured’s confidential medical information. Statutes: CIV § 56.108; CCP §§ 2029.200 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=2029.200.& lawCode=CCP), 2029.300 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=2029.300.& lawCode=CCP), and 2029.350; HSC § 123466; INS § 791.29; PEN § 3408 | CIV § 56.108 | leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220AB2091 | September 27, 2022 |
| California | Abortion Contraception | State funding State funding | AB 2134 | Enacted bill | September 27, 2022 | This bill creates the California Reproductive Health Equity Program to provide grants to health care providers who provide no or low cost contraception and abortion care to patients. Statutes: HSC §§ 1367.32; 127630; INS § 10123.210; LAB § 2808.1 | leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB2134 | January 1, 2023 | |
| California | Abortion | Decriminalization Shield laws | AB 2223 | Enacted bill | September 27, 2022 | This bill strengthens and clarifies the state’s existing prohibitions on imposing civil and criminal penalties for pregnancy loss, creates a new civil action that allows individuals whose rights to be free of civil and criminal penalties for pregnancy loss are violated to seek accountability, and limits the duties of coroners to be consistent. Statutes: GOV § 27491; HSC §§ Sections 103005; 123462 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=123462.& lawCode=HSC), 123466 (https://leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=123466.& lawCode=HSC), and 123468 | GOV § 27491 | leginfo.legislature.ca.gov/faces/billHistoryClient.xhtml?bill_id=202120220AB2223 | January 1, 2023 |
| California | Abortion | Medication abortion Shield laws | AB 2626 | Enacted bill | September 27, 2022 | This bill is a shield law that prevents licensing boards from suspending or revoking licenses solely because a provider performed an abortion within their scope of practice and consistent with the Medical Practice Act, Nursing Practice Act or the Physician Assistant Practice Act, as applicable, and the Reproductive Privacy Act. | leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB2626 | September 27, 2022 | |
| North Carolina | Contraception | Medicaid Postpartum Extension | NC-22-0012 | Medicaid SPA | September 22, 2022 | This state plan amendment provides 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program during their pregnancy. | www.medicaid.gov/medicaid/spa/downloads/NC-22-0012.pdf | April 1, 2022 | |
| Connecticut | Contraception | Unbundling IUDs | CT-22-0017 | Medicaid SPA | September 19, 2022 | This state plan amendment makes several fee schedule updates and increases the rates for specific long‐acting reversible contraceptive (LARC) devices. | www.medicaid.gov/medicaid/spa/downloads/CT-22-0017.pdf | April 1, 2022 | |
| New Mexico | Abortion Contraception | State funding State funding | EO 2022-123 | Executive order | August 31, 2022 | This executive order designated $10 million to the development of a reproductive health care clinic in Dona Ana County (a border county), directs the Department of Health to develop a plan to leverage resources to expand abortion access in rural and underserved communities, and directs the Department of Human Services to implement policies that improve efficiency and sustainability of reproductive health care access across the state. | www.governor.state.nm.us/wp-content/uploads/2022/08/Executive-Order-2022-123.pdf | August 31, 2022 | |
| California | Contraception | Emergency contraception Insurance coverage No cost-sharing Non-step therapy Nondiscrimination OTC coverage | SB 523 | Enacted bill | August 31, 2022 | This bill requires health plans to cover over-the-counter contraception drugs and devices without a prescription, prohibits cost sharing and other medical management restrictions like step therapy and prohibits employment-related discrimination based on reproductive health decisions. Statutes: GC § 12920, 12921, 12926, 12931, 12940, 12944, and 12993 of, and to add Sections 22853.3 and 22853.4 to, the Government Code, HSC §§ 1343 and 1367.25, 1367.255 and 1367.33; IC §§ 10123.196, 10123.1945 and 10127.09; PCC §§ 10509.5, 10828 | GC § 12920, 12921, 12926, 12931, 12940, 12944, and 12993 of, and to add Sections 22853.3 and 22853.4 to, the Government Code, HSC §§ 1343 and 1367.25, 1367.255 and 1367.33 | leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB523 | January 1, 2023 |
| Michigan | Contraception | Insurance coverage | 2022 MPSERS | Other agency action | August 29, 2022 | The Michigan Department of Management, Technology, and Budget’s (DTMB) added prescription oral contraceptives to the Michigan Public School Employees’ Retirement System (MPSERS) Non-Medicare Master Healthcare plan, guaranteeing access to such medication for 200,000 additional Michiganders. | www.michigan.gov/whitmer/news/press-releases/2022/08/29/state-of-michigan-expands-access-to-birth-control | September 1, 2022 | |
| Maryland | Contraception | Medicaid Postpartum Extension | MD-22-0014 | Medicaid SPA | August 16, 2022 | This state plan amendment expands continuous postpartum coverage to individuals enrolled in its Medicaid program from sixty days to twelve months. | www.medicaid.gov/medicaid/spa/downloads/MD-22-0014.pdf | April 1, 2022 | |
| Minnesota | Contraception | Medicaid Postpartum Extension | MN-22-0008 | Medicaid SPA | August 16, 2022 | This state plan amendment provides 12 months of postpartum coverage for individuals enrolled in Medicaid during their pregnancy. | www.medicaid.gov/medicaid/spa/downloads/MN-22-0008.pdf | July 1, 2022 | |
| Massachusetts | Abortion Contraception | Emergency contraception Insurance coverage Medication abortion No Cost-sharing Pharmacist prescriber Shield laws Emergency contraception Insurance coverage Medication abortion No cost-sharing Pharmacist prescriber Shield laws | HB 5090 | Enacted bill | July 29, 2022 | This bill is a shield law that enacts protections reproductive health care patients and providers from out-of-state legal action; mandates insurance coverage for abortions and abortion-related care, prohibits insurers from charging cost-sharing amounts for abortions or abortion-related care, allows reproductive health care and gender-affirming care providers to enroll in the Commonwealth’s Address Confidentiality Program, a protective measure against potential harassment and/or threats, and expands access to emergency contraception by establishing a statewide standing order authorizing the dispensing of emergency contraception by a licensed pharmacist. It also requires public higher education institutions to prepare medication abortion readiness plans to ensure access and referrals to abortion care on campus. Statutes: MGL 9A § 1; MGL 175 § 47F; MGL 15A § 46 (https://www.mass.gov/info-details/mass-general-laws-c15a-ss-46 | MGL 9A § 1 | malegislature.gov/Bills/192/H5090 | January 1, 2023 |
| Massachusetts | Contraception | Medicaid Postpartum Extension | MA-22-0014 | Medicaid SPA | July 26, 2022 | This state plan amendment provides 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program. | www.medicaid.gov/medicaid/spa/downloads/MA-22-0014.pdf | April 1, 2022 | |
| California | Abortion | Insurance coverage Medication abortion | 2022-7 | Bulletin | July 21, 2022 | This bulletin from the California Insurance Commissioner reminds insurers of their current obligations to cover abortion and abortion related services. There is a provision on medication abortion dispenses by pharmacies, which states that if a health insurance policy covers outpatient prescription drugs, then it must cover all medically necessary prescription drugs. Mifepristone must be listed on all insurers drug formularies. Additionally, the imposition of any cost-sharing requirement on any abortion or abortion-related service is limited. Insurers are prohibited from imposing any utilization management or review on coverage for outpatient abortion services, including medication abortion. Finally, California pharmacies are certified to dispense abortion medication by early 2023. | www.insurance.ca.gov/0250-insurers/0300-insurers/0200-bulletins/bulletin-notices-commiss-opinion/upload/Bulletin-2022-7-Coverage-for-Abortion-and-Abortion-Related-Health-Care-Services.pdf | July 21, 2022 | |
| Michigan | Abortion | Shield laws | EO 2022-4 | Executive order | July 13, 2022 | This executive order is a shield law that declares that the Governor of Michigan will not extradite anyone accused of seeking, providing or assisting the provision of reproductive health care in Michigan. | content.govdelivery.com/attachments/MIEOG/2022/07/13/file_attachments/2210705/EO%202022-4%20-%20Interstate%20Extradition%20%28with%20signature%29.pdf | July 13, 2022 | |
| Pennsylvania | Abortion | Shield laws | EO 2022-01 | Executive order | July 12, 2022 | This executive order is a shield law that prohibits executive agencies from providing any information or using any resources in furtherance of any out-of-state investigation or proceeding seeking to impose civil or criminal liability or professional discipline on a person for providing, securing, receiving, inquiring about, or assisting in reproductive health care services legal in Pennsylvania. It directs state agencies to ensure that all boards of licensure are taking care not to impose license consequences for providing reproductive healthcare, as well as developing new strategies to communicate to consumers the availability and affordability of reproductive health care. It also states that the Governor will decline another state’s extradition, arrest, or surrender requests of a person charged with a criminal violation involving the provision, receipt, or assistance with reproductive health care services lawful in Pennsylvania. | www.pa.gov/content/dam/copapwp-pagov/en/oa/documents/policies/eo/2022-01.pdf | July 12, 2022 | |
| North Carolina | Abortion | Clinic safety Shield laws | EO 263 | Executive order | July 6, 2022 | This executive order is a shield law that directs cabinet agencies to coordinate to protect those seeking, providing or assisting reproductive healthcare services in North Carolina. It directs the Department of Public Safety (DPS) to work with law enforcement to ensure enforcement of state law that prohibits anyone from blocking access to a healthcare facility, provides protections against extradition for those seeking or providing reproductive health care services in North Carolina, and prohibits cabinet agencies from cooperating in out-of-state investigations into individuals obtaining or providing reproductive heath care that is legal in North Carolina. | governor.nc.gov/executive-order-no-263/open | July 6, 2022 | |
| Colorado | Abortion Contraception | Rights Rights | EO D 2022 032 | Executive order | July 6, 2022 | This executive order includes multiple provisions to protect access to reproductive health care in Colorado, including prohibiting state cooperation with out of state investigations into reproductive health care that is legal in Colorado, directing state agencies to do all that is within their authority to protect reproductive healthcare, prohibiting licensing agencies from taking adverse licensure actions based on the provision of reproductive healthcare that is legal in Colorado, and asserting that the Governor will not extradite individuals accused of a crime based on the provision of reproductive health care that is legal in Colorado. | ewscripps.brightspotcdn.com/ea/92/9ab8c1ad465d81a69889dd38faba/d-2022-032-reproductive-health-eo-3.pdf | July 6, 2022 | |
| Colorado | Abortion | Shield laws | EO D-2022-032 | Executive order | July 6, 2022 | This executive order is a shield law that protects individuals lawfully providing, assisting, seeking, or obtaining reproductive healthcare from legal liability or professional sanctions in Colorado or any other state. Colorado will not cooperate with criminal or civil investigations for lawful abortion-related actions. Moreover, the governor will exercise his full discretion to decline extradition requests when related to reproductive health care. | ewscripps.brightspotcdn.com/ea/92/9ab8c1ad465d81a69889dd38faba/d-2022-032-reproductive-health-eo-3.pdf | July 6, 2022 | |
| Maine | Abortion | Shield laws | EO 4 | Executive order | July 5, 2022 | This executive order is a shield law that prohibits state agencies from cooperating with another state’s investigation into a person, organization, or health care provider for delivering abortion care in Maine, directs state agencies to conduct a review of laws and regulations for barriers to reproductive health care and exercise discretionary authority under the law to remove or minimize those barriers, and makes clear that the Governor will exercise authority within the law to decline extradition attempts from other states pursuing criminal charges against a person for receiving or performing abortion care. | www.maine.gov/governor/mills/official_documents/executive-orders/2022-07-executive-order-4-order-protecting-access-reproductive | July 5, 2022 | |
| Rhode Island | Abortion | Shield laws | EO 22-28 | Executive order | July 5, 2022 | This executive order is a shield law that protects health care professionals and persons lawfully seeking and obtaining abortions and other reproductive health care services from legal liability and professional sanctions. Executive agencies may not cooperate in investigations and proceedings pertaining to lawful reproductive services and health care professionals and recipients are protected from extradition. | governor.ri.gov/executive-orders/executive-order-22-28 | July 5, 2022 | |
| New Jersey | Abortion | Shield laws | AB 3974 | Enacted bill | July 1, 2022 | This bill prevents the extradition of an individual within New Jersey to another state for receiving, providing, or facilitating reproductive health care services that are legal in New Jersey. Statutes: N.J.S.A §§ 2A:160-14 | www.njleg.state.nj.us/bill-search/2022/A3974 | July 1, 2022 | |
| New Jersey | Abortion | Data privacy Shield laws | AB 3975 | Enacted bill | July 1, 2022 | This bill is a shield law that prevents the disclosure of a patient’s medical records related to reproductive health care without their consent in any civil, probate, legislative or administrative proceeding. It also prohibits public entities and employees from cooperating with interstate investigations aiming to hold someone liable for seeking, receiving, facilitating, or providing reproductive health care services that are legal in New Jersey. It further prohibits New Jersey licensing boards from suspending, revoking, or refusing to renew the license or registration of a provider based solely on their involvement in the provision of reproductive health care services. Statutes: N.J.S.A. §§ 2A:84A-22.18; 2A:84A-22.19; 45:1-21 | www.njleg.state.nj.us/bill-search/2022/A3975 | July 1, 2022 | |
| Washington | Contraception | Medicaid Postpartum Extension | WA-22-0012 | Medicaid SPA | June 30, 2022 | This state plan amendment provides 12 months of continuous postpartum coverage to individuals enrolled in its Medicaid program. | www.medicaid.gov/medicaid-spa/2022-06-30/137426 | April 1, 2022 | |
| New Jersey | Abortion Contraception | Clinic safety State funding Clinic safety State funding | SB 2023 | Enacted bill | June 30, 2022 | This Fiscal Year 2023 state budget includes funding to support reproductive services in New Jersey, including $10 million for reproductive health care facilities, $5 million for reproductive health care clinical training, $5 million for reproductive health care security measures, and a total of $30 million to support family planning. | www.nj.gov/treasury/omb/publications/23bill/AppropriationsAct.pdf | July 1, 2022 | |
| Delaware | Abortion | Insurance coverage Shield laws | HB 455 | Enacted bill | June 29, 2022 | This bill is a shield law that establishes protections for in-state providers and out-of-state patients receiving care in Delaware, protects against the sharing of consumer and health data in anti-abortion investigations, prohibits insurers from increasing premiums, and allows a physician, a physician assistant with a collaborative agreement with an appropriately trained physician, or a certified nurse midwife or certified nurse practitioner with Board-approved training or certification to terminate a pregnancy before viability. Physician assistants or advanced practice registered nurses can prescribe medication abortion. Statutes: Title 24 §§ 1702; 1731; 1733; 1790; 1902; 1922; 1935; Title 10 §§ 3926A; 3928; 3929; Title 11 §§ 2506; Title 18 § 2535 | Title 24 §§ 1702 | legis.delaware.gov/BillDetail/109604 | June 29, 2022 |
| New Mexico | Abortion | Shield laws | EO 2022-107 | Executive order | June 27, 2022 | This executive order is a shield law that protects access to reproductive health care services in New Mexico, protects medical providers from attempts at legal retribution, and establishes that New Mexico will not entertain extradition attempts from other states relating to receiving or performing reproductive services. | www.governor.state.nm.us/wp-content/uploads/2022/06/Executive-Order-2022-107.pdf | June 27, 2022 | |
| California | Abortion | Data privacy Shield laws | EO N-12-22 | Executive order | June 27, 2022 | This executive order is a shield law that prohibits state agencies from cooperating with out-of-state actions seeking medical records, patient data, and other sensitive information by other states or individuals within those states looking to restrict abortion care access. It also adopts a policy of declining out-of-state extradition requests related to legal abortion in California. | www.gov.ca.gov/wp-content/uploads/2022/06/6.27.22-EO-N-12-22-Reproductive-Freedom.pdf | June 27, 2022 | |
| Minnesota | Abortion | Shield laws | EO 22-16 | Executive order | June 25, 2022 | This executive order is a shield law that protects those lawfully providing, assisting, seeking, or obtaining reproductive health care services from legal liability or professional sanctions. State agencies are prohibited from providing any information or resources in furtherance of any investigation or proceeding that seeks to impose civil or criminal liability or professional sanctions upon a person or entity for the provision, receipt, or assistance of reproductive care. It also includes a protection against extradition for lawful reproductive health care services. | mn.gov/governor/assets/EO%2022-16_tcm1055-532111.pdf | June 25, 2022 | |
| California | Abortion | Shield laws | AB 1666 | Enacted bill | June 24, 2022 | This bill is a shield law that establishes that any law from another state that creates civil liability for a person or entity that receives, seeks, performs, induces, aids, or abets abortion is against California public policy, and neither state courts nor state employees can apply such a law or enter or satisfy a judgment under such a law. Statutes: HSC § 123467.5 | leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202120220AB1666 | June 24, 2022 | |
| Maine | Contraception | Medicaid Postpartum Extension | ME-22-0016 | Medicaid SPA | June 16, 2022 | This state plan amendment provides 12 months of postpartum coverage for individuals who were eligible and enrolled in Medicaid during their pregnancy. | www.medicaid.gov/sites/default/files/2022-06/ME-22-0016.pdf | August 1, 2022 | |
| New York | Abortion Contraception | Emergency contraception Shield laws Emergency contraception Shield laws | AB 9687B / SB 9079B / | Enacted bill | June 13, 2022 | This bill, as part of a six-bill package, is a shield law that prohibits professional misconduct charges against healthcare practitioners on the basis that such healthcare practitioner, acting within their scope of practice, performed, recommended or provided reproductive healthcare services, including abortion and emergency contraception, for a patient who resides in a state where such services are illegal. Statutes: EDN §§ 6531-b; 6505-d; PBH § 230 | www.nysenate.gov/legislation/bills/2021/S9079 | June 13, 2022 | |
| New York | Abortion | Shield laws | AB 9718B / SB 9080B | Enacted bill | June 13, 2022 | This bill, part of a broader shield law package, prohibits medical malpractice insurance companies from taking any adverse action against an abortion or reproductive healthcare provider who performs an abortion or provides reproductive healthcare that is legal in the state of New York on someone who is from out of state. Statutes: ISC § 3436A | www.nysenate.gov/legislation/bills/2021/S9080 | June 13, 2022 | |
| New York | Abortion | Rights Shield laws | AB 10094A / SB 9093A | Enacted bill | June 13, 2022 | This bill is a shield law that established a cause of action (a tort law) for unlawful interference with protected rights. This cause of action allows individuals to bring a claim against someone who has sued them or brought charges against them for facilitating, aiding, or obtaining reproductive health or endocrine care services in accordance with New York State Law. Statutes: CVR §70B | www.nysenate.gov/legislation/bills/2021/A10094 | June 13, 2022 | |
| New York | Abortion | Shield laws | AB 10372A / SB 9077A | Enacted bill | June 13, 2022 | This bill, part of a broader shield law package, is a shield law that provides multiple legal protections for abortion service providers, those who assist someone else in obtaining an abortion, or individuals who self-manage an abortion. This bill provides those protections by prohibiting courts from cooperating with out-of-state civil and criminal cases that stem from abortions that took place legally within their borders, prohibiting law enforcement from cooperating with anti-abortion states’ investigations regarding abortions that look place legally, and prohibiting extradition for abortion-related crimes charged in other states in most circumstances. Statutes: CPL §§ 570.17; 140.10; EXC § 837-w; CVP §§ 3119; 3102 | www.nysenate.gov/legislation/bills/2021/S9077 | June 13, 2022 | |
| New York | Abortion | Clinic safety Shield laws | SB 9384A | Enacted bill | June 13, 2022 | This bill, part of a broader shield law package, allows reproductive healthcare services providers, employees, volunteers, patients, or immediate family members of reproductive healthcare services providers to enroll in the State’s address confidentiality program to protect themselves from threats. This bill is a clinic safety law that allows reproductive health care providers, employees, volunteers, patients and certain family members to enroll in the address confidentiality program. Statutes: EXC § 108 | www.nysenate.gov/legislation/bills/2021/S9384 | September 11, 2022 | |
| Colorado | Abortion Contraception | Medicaid Postpartum Extension Medicaid Postpartum Extension | HB 22- 1289 | Enacted bill | June 7, 2022 | This bill provides health coverage for pregnant individuals who would be eligible for Medicaid, through twelve months postpartum, as well as full health coverage for children regardless of their immigration status. | leg.colorado.gov/bills/hb22-1289 | January 1, 2025 | |
| Illinois | Abortion | Decriminalization Pharmacist prescriber Rights | AG: Guidance to law enforcement on abortion | Guidance | June 1, 2022 | AG Kwame Raoul issued guidance to law enforcement that taking action based on the actual, perceived, or potential outcome of an individual’s pregnancy interfere’s with their right to reproductive autonomy and such prohibited action may give rise to legal action against those officials. Statutes: 775 ILCS 55/1-20 | illinoisattorneygeneral.gov/Page-Attachments/Guidance%20to%20law%20enforcement%20on%20abortion%20060122.pdf | June 1, 2022 | |
| California | Contraception | Medicaid Postpartum Extension | CA-22-0030 | Medicaid SPA | May 25, 2022 | This state plan amendment provides 12 months of continuous postpartum coverage to individuals enrolled in Medicaid program. | www.medicaid.gov/medicaid/spa/downloads/CA-22-0030.pdf | April 1, 2022 | |
| Michigan | Abortion Contraception | Shield laws Shield laws | Executive Directive 2022-05 | Executive order | May 25, 2022 | This executive order is a shield law that directs departments not to cooperate with or assist authorities of any state in any investigation or proceeding against anyone for obtaining, providing, or assisting someone else to obtain or provide reproductive healthcare that is legal where the health care is provided. It also orders departments and agencies to identify and assess potential opportunities to increase protections for and access to reproductive health care. | www.michigan.gov/whitmer/news/state-orders-and-directives/2022/05/25/ed-2022-5-reproductive-rights-in-michigan | May 25, 2022 | |
| Oregon | Contraception | Medicaid Postpartum Extension | OR-22-0008 | Medicaid SPA | May 25, 2022 | This state plan amendment provides 12 months of continuous postpartum coverage to individuals enrolled in Medicaid program. | www.medicaid.gov/medicaid/spa/downloads/OR-22-0008.pdf | April 1, 2022 | |
| Connecticut | Abortion | Data privacy | SB 6 | Enacted bill | May 10, 2022 | This bill establishes a framework for controlling and processing personal data and privacy protection standards for data controllers and processors. It grants consumers the right to access, correct, delete and obtain a copy of personal data, and opt out of the processing of personal data for certain purposes. Statutes: C.G.A. 743jj § 42-515 – 529e | www.cga.ct.gov/2022/act/pa/pdf/2022PA-00015-R00SB-00006-PA.pdf | July 1, 2023 | |
| Connecticut | Abortion | Medication abortion Scope of practice Shield laws | HB 5414 | Enacted bill | May 5, 2022 | This bill is a shield law that provides protections for providers from out-of-state civil and criminal actions based on legally provided reproductive health care. The bill prohibits certain state entities from cooperating with out of state investigations, prohibits certain health entities from releasing private patient information, and restricts the governor from extraditing someone accused of a crime to situations where the conduct at issue would also have been a crime if done in Connecticut. The bill also allows APRNs, NPs and PAs to provide medication and aspiration abortion care. Statutes: C.G.A. § 54-82i Subsection (b); § 54-162; § 19a-602 | cga.ct.gov/2022/ACT/PA/PDF/2022PA-00019-R00HB-05414-PA.PDF | July 1, 2022 | |
| Maine | Fertility | IVF coverage | LD 1539 | Enacted bill | May 2, 2022 | This bill requires all health plans to cover fertility care, including fertility treatment and fertility preservation. A carrier may not use any prior diagnosis or prior fertility treatment as the basis of excluding, limiting, or otherwise restricting availability of coverage mandated. Coverage does not extend to experimental fertility procedures or nonmedical costs related to donor gametes, donor embryos, or surrogacy. Statutes: 24-A MRSA § 4320-U | www.mainelegislature.org/legis/bills/getPDF.asp?paper=HP1144&item=5&snum=130 | January 1, 2024 | |
| Delaware | Abortion | Medication abortion | HB 320 | Enacted bill | April 28, 2022 | This bill expands authority for nurse practitioners, physician assistants, and certified nurse-midwives to prescribe medication abortion and provide related care. Statutes: Title 24 § 1790 | legis.delaware.gov/BillDetail?LegislationId=79202 | April 28, 2022 | |
| Maine | Abortion | Clinic safety | LD 1899 | Enacted bill | April 20, 2022 | This bill creates a buffer zone also known as a “medical safety zone” of 8 feet from the entrance of a health care facility. Statutes: 5 MRSA § 4684-B | www.mainelegislature.org/legis/bills/getPDF.asp?paper=HP1406&item=4&snum=130 | April 20, 2022 | |
| Maine | Contraception | Extended supply Insurance coverage No cost-sharing | LD 1954 | Enacted bill | April 14, 2022 | This bill requires health insurance policies to cover all contraceptive drugs, devices and products approved by the FDA for up to a 12-month supply without any deductible, coinsurance, copayment or other cost-sharing requirement. Statutes: MRSA §§ 2756; 4247 ( | legislature.maine.gov/bills/display_ps.asp?snum=130&paper=SP0691PID=1456 | April 14, 2022 | |
| Colorado | Fertility | IVF coverage | HB 22-1008 | Enacted bill | April 13, 2022 | This bill expands on existing mandatory fertility coverage to require large employer health benefit plans issued or renewed in Colorado on or after January 1, 2023 to cover fertility services and requires the division of insurance to implement the coverage requirement. The bill requires coverage for fertility services under individual and small group policies and contracts within Colorado 12 months after the federal department of health and human services determines coverage of fertility services does not require defrayal by the state. Statutes: C.R.S. §§ 10-16-104(23)(f) | leg.colorado.gov/bill_files/100904/download | January 1, 2023 | |
| Virginia | Contraception | Emergency contraception Hospital/ER requirements Minor consent | HB 1329 | Enacted bill | April 11, 2022 | This bill requires hospitals to provide information about emergency contraception to sexual assault survivors treatment and pediatric survivors, expanding the definition of pediatric survivors to include patients under the age of 18. Statutes: § 32.1-162.15:5 | lis.virginia.gov/bill-details/20221/HB1329 | July 1, 2023 | |
| New York | Abortion | Insurance coverage | AB 9007C | Enacted bill | April 9, 2022 | The FY23 budget, specifically Part R, requires all insurance plans that provide hospital, surgical, or medical coverage and maternity care coverage to also offer coverage for abortion care without cost-sharing. | www.nysenate.gov/legislation/bills/2021/A9007 | April 9, 2022 | |
| Maryland | Abortion | Insurance coverage State funding | HB 937 | Enacted bill | April 9, 2022 | This bill establishes the Abortion Clinical Care Training Program and an associated fund. It requires private insurers that cover labor and delivery services to also cover abortion care and requires abortion care coverage under the Maryland Medical Assistance Program. This bill also defines “qualified provider” to provide abortion to include physicians, nurse practitioners, nurse-midwives, licensed certified midwives, physician assistants, for whom abortion is within the scope of the individual’s license or certification. Statutes: §§ 15–103; 20–103; 20–207 (https://mgaleg.maryland.gov/mgawebsite/laws/StatuteText?article=ghg& section=20-207& enactments=false), 20-208; 20–209; 15-857; Qualified Provider if Abortion within Scope of Practice: Md. Code Ann., Health–Gen. §§ 20-207, 20-208: | §§ 15–103 | mgaleg.maryland.gov/2022RS/Chapters_noln/CH_56_hb0937t.pdf | July 1, 2022 |
| New York | Abortion Contraception | Insurance coverage State funding Insurance coverage State funding | FY23 Enacted Budget Package: S8000-E, S8001-A, S8002, S80003, S8004 | Enacted bill | April 7, 2022 | The FY2023 enacted budget enshrines into law a requirement that health plans in New York must cover abortion services, without cost-sharing. The 2023 Budget also expands the Family Planning Grant Program, maintaining state funding for reproductive health services as New York reenters the federal Title X program, and includes measures to reduce racial disparities in maternal mortality and morbidity. | www.budget.ny.gov/pubs/archive/fy23/index.html | April 7, 2022 | |
| Colorado | Abortion Contraception | Nondiscrimination Rights Scope of practice Nondiscrimination Rights Scope of practice | HB 22-1279 | Enacted bill | April 4, 2022 | This bill enshrines a fundamental right to make decisions about their reproductive health, including the right to use or refuse contraception and to terminate a pregnancy. Colorado does not restrict the type of healthcare practitioner who can provide abortion care if within the scope of licensure and certification requirements. Within scope of practice, direct Entry Midwives are not permitted to prescribe or provide aspiration abortion. Statutes: C.R.S. Sec 25-6-401-406 | leg.colorado.gov/bills/hb22-1279 | April 4, 2022 | |
| Oregon | Abortion | State funding | HB 5202 | Enacted bill | April 4, 2022 | This annual budget allocated $15 million to the Reproductive Health Equity Fund to expand provider capacity and aid abortion access (including by providing funds for travel and lodging). | olis.oregonlegislature.gov/liz/2022R1/Downloads/CommitteeMeetingDocument/254578 | April 4, 2022 | |
| Michigan | Contraception | Extended supply | HASA22-12 | Bulletin | April 1, 2022 | This bulletin updates Medicaid coverage to provide for a 12-month supply of contraception including oral, ring, and hormonal patch contraceptives. | www.michigan.gov/-/media/Project/Websites/mdhhs/Folder3/Folder2/HASA-22-12.pdf?rev=2715be89b7d94431baed19fb31aeef5f | May 1, 2022 | |
| Washington | Abortion | EMTALA Insurance coverage | HB 1688 | Enacted bill | March 31, 2022 | This bill requires health insurance coverage for emergency services, including stabilizing care as defined in the federal EMTALA statute, and additionally for certain post-stabilizing care in certain circumstances, including when the patient is pregnant. Statutes: RCW § 48.43.005 | app.leg.wa.gov/billsummary?BillNumber=1688&Year=2021&Initiative=false | March 31, 2022 | |
| Washington | Contraception | Unbundling IUDs | HB 1651 | Enacted bill | March 24, 2022 | This bill requires health plans to separately cover immediate postpartum long-acting reversible contraception. Statutes: RCW § 41.05.430, https://app.leg.wa.gov/RCW/default.aspx?cite=41.05.430 | RCW § 41.05.430, https://app.leg.wa.gov/RCW/default.aspx?cite=41.05.430 | lawfilesext.leg.wa.gov/biennium/2021-22/Pdf/Bills/Session%20Laws/House/1651.SL.pdf?q=20260108084550 | June 9, 2022 |
| California | Abortion | Insurance coverage | SB 245 | Enacted bill | March 22, 2022 | This bill ends cost-sharing for abortion care services, applicable to private insurance plans and Medi-Cal managed plans and providers. Statutes: HSC §§ 1367; INS § 10123 | leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB245 | January 1, 2023 | |
| Washington | Abortion Contraception | Rights Scope of practice Rights Scope of practice | HB 1851 | Enacted bill | March 17, 2022 | This bill builds upon an existing state fundamental right to contraception and abortion, ensuring that all people who can become pregnant are covered by the law, allowing physician assistant, advanced registered nurse practitioner, or other health care provider to terminate a pregnancy when acting within the provider’s lawful scope of practice, and prohibiting the state from interfering with those rights by prosecuting or otherwise taking adverse action against someone because of a pregnancy outcome. Statutes: RCW 9.02.100; 9.02.110; 9.02.130; 9.02.140; 9.02.160; 9.02.170; 9.02.120; RCW 9.02.110 (effective until June 2027) https://app.leg.wa.gov/rcw/default.aspx?cite=9.02.110; APRN Scope of Practice to include minor surgeries: RCW 18.79.260; PA Scope of Practice to RCW 18.71A.030 | RCW 9.02.100 | lawfilesext.leg.wa.gov/biennium/2021-22/Pdf/Bills/Session%20Laws/House/1851.SL.pdf?q=20251223081115 | June 9, 2022 |
| New Jersey | Contraception | Extended supply No cost-sharing | SB 413 | Enacted bill | January 13, 2022 | This bill expands the requirement of health insurers and Medicaid program to cover prescriptions for contraceptives for up to 12 months without cost-sharing. Statutes: N.J.S.A. §§ 17:48-6ee; 17:48A-7bb; 17:48E-35.29; 17B:27-46.1ee; 17B:26-2.1y; 26:2J-4.30; 17B:27A-7.12; 17B:27A-19.15; 17:48F-13.2; 52:14-17.29j | N.J.S.A. §§ 17:48-6ee | www.njleg.state.nj.us/bill-search/2020/S413 | January 1, 2023 |
| California | Abortion | Decriminalization | OAG-2021-01 | Legal alert | January 6, 2022 | AG Rob Bonata issued a legal alert to all California district attorneys, police chiefs, and sheriffs that section 187 of the California Penal Code was not intended to punish people who suffer the loss of their pregnancy. Penal Code Section 187 should not be misused to criminalize a pregnant person experiencing a miscarriage or stillbirth. Statutes: PEN § 187 | oag.ca.gov/system/files/attachments/press-docs/Penal%20Code%20187%20Legal%20Alert.pdf | January 6, 2022 | |
| New York | Abortion | Rights | Title 10 § 756.4 | Regulation | January 1, 2022 | The New York Department of Health finalized regulations for licensed health care practitioners providing abortion care. | regs.health.ny.gov/content/section-7564-health-care-practitioner-services | January 1, 2022 | |
| Illinois | Abortion | Decriminalization Minor consent Rights | HB 370 | Enacted bill | December 17, 2021 | This bills repeals the Parental Notice of Abortion Act of 1995, which required a minor to notify an adult family member in order to access abortion care. Under the repealed act, doctors were subject to criminal penalties and disciplinary action from the Illinois State Medical Disciplinary Board. Statutes: 755 ILCS 5/11-5; Public Act 89-18 (repealed) | 755 ILCS 5/11-5 | www.ilga.gov/Legislation/BillStatus?DocNum=370&GAID=16&DocTypeID=HB&LegId=128318&SessionID=110 | June 1, 2022 |
| Maryland | Contraception | Emergency contraception Hospital/ER requirements | COMAR 10.01.18.02-.10 | Regulation | November 23, 2021 | This regulation requires state facilities to train providers to offer counseling to alleged victims of sexual abuse that includes discussion about emergency contraception. | regs.maryland.gov/us/md/exec/comar/10.01.18 | December 27, 2021 | |
| Virginia | Contraception | Medicaid Postpartum Extension | Virginia Family Access to Medical Insurance Security (FAMIS) MOMS and FAMIS Select | Medicaid waiver | November 18, 2021 | This waiver provides coverage to postpartum individuals in Medicaid and the Children’s Health Insurance Program (CHIP), with income up to and including 200 percent of the federal poverty level (FPL), for a total of 12 months. | www.dmas.virginia.gov/media/4935/va-postpartum-amendment-cms-final-award-11-18-2021.pdf | November 18, 2021 | |
| Delaware | Contraception | Emergency contraception Pharmacist prescriber | SB 105 | Enacted bill | October 14, 2021 | This bill authorizes pharmacists to prescribe and dispense emergency contraception and hormonal contraceptives – including the pill, patch, and ring. Statutes: Title 16 § 300O (https://delcode.delaware.gov/title16/c030o/index.html) Title 24 § 2502 | Title 16 § 300O (https://delcode.delaware.gov/title16/c030o/index.html) Title 24 § 2502 | www.legis.delaware.gov/BillDetail?legislationId=58564 | October 14, 2021 |
| Illinois | Contraception | Unbundling IUDs | SB 967 | Enacted bill | October 8, 2021 | This bill, the Improving Health Care for Pregnant and Postpartum Individuals Act, expanded maternal and child health programs within the Department of Health, created new requirements for OB departments in hospitals and birthing centers, and required insurers across most plans in the state to separately reimburse hospitals for providing long-acting reversible contraceptive devices immediately postpartum. Statutes: 215 ILCS 5/356z.4b | www.ilga.gov/Legislation/BillStatus?GAID=16&DocNum=967&DocTypeID=SB&LegId=0&SessionID=110 | October 8, 2021 | |
| North Carolina | Contraception | Emergency contraception Pharmacist prescriber | HB 96 | Enacted bill | September 20, 2021 | This bill allows pharmacists to dispense contraceptives without a prescription, and some forms of emergency contraception without a prescription, but requires a prescription for one type, as well as prenatal vitamins. It also requires a pharmacist who has provided contraception to counsel the patients about a variety of services, including well woman care. Statutes: G.S. §§ 90-85.15B; 90-85.15B(c1); 90-85.38 r; 90-85.15B(e); 90-21.5 | www.ncleg.gov/Sessions/2021/Bills/House/PDF/H96v6.pdf | February 1, 2022 | |
| Delaware | Abortion | Decriminalization | HB 31 | Enacted bill | September 17, 2021 | This bill repeals certain provisions in Title 11 relating to abortion, including provisions which treat abortion differently than other medical procedures, provisions which criminalize women and providers for abortion services, and provisions which criminalize abortion medication and other related devices. Statutes: Title 11 Chapter 5 §§ 632; 651 (Repealed); 652 (Repealed); 653 (Repealed); 654 (Repealed) | Title 11 Chapter 5 §§ 632 | legis.delaware.gov/json/BillDetail/GenerateHtmlDocument?legislationId=48421&legislationTypeId=1&docTypeId=2&legislationName=HB31 | September 17, 2021 |
| Virginia | Contraception | Extended supply | VA-21-0014 | Medicaid SPA | August 18, 2021 | This state plan amendment allows for 12-month contraception dispensing and participation in the National Medicaid Pooling Initiative (NMPI). | www.medicaid.gov/medicaid/spa/downloads/VA-21-0014.pdf | July 1, 2021 | |
| Illinois | Contraception | Pharmacist prescriber | HB 135 | Enacted bill | July 22, 2021 | This bill authorizes pharmacists to prescribe and dispense self-administered hormonal contraceptives. It also requires Medicaid coverage for patient care services for hormonal contraceptives assessment and consultation.provided by a pharmacist. Statutes: 5 ILCS 375/6.11; 20 ILCS 2310/2310-705 new; 55 ILCS 5/5-1069.3; 65 ILCS 5/10-4-2.3; 105 ILCS 5/10-22.3f (https://www.ilga.gov/legislation/ilcs/fulltext?DocName=010500050K10-22.3f) 215 ILCS 5/356z.43 new; 225 ILCS 85/3; 305 ILCS 5/5-5.12d new | 5 ILCS 375/6.11 | www.ilga.gov/legislation/PublicActs/View/102-0103 | January 1, 2022 |
| Arizona | Contraception | Pharmacist prescriber | SB 1082 | Enacted bill | July 9, 2021 | This bill authorizes pharmacists to prescribe and dispense hormonal contraceptives – including the pill, patch, and ring – to patients 18 years old or older, as long as they have a standing prescription order from a licensed prescriber. Statutes: A.R.S. § 32-1979.01. | www.azleg.gov/legtext/55leg/1r/bills/sb1082s.pdf | September 29, 2021 | |
| Colorado | Abortion | Data privacy | SB 21-190 | Enacted bill | July 7, 2021 | This bill creates personal data privacy rights and applies to businesses that control or process consumer personal data or generate revenue from the sale of personal data. Statutes: C.R.S. Title 6 Part 13 | leg.colorado.gov/bills/sb21-190 | July 1, 2023 | |
| Colorado | Contraception | Extended supply Insurance coverage No cost-sharing Non-step therapy | SB 21-009 | Enacted bill | July 6, 2021 | The bill requires the department of health care policy and financing to administer a reproductive health care program that provides contraceptive methods and counseling services to participants, who are individuals who would be eligible for Medicaid but for their immigration status. The program must offer each participant at least a one-year supply of the requested contraceptive method or an alternative contraceptive method and not impose cost-sharing or step therapy requirements. Statutes: C.R.S. §§ 25.5-2-103; 25.5-5-102(1)(h); 25.5-1-201(1)(f.5) | leg.colorado.gov/bills/sb21-009 | August 6, 2021 | |
| Connecticut | Contraception | Unbundling IUDs | CT-21-0013 | Medicaid SPA | June 14, 2021 | This state plan amendment updated the physician office and outpatient fee schedule to increase rates for the Long-Acting Reversible Contraceptive (LARC) devices. | www.medicaid.gov/medicaid/spa/downloads/CT-21-0013.pdf | March 1, 2021 | |
| Maryland | Contraception | Medicaid Family Planning Expansion | MD-20-0013 | Medicaid SPA | May 21, 2021 | This state plan amendment creates a Family Planning Presumptive Eligibility (FPE) Program to enroll participants in a temporary eligibility group to receive family planning services. Participants enroll at Family Planning Qualified Entities (FPQEs), which are Maryland Family Planning Program Delegate Service Sites enrolled in Medicaid that are in good standing. | www.medicaid.gov/medicaid/spa/downloads/MD-20-0013.pdf | January 1, 2021 | |
| Illinois | Contraception | Medicaid Postpartum Extension | 1115 Waiver | Medicaid waiver | April 12, 2021 | Illinois was approved for a 1115 waiver for Medicaid reimbursement for a range of care including twelve months of postpartum care, as well as continuous eligibility during the entire postpartum period. | www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/il-continuity-care-admin-simplification-ca.pdf | April 12, 2021 | |
| Virginia | Contraception | Extended supply | SB 1227 | Enacted bill | March 18, 2021 | This bill requires state Medicaid coverage for a 12-month supply of hormonal contraception. Statutes: §§ 32.1-325; 32.1-351 | legacylis.virginia.gov/cgi-bin/legp604.exe?212+sum+SB1227 | July 1, 2021 | |
| Virginia | Abortion | Insurance coverage | SB 1276 | Enacted bill | March 12, 2021 | This law removes a prohibition on state exchange insurance coverage of abortion. Statutes: § 38.2-3451 | legacylis.virginia.gov/cgi-bin/legp604.exe?212+sum+SB1276 | July 1, 2021 | |
| New Mexico | Abortion | Decriminalization Rights Scope of practice | SB 10 | Enacted bill | February 26, 2021 | This bill repeals a 1969 statute that outlawed most abortion procedures and that would have criminalized abortion providers upon the overturning of Roe v. Wade. It also repealed the statute restricting the provision of surgical abortion care to licensed physicians. Statutes: N.M.S.A. §§ 30-5-1 – 30-5-3, (1978) (Repealed) | N.M.S.A. §§ 30-5-1 – 30-5-3, (1978) (Repealed) | www.nmlegis.gov/Legislation/Legislation?Chamber=S&LegType=B&LegNo=10&year=21 | July 1, 2021 |
| Massachusetts | Abortion Contraception | Minor consent Rights Minor consent Rights | HB 5179 | Enacted bill | January 4, 2021 | This omnibus bill impacts many areas of the code and establishes a right to have the state not “interfere with a person’s personal decision and ability to prevent, commence, terminate or continue their own pregnancy.” The law also allowed additional post-24 week exceptions and made it easier for older teenagers to consent to their own care. | malegislature.gov/Bills/191/H5179 | January 4, 2021 | |
| Massachusetts | Abortion | Scope of practice | HB 5179 | Enacted bill | December 29, 2020 | This bill allows a physician, physician assistant, nurse practitioner, or nurse midwife to perform an abortion within their scope of practice and license when, in their best medical judgment, the pregnancy is under 24 weeks. Statutes: MGL 112, § 12M; Add' l Board of nursing guidance | malegislature.gov/Bills/191/H5179 | December 29, 2020 | |
| California | Abortion | Data privacy | Proposition 24 | Ballot initiative | November 3, 2020 | This ballot initiative amended and expanded the California Privacy Protection Act, established a new right for consumers to limit the use and disclosure of sensitive personal information, and created the Privacy Protection Agency to enforce the state’s consumer data privacy laws. The ballot measure was approved by the voters. Statutes: CIV TITLE 1.81.5. | lao.ca.gov/BallotAnalysis/Proposition?number=24&year=2020 | January 1, 2023 | |
| Kentucky | Contraception | Emergency contraception Pharmacist prescriber | Self-Care Conditions Protocol: Emergency Contraception | Protocol | September 30, 2020 | The Kentucky Board of Pharmacy approved protocols that set forth education and training requirements upon completion of which pharmacists can dispense emergency contraception without a doctor’s prescription. | pharmacy.ky.gov/Documents/Selfcare%20Protocol%20Emergency%20Contraception%20Approved%20September%2030%202020.pdf | September 30, 2020 | |
| Maine | Contraception | Medicaid Family Planning Expansion | ME-20-0008 | Medicaid SPA | September 22, 2020 | This state plan amendment designates that providers and organizations that furnish health care items and services covered under the state plan as qualified entities that can make presumptive eligibility determinations for the family planning group, enabling faster access to care and services. | www.medicaid.gov/medicaid/spa/downloads/ME-20-0008.pdf | October 1, 2020 | |
| Colorado | Contraception | Emergency contraception | 3 CCR 719-1 Appendix C | Rule | September 17, 2020 | This rule pertains to pharmacies and, among other provisions, requires pharmacists to provide counseling and discuss emergency contraception to patients with reproductive potential with genital exposure to semen. | www.coloradosos.gov/CCR/GenerateRulePdf.do?ruleVersionId=9122&fileName=3%20CCR%20719-1 | November 14, 2020 | |
| Arizona | Contraception | Unbundling IUDs | DFSM Claims Clues | Guidance | July 1, 2020 | The Arizona Health Care Cost Containment System (AHCCCS) Division of Fee-for-Service Management (DFSM) re-issued this guidance (Claims Clues) during the pandemic, emphasizing that Long Acting Reversible Contraceptive (LARC) devices are permitted to be separately reimbursed when appropriately billed. | www.azahcccs.gov/PlansProviders/Downloads/ClaimsClues/2020/ClaimsCluesJulyAugust2020.pdf | July 1, 2020 | |
| Connecticut | Contraception | Unbundling IUDs | CT-20-0013 | Medicaid SPA | June 11, 2020 | This state plan amendment increases the rate for Liletta, a Long-Acting Reversible Contraceptive device (LARC), code J7297 (Liletta, 52 mg) to $100 on the Family Planning Clinic fee schedule in order to reimburse providers for the device’s increased acquisition cost. | www.medicaid.gov/medicaid/spa/downloads/CT-20-0013.pdf | March 1, 2020 | |
| Maryland | Contraception | Medicaid Family Planning Expansion | MD-20-0002 | Medicaid SPA | June 5, 2020 | This state plan amendment makes a technical change previously announced in SPA ID MD-18-0005 and applies the MAGI household rules and income rules to Family Planning Applicants, but also makes exceptions during the COVID-19 pandemic for anyone who would lose eligibility under the new rules. | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/MD/MD-20-0002.pdf | February 1, 2020 | |
| Minnesota | Contraception | Medicaid Family Planning Expansion Minor consent Pharmacist prescriber | SF 13 | Enacted bill | May 27, 2020 | This bill authorizes pharmacists to prescribe self-administered hormonal contraceptives, including for minors who have previously been prescribed self-administered hormonal contraception. The bill includes Medicaid coverage for self-administered hormonal contraceptives prescribed and dispensed by a licensed pharmacist. Statutes: Minn. Stat. §§ 62Q.529; 147D.03; 151.01; 151.37; 256B.0625 | www.revisor.mn.gov/bills/91/2019/0/SF/13/versions/3/ | May 28, 2020 | |
| Maryland | Fertility | IUI treatment coverage IVF coverage | SB 988 | Enacted bill | May 8, 2020 | This bill applies to insurers and nonprofit health service plans under policies delivered in Maryland. Entities that provide pregnancy-related benefits cannot exclude outpatient expenses arising from IVF performed on a policyholder or their dependent spouse, as long as certain conditions are met by individuals depending on their circumstances, including that married heterosexual couples must demonstrate either infertility or a year of failed pregnancy attempts while single patients or same-sex couples must demonstrate either infertility or that they have attempted other, less expensive types of fertility treatment. Religious organizations and small businesses are exempt. Statutes: §15-810 | mgaleg.maryland.gov/2020RS/Chapters_noln/CH_325_sb0988t.pdf | January 1, 2021 | |
| Maryland | Contraception | Insurance coverage Nondiscrimination | HB 959 | Enacted bill | May 8, 2020 | This bill codifies requirements of the Affordable Care Act into state law, including requiring coverage for contraception without cost-sharing. | mgaleg.maryland.gov/mgawebsite/Legislation/Details/HB0959?ys=2020RS | May 8, 2020 | |
| New Mexico | Contraception | Unbundling IUDs | NM-20-0002 | Medicaid SPA | April 23, 2020 | This state plan amendment increases the payment rates for Long-Acting Reversible Contraception (LARC) administration and insertion codes. | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/NM/NM-20-0002.pdf | January 1, 2020 | |
| Colorado | Fertility | Insurance coverage IVF coverage | HB 20-1158 | Enacted bill | April 20, 2020 | This bill requires health insurance plans to provide coverage for infertility diagnosis and treatment, including three complete retrieval cycles. Statutes: C.R.S. 10-16-104 | content.leg.colorado.gov/sites/default/files/2020a_1158_signed.pdf | January 1, 2022 | |
| Virginia | Contraception | Pharmacist prescriber | HB 1506 | Enacted bill | April 11, 2020 | This bill allows pharmacists to prescribe and dispense hormonal contraceptives, under a statewide protocol developed by the Board of Pharmacy. Statutes: §§ 38.2 – 3408; 54.1-3300; 54.1-3300.1 | lis.virginia.gov/bill-details/20201/HB1506/text/CHAP0731 | January 3, 2021 | |
| Virginia | Abortion | Decriminalization Rights | HB 980 / SB 733 | Enacted bill | April 9, 2020 | This bill repeals multiple TRAP laws that restrict access to abortion care. The bill removes a 24 hour waiting period requirement, a mandated ultrasound, and required counseling before accessing abortion care. The penalties imposed on physicians are repealed; it also allows advanced practice clinicians to provide abortion care. Statutes: §§ 16.1-77; 18.2-72; 18.2-76; 32.1-127 | §§ 16.1-77 | legacylis.virginia.gov/cgi-bin/legp604.exe?201+ful+HB980ER | July 1, 2020 |
| Virginia | Contraception | Emergency contraception Minor consent | HB 808 | Enacted bill | April 6, 2020 | This bill requires hospitals to provide information about emergency contraception to sexual assault survivors, including pediatric survivors under age 13. Statutes: § 32.1-162.15:5 | lis.virginia.gov/bill-details/20201/HB808 | ||
| Colorado | Fertility | IVF coverage | HB 20-1158 | Enacted bill | April 1, 2020 | This bill, known as the Colorado Building Families Act, mandates all individual and group health benefit plans issued or renewed in Colorado to provide coverage for the diagnosis or and treatment for infertility and fertility preservation services. The plan cannot impose deductibles, copayments, coinsurance, benefit maximums, waiting periods or other limitations that are different from such limitations imposed on benefits unrelated to infertility. Religious employers may request an exclusion from infertility coverage. Statutes: C.R.S. § 10-16-104(23) | leg.colorado.gov/bill_files/60268/download | January 1, 2022 | |
| New Jersey | Contraception | Medicaid Family Planning Expansion | NJ-19-0021 | Medicaid SPA | March 19, 2020 | This state plan amendment implements the Family Planning eligibility group. | www.medicaid.gov/medicaid/spa/downloads/NJ-19-0021.pdf | October 1, 2019 | |
| New Jersey | Contraception | Medicaid Family Planning Expansion | NJ-19-0022 | Medicaid SPA | March 10, 2020 | This state plan amendment accompanies NJ-19-0021 establishing the state eligibility option for family planning services. | www.medicaid.gov/medicaid/spa/downloads/NJ-19-0022.pdf | October 1, 2019 | |
| Connecticut | Contraception | Unbundling IUDs | CT-19-0029 | Medicaid SPA | February 11, 2020 | This state plan amendment updates the physician office and outpatient fee schedule to increase the rates for select Long-Acting Reversible Contraceptive (LARCs) Devices. | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/CT/CT-19-0029_0.pdf | October 2, 2019 | |
| Connecticut | Contraception | Unbundling IUDs | CT-19-0013 | Medicaid SPA | January 17, 2020 | This state plan amendment updates the physician office and outpatient fee schedule to increase the rates for select long-acting reversible contraceptive devices. This SPA also updates the reimbursement methodology for gender reassignment services to ensure that the services paid under the fee schedule include all medically necessary gender reassignment services. | www.medicaid.gov/medicaid-spa/2025-08-20/183626 | April 1, 2019 | |
| New Jersey | Contraception | Emergency contraception No cost-sharing OTC coverage | AB 5508 | Enacted bill | January 16, 2020 | This bill expands contraceptive coverage, without cost-sharing, to all FDA approved contraceptives, including FDA approved over-the-counter contraceptives, such as emergency contraception and condoms. It explicitly covers male sterilization. Statutes: N.J.S.A. §§ 17:48-6ee; 17:48A-7bb; 17:48E-35.29; 17B:27-46.1ee; 17B:26-2.1y; 26:2J-4.30; 17B:27A-7.12; 17B:27A-19.15 (https://lis.njleg.state.nj.us/nxt/gateway.dll?f=templates& fn=default.htm& vid=Publish:10.1048/Enu) 17:48F-13.2; 52:14-17.29j | N.J.S.A. §§ 17:48-6ee | njleg.state.nj.us/2018/Bills/PL19/361_.HTM | April 15, 2020 |
| New Jersey | Contraception | Access for incarcerated people Emergency contraception | SB 2533 | Enacted bill | January 13, 2020 | This bill ensures that incarcerated people who have been the victims of crime have the same rights as other victims, including the right to information about and access to emergency contraception for victims of sexual assault who are incarcerated. Statutes: N.J.S.A. § 52:4B-44 | www.njleg.state.nj.us/bill-search/2018/S2533 | May 1, 2020 | |
| New Jersey | Fertility | IVF coverage | S 2133 | Enacted bill | January 13, 2020 | This bill mandates health benefits coverage for fertility preservation services under certain health insurance plans. Coverage of “standard fertility preservation services” does not include the storage of sperm or oocytes. Statutes: N.J.S.A. 17:48-6rr; 17:48A-7oo; 17:48E-35.42; 17B:27-46.1rr; 26:2J-4.43; 52:14-17.29bb; 52:14-17.46.6m | N.J.S.A. 17:48-6rr | www.njleg.state.nj.us/bill-search/2018/S2133 | March 31, 2020 |
| Colorado | Contraception | Unbundling IUDs | B2000442 | Bulletin | January 1, 2020 | This provider bulletin offers guidance that immediate postpartum LARC devices can be billed and paid separately from inpatient hospital delivery APR-DRG payment. | hcpf.colorado.gov/sites/hcpf/files/Bulletin_0120_B2000442.pdf | January 1, 2020 | |
| Colorado | Contraception | Unbundling IUDs | CO-19-0025 | Medicaid SPA | December 17, 2019 | This state plan amendment modifies the reimbursement methodology for immediate postpartum long-acting reversible contraceptive ( LARC) devices, making it separately reimbursable. | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/CO/CO-19-0025.pdf | January 1, 2019 | |
| California | Abortion | Medication abortion State funding | SB 24 | Enacted bill | October 11, 2019 | This bill requires student health service clinics on California State University and University of California campuses to offer abortion by medication techniques on site. The bill requires the Commission on the Status of Women and Girls to administer the College Student Health Center Sexual and Reproductive Health Preparation Fund. The commission allocates funds to each public university student health care services clinic for providing abortion medication. Statutes: EDC §§ 99250; 99251 | EDC §§ 99250 | leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201920200SB24 | January 1, 2023 |
| Washington | Abortion Contraception | State funding State funding | WAC 182-532-120 | Regulation | August 28, 2019 | This regulation specifies which reproductive health services are covered by Medicaid, including abortion, contraception, and pregnancy-related services. | app.leg.wa.gov/wac/default.aspx?cite=182-532-120 | October 1, 2019 | |
| California | Contraception | Unbundling IUDs | FY19-20 FAQ | Guidance | July 1, 2019 | The California Department of Health Services issued guidance clarifying that Long Acting Reversible Contraception (LARC) is a separately payable service that can be billed on an outpatient claim. | www.dhcs.ca.gov/provgovpart/documents/drg/sfy_19-20medi-cal_drg_faq.pdf | July 1, 2019 | |
| Rhode Island | Abortion Contraception | Minor consent Rights Minor consent Rights | HB 5125B | Enacted bill | June 19, 2019 | The Reproductive Privacy Act law protects individuals’ right to prevent, commence, continue or terminate a pregnancy, as well as the right to abortion through viability and after viability when necessary to preserve the health or life of the individual. | webserver.rilegislature.gov/BillText/BillText19/HouseText19/H5125B.pdf | June 19, 2019 | |
| Maine | Abortion | Insurance coverage State funding | LD 820 | Enacted bill | June 13, 2019 | This bill requires that insurance carriers that cover maternity services must also cover abortion services; it also establishes abortion care as a required covered service for MaineCare members. Any abortion services that are not federally approved Medicaid services must be funded by state funds within existing resources. There is an exclusion for religious employers. Statutes: 22 MRSA § 3196; 24-A MRSA § 4320-M | www.mainelegislature.org/legis/bills/bills_129th/billtexts/HP059401.asp | January 1, 2020 | |
| Illinois | Abortion Contraception | Decriminalization Insurance coverage No Cost-sharing Non-Step therapy Nondiscrimination Rights Scope of practice Decriminalization Insurance coverage No cost-sharing Non-step therapy Nondiscrimination Rights Scope of practice | SB 25 | Enacted bill | June 12, 2019 | This bill creates the Reproductive Health Act, which prohibits the state from denying, restricting, interfering with, or discriminating against a person’s exercise of the fundamental right to make their own decisions regarding reproductive health. It provides that every individual who becomes pregnant has a fundamental right to continue the pregnancy and give birth or to have an abortion, and to make autonomous decisions about how to exercise that right. The bill explicitly states that a fertilized egg, embryo, or fetus does not have independent rights. It also establishes insurance coverage for abortion. Additionally, Illinois laws that criminalized abortion are repealed, such as the Abortion Performance Refusal Act and the Illinois Abortion Law of 1975. This bill defines covered health care professionals to include licensed physicians, advanced practice registered nurses, and physician assistants, and allows them to provide abortion care consistent with their professional judgment, training, accepted clinical standards, and scope of practice, including permitting APRNs and physician assistants to perform aspiration abortions that do not require general anesthesia when authorized by training and any applicable collaborative agreement. Statutes: 775 ILCS 55/1-1, 1-5, 1-10, 1-15, 1-20, 1-25, 1-30, 1-35, 1-97 | 775 ILCS 55/1-1, 1-5, 1-10, 1-15, 1-20, 1-25, 1-30, 1-35, 1-97 | www.ilga.gov/Legislation/BillStatus?DocNum=25&GAID=15&DocTypeID=SB&SessionID=108&GA=101 | June 12, 2019 |
| Maine | Abortion | Scope of practice | HP 922 | Enacted bill | June 10, 2019 | This bill allows abortions to be performed by licensed medical or osteopathic physicians, physician associates, and advanced practice registered nurses, and defines abortion broadly to include pregnancy termination by medication or physical procedures, rather than limiting abortion care to one specific method. Statutes: 22 MRSA § 1596; https://legislature.maine.gov/statutes/22/title22sec1596.html; 22 MRSA § 1598 | 22 MRSA § 1596 | www.mainelegislature.org/legis/bills/getPDF.asp?paper=HP0922&item=3&snum=129 | June 10, 2019 |
| Maine | Abortion | Scope of practice | LD 1261 | Enacted bill | June 10, 2019 | This bill allows a physician assistant or a licensed advanced practice registered nurse to perform abortions. Statutes: 22 MRSA §§ 1596; 1597-A; 1598; 1599-A (Repealed) | legislature.maine.gov/legis/bills/bills_129th/billtexts/HP092201.asp | September 18, 2019 | |
| Washington | Abortion | EMTALA | SB 5889 | Enacted bill | April 17, 2019 | This bill creates additional privacy protections relating to sensitive health care services (including reproductive health care and gender affirming care) for adults who are dependents on someone else’s insurance or minors who can consent to their own care, preventing insurance information from going to the policyholder and prohibiting requests for authorization from the policyholder. Statutes: RCW § 48.43.005 | app.leg.wa.gov/billsummary?BillNumber=5889&Year=2019#:~:text=SB%205889%20%2D%202019%2D20,Concerning%20insurance%20communications%20confidentiality. | January 1, 2020 | |
| New York | Fertility | IVF coverage | SB 1507C | Enacted bill | April 12, 2019 | This budget bill mandates health insurance coverage for three rounds of IVF treatment and standard fertility preservation services including for iatrogenic infertility. It prohibits discrimination in the provision of coverage. Statutes: ISC § 3221 Subsection t | www.nysenate.gov/legislation/bills/2019/S1507 | January 1, 2020 | |
| New York | Contraception | Emergency contraception Extended supply No cost-sharing Non-step therapy OTC coverage | SB 659A | Enacted bill | April 12, 2019 | This bill requires health insurance coverage without cost-sharing for emergency contraception with a prescription and over-the-counter, as well as a 12-month supply of contraception. It specifies that contraception prescribed for non-contraception purposes is not excluded. It also removes a previous requirement for an initial prescription. Statutes: ISC §§ 3221; 4303; § 3216 | www.nysenate.gov/legislation/bills/2019/S659 | January 1, 2020 | |
| New York | Contraception | Emergency contraception Insurance coverage Nondiscrimination OTC coverage | SB 1507C | Enacted bill | April 12, 2019 | This bill clarifies the definition of and requires coverage for all FDA-approved over-the-counter contraceptives, including emergency contraception with a prescription, and expands protections against discrimination within the insurance code. Statutes: ISC §§ 2607; 3221; 4303; 3216 | www.nysenate.gov/legislation/bills/2019/S1507 | April 1, 2019 | |
| New Mexico | Contraception | Emergency contraception Extended supply Insurance coverage No cost-sharing Non-step therapy | HB 89 | Enacted bill | April 4, 2019 | This bill requires health insurance coverage for emergency contraception, a 6-month supply of contraception for private plans and up to a one year supply for Medicaid coverage. It also prohibits cost-sharing and other restrictions like step therapy. Statutes: N.M.S.A. 1978, § 13-7-22; § 59A-22-42 (https://nmonesource.com/nmos/nmsa/en/item/4438/index.do#!fragment/zoupio-_Toc210921216/BQCwhgziBcwMYgK4DsDWszIQewE4BUBTADwBdoAvbRABwEtsBaAfX2zgCYBGABgE5u3AGwBKADTJspQhACKiQrgCe0AOSqxEQmFwJ5iles3bdIAMp5SAIRUAlAKIAZewDUAggDkAwvbGkwAEbQpOwiIkA) § 55-22-55 (https://nmonesource.com/nmos/nmsa/en/item/4438/index.do#!fragment/zoupio-_Toc210921256/BQCwhgziBcwMYgK4DsDWszIQewE4BUBTADwBdoAvbRABwEtsBaAfX2zgCYBGABgE5uHAKwA2AJQAaZNlKEIARUSFcAT2gBydRIiEwuBIuVrN23fpABlPKQBCagEoBRADKOAagEEAcgGFHE0jAAI2hSdjExIA) § 59A-46-44 (https://nmonesource.com/nmos/nmsa/en/item/4438/index.do#!fragment/zoupio-_Toc210922508/BQCwhgziBcwMYgK4DsDWszIQewE4BUBTADwBdoAvbRABwEtsBaAfX2zgCYBGABgE4OHAKw8AHAEoANMmylCEAIqJCuAJ7QA5BskRCYXAiUr1WnXoMgAynlIAhdQCUAogBknANQCCAOQDCTyVIwACNoUnZxcSA) § 59A-23-7.15 | N.M.S.A. 1978, § 13-7-22 | s3.amazonaws.com/fn-document-service/file-by-sha384/8b0d9108a8d0cf0d487b8fb674fbd42e15c81f967a76f450e465953d9403502c9c19958416edfbcd6fc573277ea6fbf6 | January 1, 2020 |
| Maryland | Contraception | Medicaid Family Planning Expansion | MD-18-0005 | Medicaid SPA | March 15, 2019 | This state plan amendment moves the Family Planning Program into the Maryland State Plan and expands program eligibility. This amendment would allow individuals of any age with income at or below 259% of the federal poverty level to qualify for Maryland’s Family Planning Program. | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/MD/MD-18-0005.pdf | July 1, 2019 | |
| Colorado | Contraception | Extended supply | SB 19-113 | Enacted bill | March 14, 2019 | This supplemental budget bill provided $1.8 million in funds to cover dispensing of a 12-month supply of contraceptives at one time for Medicaid beneficiaries. This represented an increase from the previously established 6-month supply of oral contraceptives for Medicaid beneficiaries. | s3.amazonaws.com/fn-document-service/file-by-sha384/f5c26750ad02a0edf3689fff0fef07ecebf045cedca0383281ccbccfa2881c1243b98e1fa18b84f119b5c53a5188625d | July 1, 2019 | |
| New York | Abortion Contraception | Decriminalization Minor consent Nondiscrimination Rights Scope of practice Decriminalization Minor consent Nondiscrimination Rights Scope of practice | SB 240 | Enacted bill | January 22, 2019 | This law establishes the right of every individual to choose or refuse contraception or sterilization, and abortion, prohibits discrimination by the state against individuals for exercising this rights, and allows licensed providers under Title VIII of the Education Law, acting within their lawful scope of practice including Physician Assistants, some Nurse Practitioners, and Certified Nurse Midwives, to provide abortion care. Statutes: PBH § 2599-aa | www.nysenate.gov/legislation/bills/2019/S240 | January 22, 2019 | |
| Maine | Contraception | Medicaid ACA Expansion | EO 1 | Executive order | January 3, 2019 | This Executive Order by Governor Janet Mills orders the Department of Health and Human Services to implement the citizen initiated ballot measure IB0002/ LD 1039 (Question 2) expanding Medicaid eligibility in accordance with the Affordable Care Act as approved by Mainers in November 2017. This had the effect of expanding access to contraception. | www.maine.gov/governor/mills/sites/maine.gov.governor.mills/files/inline-files/Executive%20Order%201.pdf | January 3, 2019 | |
| North Carolina | Contraception | Scope of practice | 21 NCAC 36 .0802 | Regulation | January 1, 2019 | This regulation allows APRNs to prescribe, administer and dispense therapeutic measures, tests, procedures and drugs with physician supervision and collaboration. | reports.oah.state.nc.us/ncac/title%2021%20-%20occupational%20licensing%20boards%20and%20commissions/chapter%2036%20-%20nursing/21%20ncac%2036%20.0802.pdf | June 1, 2021 | |
| North Carolina | Contraception | Scope of practice | 21 NCAC 36 .0809 | Regulation | January 1, 2019 | This regulation requires that the drugs and devices an APRN may prescribe must be outlined in the collaborative practice agreement. | reports.oah.state.nc.us/ncac/title%2021%20-%20occupational%20licensing%20boards%20and%20commissions/chapter%2036%20-%20nursing/21%20ncac%2036%20.0809.pdf | August 1, 2021 | |
| New York | Contraception | Emergency contraception | AB 8401C | Enacted bill | December 21, 2018 | This bill establishes the Sexual Assault Survivor Bill of Rights, which includes information about and provision of emergency contraception for survivors of sexual assault. Statutes: § 2805-i. | www.nysenate.gov/legislation/bills/2017/A8401#:~:text=2017%2DA8401%20%2D%20Summary,a%20victim's%20right%20to%20notice. | June 21, 2018 | |
| Michigan | Contraception | Unbundling IUDs | MSA 18-22 | Bulletin | August 31, 2018 | This bulletin establishes hospital reimbursement for immediate | www.michigan.gov/-/media/Project/Websites/mdhhs/Folder3/Folder44/Folder2/Folder144/Folder1/Folder244/MSA_18-22.pdf?rev=e690eea902e4447db470c9604ef46905 | October 1, 2018 | |
| Illinois | Fertility | Medicaid coverage | HB 2617 | Enacted bill | August 27, 2018 | This bill requires health insurance and Medicaid coverage for medically necessary expenses for standard fertility preservation services when a necessary medical treatment may directly or indirectly cause iatrogenic infertility. Statutes: 5 ILCS 375/6.11; 55 ILCS 5/5-1069.3 (https://www.ilga.gov/legislation/ilcs/fulltext?DocName=005500050K5-1069.3; 65 ILCS 5/10-4-2.3; 105 ILCS 5/10-22.3f; 215 ILCS 5/356z.25 new; 215 ILCS 125/5-3; 215 ILCS 130/4003; 215 ILCS 165/10; 305 ILCS 5/5-16.8 | 5 ILCS 375/6.11 | www.ilga.gov/Legislation/publicacts/view/100-1102 | January 1, 2019 |
| Maine | Contraception | Unbundling IUDs | ME-17-0017A | Medicaid SPA | August 21, 2018 | This state plan amendment adds reimbursement for Long Active Reversible Contraceptives (LARC) during postpartum inpatient hospital stays to ensure adequate reimbursement to providers for the device. | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/ME/ME-17-0017-A.pdf | November 14, 2017 | |
| Rhode Island | Contraception | Extended supply | SB 2529 | Enacted bill | July 19, 2018 | This bill requires health insurance coverage for a 12-month supply of contraception, applicable to private insurers and Medicaid. Statutes: R.I.G.L. §§ 27-18-57; 27-19-48; 27-20-43; 27-41-59 (https://webserver.rilegislature.gov//Statutes/TITLE27/27-41/27-41-59.htm) 42-12.3-3 | R.I.G.L. §§ 27-18-57 | webserver.rilegislature.gov/BillText18/SenateText18/S2529.pdf | July 1, 2019 |
| Delaware | Contraception | Extended supply Insurance coverage No cost-sharing Unbundling IUDs | SB 151 | Enacted bill | July 11, 2018 | This bill requires health insurance coverage without cost-sharing for a 12-month supply of contraception and specifies that contraception prescribed for non-contraception purposes are not excluded, as well as requiring coverage for immediate postpartum long-acting reversible contraception. | legis.delaware.gov/json/BillDetail/GenerateHtmlDocumentEngrossment?engrossmentId=13014&docTypeId=6 | July 11, 2018 | |
| Delaware | Fertility | IUI treatment coverage IVF coverage | SB 139 | Enacted bill | June 30, 2018 | This bill requires health insurance offered in Delaware to provide coverage for fertility care services, including IVF procedures and IUI treatment, for those with a disease or condition that results in infertility or ability to carry a pregnancy to a live birth. The State must provide coverage for those diagnosed with cancer or other diseases when medically necessary treatment could adversely affect fertility. Employers who self-insure or have fewer than 50 employees are exempt and religious employers may request exclusion. Statutes: Title 18 §§ 3342; § 3556 | legis.delaware.gov/json/BillDetail/GenerateHtmlDocumentEngrossment?engrossmentId=2871&docTypeId=6 | June 30, 2018 | |
| California | Abortion | Data privacy | AB 375 | Enacted bill | June 28, 2018 | This bill establishes the California Privacy Protection Act (CPPA), which includes rights to data privacy for consumers such as the right to know what personal information is being collected about them, whether their personal information is sold or disclosed and to whom and the right to decline the sale of personal information. Though this bill does not pertain exclusively or explicitly to reproductive health, it does pertain to biometrics and health data. Statutes: CIV §§ 1798.100; 1798.105; 1798.110; 1798.115; 1798.120; 1798.125; 1798.130; 1798.135; 1798.140; 1798.145; 1798.150; 1798.155; 1798.160; 1798.175; 1798.180; 1798.185; 1798.190; 1798.192; 1798.194; 1798.196; 1798.198 | CIV §§ 1798.100 | leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201720180AB375 | January 1, 2020 |
| Wisconsin | Contraception | Unbundling IUDs | 4.19-A | Guidance | June 25, 2018 | This guidance regarding the approved amended inpatient hospital state plan clarifies that an additional payment will be made to a hospital when a long-acting contraceptive (LARC) is provided immediately postpartum to a WMP member in the inpatient setting. Costs associated with LARC device are to be billed separately from the inpatient visit. | www.dhs.wisconsin.gov/mandatoryreports/mastateplan/4-19a.pdf | January 1, 2018 | |
| Connecticut | Contraception | Extended supply No cost-sharing OTC coverage | Sub. HB 5210 | Enacted bill | May 25, 2018 | This bill ensures insurance coverage of 12-month supplies of all FDA-approved contraceptives, including over-the-counter contraceptive drugs, without cost sharing. Statutes: C.G.A. 700c § 38a-530e | www.cga.ct.gov/2018/ACT/pa/2018PA-00010-R00HB-05210-PA.htm | January 1, 2019 | |
| Maryland | Fertility | IVF coverage | HB 908 | Enacted bill | May 15, 2018 | This bill requires certain insurers, nonprofit health service plans, and health maintenance organizations to provide coverage for fertility preservation procedures when necessary to preserve fertility arising from medical treatment that may directly or indirectly cause iatrogenic infertility. Religious organizations are exempt. Statutes: §§ 15.810.1; 15-857 | mgaleg.maryland.gov/mgawebsite/Legislation/Details/HB0908?ys=2018rs | January 1, 2019 | |
| Maryland | Contraception | Extended supply Medicaid Family Planning Expansion | HB 994 | Enacted bill | May 8, 2018 | This bill requires Medicaid coverage of a 12-month supply of prescription contraceptives. Statutes: §§ 15-148; 15-151 (https://mgaleg.maryland.gov/mgawebsite/Laws/StatuteText?article=ghg& section=15-151& enactments=False& archived=False) 15-716 | §§ 15-148 | mgaleg.maryland.gov/2018RS/chapters_noln/Ch_464_hb0994T.pdf | July 1, 2018 |
| Maryland | Contraception | Extended supply Insurance coverage No cost-sharing OTC coverage | HB 1283 | Enacted bill | May 8, 2018 | This bill applies to private plans and extends requirements for health insurance coverage from a 6-month supply to a 12-month supply of contraception and removes the previous requirement for an initial prescription. However, the bill does not require providers to prescribe or furnish a twelve-month supply at one time. Statutes: § 15-826.1 (a), (b) and (d) | mgaleg.maryland.gov/2018RS/chapters_noln/Ch_450_hb1283T.pdf | January 1, 2020 | |
| Washington | Abortion Contraception | Emergency contraception Insurance coverage No Cost-sharing Non-Step therapy OTC coverage Emergency contraception Insurance coverage No cost-sharing Non-step therapy OTC coverage | Sub. SB 6219 | Enacted bill | March 21, 2018 | This bill requires health insurance coverage for prescription and over-the-counter contraception without cost-sharing and prohibits step therapy. It also requires coverage of abortion care for plans that cover maternity care. Statutes: RCW § 48.43.072 | app.leg.wa.gov/billsummary?BillNumber=6219&Year=2017 | June 7, 2018 | |
| New York | Contraception | Medicaid Family Planning Expansion | NY-17-0068 | Medicaid SPA | March 16, 2018 | This state plan amendment revises ABP 5 to expand family planning benefits to match the proposed expansion for these services in the New York Medicaid State Plan under the categorically needy population, specifically focused on women in the process of receiving fertility treatment. | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/NY/NY-17-0068.pdf | December 1, 2017 | |
| New Jersey | Contraception | Extended supply | AB 2297 | Enacted bill | December 15, 2017 | This bill requires health insurance coverage for contraception for a 6-month supply, although only 3 months for a first prescription. Statutes: N.J.S.A. §§ 17:48-6ee (https://www.westlaw.com/Document/N3EB0A8409EA511EC9B289C852C13301E/View/FullText.html?transitionType=Default& contextData=(sc.Default)& VR=3.0& RS=cblt1.0); N.J.S.A. 17:48A-7bb (https://www.westlaw.com/Document/N3F0A61009EA511EC9B289C852C13301E/View/FullText.html?transitionType=Default& contextData=(sc.Default)& VR=3.0& RS=cblt1.0); N.J.S.A. 17:48E-35.29 (https://www.westlaw.com/Document/N3E21AEB09EA511ECB5DBD9CFD5D32F8C/View/FullText.html?transitionType=Default& contextData=(sc.Default)& VR=3.0& RS=cblt1.0); N.J.S.A. 17B:27-46.1ee (https://www.westlaw.com/Document/N3F27D4109EA511EC9B289C852C13301E/View/FullText.html?transitionType=Default& contextData=(sc.Default)& VR=3.0& RS=cblt1.0); N.J.S.A. 17B:26-2.1y (https://www.westlaw.com/Document/N3DB3AAA09EA511EC84808A5727D914E3/View/FullText.html?transitionType=Default& contextData=(sc.Default)& VR=3.0& RS=cblt1.0); N.J.S.A. 26:2J-4.3 (https://www.westlaw.com/Document/N8CED44C04C6111EA86E5981F4B93C1E1/View/FullText.html?transitionType=Default& contextData=(sc.Default)& VR=3.0& RS=cblt1.0); N.J.S.A. 17B:27A-7.12 (https://www.westlaw.com/Document/N3ECBF8709EA511EC9B289C852C13301E/View/FullText.html?transitionType=Default& contextData=(sc.Default)& VR=3.0& RS=cblt1.0); N.J.S.A. 17B:27A-19.15 (https://www.westlaw.com/Document/N4C2CCE409EA511EC96D2B50D61449738/View/FullText.html?transitionType=Default& contextData=(sc.Default)& VR=3.0& RS=cblt1.0); N.J.S.A. 17:48F-13.2 (https://www.westlaw.com/Document/N3E2AD6709EA511EC84808A5727D914E3/View/FullText.html?transitionType=Default& contextData=(sc.Default)& VR=3.0& RS=cblt1.0); N.J.S.A. 52:14-17.29j (https://www.westlaw.com/Document/N3C46D4309EA511ECABA5D6EDA47993C4/View/FullText.html?transitionType=Default& contextData=(sc.Default)& VR=3.0& RS=cblt1.0) | N.J.S.A. §§ 17:48-6ee (https://www.westlaw.com/Document/N3EB0A8409EA511EC9B289C852C13301E/View/FullText.html?transitionType=Default&contextData=(sc.Default)&VR=3.0&RS=cblt1.0) | pub.njleg.gov/bills/2016/A2500/2297_R1.PDF | March 1, 2018 |
| New York | Contraception | Unbundling IUDs | NY-13-0039 | Medicaid SPA | November 29, 2017 | The state plan amendment carves out the administration of the Long-Acting Reversible Contraceptive (LARC) from the Outpatient APG reimbursement methodology when it is provided on the same Date of Service (DOS) as an abortion, meaning it can be reimbursed separately. | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/NY/NY-13-0039.pdf | July 1, 2013 | |
| Massachusetts | Contraception | Extended supply Insurance coverage No cost-sharing | HB 4009 | Enacted bill | November 20, 2017 | This bill increases health insurance coverage requirements from a 3-month supply to a 12-month supply, including Medicaid managed care plans, without cost-sharing for all FDA-approved contraception. The bill specifies that contraception prescribed for purposes other than contraception are not excluded. Statutes: MGL 32A § 28; 118E § 10J; 175 § 47W; 176A § 8W | malegislature.gov/Bills/190/H4009 | November 20, 2017 | |
| North Carolina | Contraception | Unbundling IUDs | NC-17-0010 | Medicaid SPA | November 15, 2017 | This state plan amendment adds diagnosis related groups codes (DRGs) for the payment of long-acting reversible contraception (LARC) services. | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/NC/NC-17-0010.pdf | October 10, 2017 | |
| Maine | Contraception | Medicaid ACA Expansion | IB 2 / LD 1039 | Ballot initiative | November 7, 2017 | This citizen-initiated bill was approved by the Maine voters and expands MaineCare services and coverage to a new eligibility group qualifying under the federal ACA for an additional federal contribution rate. This expands access and eligibility to a range of services, including contraception, to a broader population. Statutes: 22 MRSA § 3174-G | 22 MRSA § 3174-G | legislature.maine.gov/legis/bills/bills_128th/billtexts/IB000201.asp | January 3, 2018 |
| Illinois | Abortion | Rights State funding | HB 40 | Enacted bill | September 28, 2017 | This bill removes restrictions on public funds for abortion care and requires Medicaid and state employee health insurance to cover abortion services. It also repeals personhood language that would have served as a trigger ban in the absence of Roe v. Wade. Statutes: 5 ILCS 375/6; 5 ILCS 375/6.1; 305 ILCS 5/5-5; 305 ILCS 5/5-8; 305 ILCS 5/5-9; 305 ILCS 5/6-1; 410 ILCS 230/4-100; 720 ILCS 510/1 | 5 ILCS 375/6 | www.ilga.gov/Legislation/BillStatus?DocNum=40&GAID=14&DocTypeID=HB&SessionID=91&GA=100 | January 1, 2018 |
| Oregon | Abortion Contraception | Emergency contraception Insurance coverage No Cost-sharing Non-Step therapy Nondiscrimination OTC coverage Rights Emergency contraception Insurance coverage No cost-sharing Non-step therapy Nondiscrimination OTC coverage Rights | HB 3391 | Enacted bill | August 15, 2017 | This bill mandates coverage of comprehensive reproductive health care services, including contraception, well woman screenings, STI testing and treatment, cancer screening, abortion, and any additional preventative services for women added by the US Preventative Services Task Force. It also prohibits cost-sharing, step therapy and discrimination in the provision of all covered reproductive health services. It also codifies abortion rights in state statute, and protects against the prohibition of services the basis of actual or perceived race, color, national origin, sex, sexual orientation, gender identity, age or disability. Statutes: ORS § 743A.067 | olis.oregonlegislature.gov/liz/2017R1/Downloads/MeasureDocument/HB3391/Enrolled | August 15, 2017 | |
| Massachusetts | Contraception | Emergency contraception Hospital/ER requirements | 105 CMR 130.00 | Regulation | July 14, 2017 | This regulation requires hospitals that are licensed to provide emergency services to make available to the Department’s guidance for providers of care to victims of sexual assault on emergency contraception, as well as to offer and dispense emergency contraception to victims of sexual assault. It also states that hospital records of dispensed emergency contraception are not public record. | www.mass.gov/doc/105-cmr-130-hospital-licensure/download | April 7, 2017 | |
| Hawaii | Contraception | Emergency contraception Pharmacist prescriber | SB 513 | Enacted bill | July 6, 2017 | This bill authorizes pharmacists to prescribe and dispense hormonal contraceptives, including emergency contraception under a collaborative practice agreement only. Also requires patients to provide evidence of a women’s health visit within three years of initial pharmacy prescription or the pharmacist may not continue to prescribe contraceptives. | data.capitol.hawaii.gov/sessions//session2017/bills/SB513_.HTM | July 6, 2017 | |
| Rhode Island | Fertility | IVF coverage | SB 821 | Enacted bill | July 5, 2017 | This bill mandates that any health insurance policy delivered, issued, or renewed in Rhode Island must provide coverage for standard fertility-preservation services when medically necessary treatment may directly or indirectly cause iatrogenic infertility Statutes: R.I.G.L. §§ 27-18-30; 27-19-23; 27-20-20; 27-41-33 | webserver.rilegislature.gov/BillText/BillText17/SenateText17/S0821A.pdf | July 5, 2017 | |
| Delaware | Contraception | Unbundling IUDs | DE-17-003 | Medicaid SPA | June 26, 2017 | This state plan amendment provides a mechanism for Federally Qualified Health Centers (FQHC) to be compensated for Long-Acting Reversible Contraceptives (LARCs) that are not included in the FQHC’s rates, to allow FQHCs to stock a sufficient supply of LARCs. | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/DE/DE-17-003.pdf | January 2, 2017 | |
| Oregon | Contraception | Pharmacist prescriber | HB 2527 | Enacted bill | June 14, 2017 | This bill expands pharmacists’ authority to prescribe and administer hormonal contraceptives, including injectables. Statutes: ORS 689.005; 689.689; 743A.066 | olis.oregonlegislature.gov/liz/2017R1/Measures/Overview/HB2527 | June 14, 2017 | |
| Maine | Contraception | Extended supply Insurance coverage No cost-sharing | LD 1237 | Enacted bill | June 13, 2017 | This bill requires health insurance coverage for a twelve-month supply of all FDA approved forms of contraception for with no cost-sharing. Statutes: 24-A MRSA §§ 4247; 2332-J; 2847-G | www.mainelegislature.org/legis/bills/getPDF.asp?paper=HP0860&item=3&snum=128 | January 1, 2019 | |
| New York | Contraception | Extended supply | DFS-06-17-00015-A | Regulation | June 5, 2017 | This regulation requires health insurance coverage for an inital 3-month supply of contraception, and subsequent 12-month supply refills. | govt.westlaw.com/nyreg/Document/I0d4e05645bd811e7b9b6dc86d9c6f0dd?transitionType=Default&contextData=(sc.Default) | August 27, 2017 | |
| Colorado | Contraception | Extended supply | HB 17-1186 | Enacted bill | June 5, 2017 | This bill requires health insurance coverage for a 3-month supply of contraception and for a 12-month supply for subsequent dispensing of the same prescription, with a 3-month supply maximum for the contraceptive ring. Statutes: C.R.S. § 10-16-104.2; C.R.S. § 10-16-104 | leg.colorado.gov/bills/hb17-1186 | January 1, 2019 | |
| Washington | Contraception | Extended supply | Sub. HB 1234 | Enacted bill | May 16, 2017 | This bill requires health insurance coverage for a 12-month supply of contraception, though the plan may limit a refill in the final quarter of the plan if a 12-month supply has already been furnished within the plan year. | lawfilesext.leg.wa.gov/biennium/2017-18/Pdf/Bills/Session%20Laws/House/1234-S.SL.pdf | July 23, 2017 | |
| Virginia | Contraception | Extended supply | HB 2267 | Enacted bill | March 24, 2017 | This bill requires health insurance coverage for a 12-month supply of contraception and specifies that coverage is not Statutes: §§ 2.2-2818.2; 38.2-3407.5:2 | legacylis.virginia.gov/cgi-bin/legp604.exe?171+ful+CHAP0716 | January 1, 2018 | |
| Minnesota | Contraception | Medicaid Family Planning Expansion | MN-15-0009 | Medicaid SPA | January 3, 2017 | This state plan amendment incorporates the State Eligibility Option for Family Planning Services. | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/MN/MN-15-09.pdf | January 1, 2017 | |
| Minnesota | Contraception | Medicaid Family Planning Expansion | MN-15-0006 | Medicaid SPA | December 23, 2016 | This state plan amendment adds the optional Medicaid eligibility group which provides coverage to women and men that is limited to family planning and family planning-related services under the state plan. | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/MN/MN-15-0006.pdf | January 1, 2017 | |
| Connecticut | Contraception | Unbundling IUDs | CT-16-0008 | Medicaid SPA | December 14, 2016 | This state plan amendment reimburses Long Acting Reversible Contraceptive (LARC) devices separately from the inpatient DRG payment, allowing immediate postpartum LARCs to be paid for separately from delivery related care. | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/CT/CT-16-0008.pdf | April 15, 2015 | |
| Hawaii | Contraception | Unbundling IUDs | Memo No. QI-1613 | Guidance | November 10, 2016 | This guidance from the Hawaii Department of Human Services Med-QUESTDivision emphasizes that, effective immediately, QUEST Integration (QI) health plans will reimburse for LARC — related services and devices provided in the inpatient setting, including immediately post-delivery. Reimbursement for a LARC device and LARC related services will be excluded from any inpatient per diem or global inpatient reimbursement. | medquest.hawaii.gov/content/dam/formsanddocuments/provider-memos/qi-memos/qi-memos-2016/QI-1613-One-Key-Question-and-Contraceptive-Coverage-Eff-Nov-2016.pdf | November 10, 2016 | |
| California | Contraception | Extended supply No cost-sharing Non-step therapy | SB 999 | Enacted bill | September 23, 2016 | This bill requires health insurance coverage for a 12-month supply of FDA-approved, self-administered hormonal contraceptives, including for Medi-Cal managed care plans. It also prohibits cost-sharing and step therapy requirements. Statutes: BPC § 4064.5; HSC § 1367.25; INS § 10123.196; WIC § 14000.01 | leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201520160SB999 | January 1, 2017 | |
| New York | Abortion | State funding | NY CCR 11 § 52.16 | Regulation | September 18, 2016 | This regulation prohibits insurance policies from limiting or excluding coverage for abortions that are medically necessary. Coverage for in-network abortions that are medically necessary must be available without cost-sharing, with the exception of certain high deductible plans. | govt.westlaw.com/nycrr/Document/I5001cca5cd1711dda432a117e6e0f345?viewType=FullText&listSource=Search&originationContext=Search+Result&transitionType=SearchItem&contextData=(sc.Search)&navigationPath=Search%2fv1%2fresults%2fnavigation%2fi0a899d9c0000019e1debce3baed4c396%3fppcid%3dcc351b62b91b4563b56e820ea751cff5%26Nav%3dNYREGULATION_PUBLICVIEW%26fragmentIdentifier%3dI5001cca5cd1711dda432a117e6e0f345%26startIndex%3d1%26transitionType%3dSearchItem%26contextData%3d%2528sc.Default%2529%26originationContext%3dSearch%2520Result&list=NYREGULATION_PUBLICVIEW&rank=3&t_section=52.16+ | September 18, 2016 | |
| California | Contraception | Access for incarcerated people Emergency contraception | SB 1433 | Enacted bill | September 12, 2016 | This bill requires that all birth control methods and emergency contraception approved by the FDA shall be made available to incarcerated persons who are capable of becoming pregnant. Statutes: PEN § 3409 | www.leginfo.ca.gov/pub/15-16/bill/sen/sb_1401-1450/sb_1433_bill_20160912_chaptered.pdf | September 12, 2016 | |
| Arizona | Contraception | Unbundling IUDs | DFSM Claims Clues | Guidance | September 1, 2016 | The Arizona Health Care Cost Containment System (AHCCCS) Division of Fee-for-Service Management (DFSM) issued this guidance (Claims Clues) emphasizing that Long Acting Reversible Contraceptive (LARC) devices are permitted to be separately reimbursed when appropriately billed. | www.azahcccs.gov/PlansProviders/Downloads/ClaimsClues/2016/Sept_2016Update.pdf | October 1, 2016 | |
| Illinois | Contraception | Emergency contraception Extended supply Insurance coverage No cost-sharing Non-step therapy OTC coverage | HB 5576 | Enacted bill | July 29, 2016 | This bill requires insurance coverage without cost-sharing for all FDA-approved contraceptive drugs, devices, including all over-the-counter contraceptives, drugs and devices, which includes emergency contraception, and follow-up services related to their use, as well as coverage for a 12-month supply of contraception. It prohibits restrictions and delays in coverage. This does not apply to Medicaid. This excludes male condoms. In addition, if HHS in the future requires the state to defray the cost of the coverage, the state will not be obligated to pay for the coverage. Statutes: 215 ILCS 5/356z.4 | ilga.gov/legislation/PublicActs/View/099-0672 | January 1, 2017 | |
| Hawaii | Contraception | Extended supply Insurance coverage | SB 2319 | Enacted bill | July 5, 2016 | This bill requires health insurers, including the Medicaid managed care programs, to cover reimbursement for a 12-month supply of contraception. Statutes: H.R.S. §§ 431:10A-116; 432:1-604.5 | www.capitol.hawaii.gov/session/archives/measure_indiv_archives.aspx?billtype=SB&billnumber=2319&year=2016 | January 1, 2017 | |
| Delaware | Contraception | Nondiscrimination | 19 Del.C. § 710 and 711 | Statute | June 30, 2016 | This law prohibits employers from discriminating against an individual based on their reproductive health decisions including contraception, fertility treatment and abortion. | legis.delaware.gov/BillDetail?legislationId=24559 | December 30, 2016 | |
| Colorado | Contraception | Pharmacist prescriber | SB 16-135 | Enacted bill | June 6, 2016 | This bill authorizes pharmacists to prescribe and dispense hormonal contraceptives – including the pill, patch, and ring – to patients 18 years old or older. Statutes: Title 12, Article 42.5, Part 6 | Title 12, Article 42.5, Part 6 | leg.colorado.gov/sites/default/files/2016a_135_signed.pdf | August 10, 2016 |
| Maryland | Contraception | No cost-sharing | SB 848 | Enacted bill | May 10, 2016 | This bill require coverage of all contraception methods without cost sharing. | mgaleg.maryland.gov/mgawebsite/legislation/details/sb0848?ys=2016rs | January 1, 2018 | |
| Maryland | Contraception | Emergency contraception Pharmacist prescriber | HB 613 | Enacted bill | May 10, 2016 | This bill authorizes pharmacists to prescribe and dispense emergency contraception and hormonal contraceptives – including the pill, patch, and ring and sets up an advisory group to develop regulations, which must now allow pharmacists to prescribe before 1/1/2019. Statutes: §§ 15-101 (https://mgaleg.maryland.gov/mgawebsite/laws/StatuteText?article=ghg& section=15-101& enactments=false) 12-101; 12-511 | §§ 15-101 (https://mgaleg.maryland.gov/mgawebsite/laws/StatuteText?article=ghg§ion=15-101&enactments=false) 12-101 | mgaleg.maryland.gov/2017RS/bills/hb/hb0613E.pdf | July 1, 2019 |
| Maryland | Contraception | Extended supply Insurance coverage Medicaid Family Planning Expansion No cost-sharing | HB 1005 | Enacted bill | May 10, 2016 | This bill requires coverage for a 6-month supply of contraception, applicable to private plans and Medicaid, and prohibits prior authorization requirements for most forms of contraception. Statutes: §§ 15-826.1; 15-826.2; 15-831; 15-148 | mgaleg.maryland.gov/2016RS/chapters_noln/Ch_437_hb1005T.pdf | January 1, 2018 | |
| California | Contraception | Pharmacist prescriber | § 1746.1 | Regulation | April 8, 2016 | This Board of Pharmacy regulation provides the protocol that pharmacists must follow to furnish self-administered hormonal contraceptives. | www.pharmacy.ca.gov/publications/hormonal_contraception_protocol_rphs.pdf | April 8, 2016 | |
| Maine | Contraception | Medicaid Family Planning Expansion | ME-15-025 | Medicaid SPA | March 14, 2016 | This state plan amendment clarifies the state’s coverage of family planning and family planning related services to go along with SPA 15 026, which added the Family Planning eligibility option to the State Plan. | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/ME/ME-15-025.pdf | July 1, 2016 | |
| Washington | Contraception | Unbundling IUDs | WA-15-0038 | Medicaid SPA | March 14, 2016 | This state plan amendment allows for payment of enhanced rates for codes directly related to implants or insertion of Long Acting Reversible Contraceptives. | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/WA/WA-15-0038.pdf | September 1, 2015 | |
| Maine | Contraception | Medicaid Family Planning Expansion | ME-15-0026 | Medicaid SPA | March 3, 2016 | This state plan amendment adds the optional Medicaid eligibility group, which provides coverage to women and men for family planning and family planning-related services under the state plan. | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/ME/ME-15-026.pdf | July 1, 2016 | |
| Illinois | Contraception | Unbundling IUDs | IL-15-010 | Medicaid SPA | January 19, 2016 | This state plan amendment allows hospitals separate reimbursement for Long Acting Reversible Contraceptive (LARC) Devices provided in the Inpatient Hospital Setting immediate postpartum. This coverage is in addition to the Diagnostic Related Group (DRG) for labor and delivery. | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/IL/IL-15-010.pdf | July 1, 2015 | |
| Pennsylvania | Contraception | Medicaid Family Planning Expansion | PA-15-0023 | Medicaid SPA | December 22, 2015 | This state plan amendment authorizes the provision of family planning and family planning-related services, pharmaceuticals and supplies to men and women of any age, who are not otherwise eligible for Medical Assistance and who are not pregnant and have income at or below 215 percent of the Federal Poverty Limit. | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/PA/PA-15-0023.pdf | July 1, 2015 | |
| Minnesota | Contraception | Medicaid Family Planning Expansion | MN-13-023 | Medicaid SPA | December 15, 2015 | This state plan amendment revises methodologies and standards for determining payment rates by increasing payments for family planning among many other services. | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/MN/MN-13-23.pdf | July 1, 2013 | |
| Pennsylvania | Contraception | Medicaid Family Planning Expansion | PA-15-0019 | Medicaid SPA | August 21, 2015 | This state plan amendment pertains to “Individuals Eligible for Family Planning Services”. The State elects to cover individuals who are not pregnant, and have household income at or below a standard established by the State, whose coverage is limited to family planning and related services and in accordance with provisions described at 42 CFR 435.214. | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/PA/PA-15-0019.pdf | July 1, 2015 | |
| Oregon | Contraception | Pharmacist prescriber | HB 2879 | Enacted bill | July 6, 2015 | This bill allows pharmacists to prescribe and dispense certain hormonal contraceptives, namely the pills and the patch. Statutes: ORS 689.005 | olis.oregonlegislature.gov/liz/2015R1/Measures/Overview/HB2879 | July 6, 2015 | |
| Illinois | Contraception | Unbundling IUDs | Provider Notice issued 06/30/15 | Notice | June 30, 2015 | This Provider Notice from the Illinois Department of Healthcare and Family Services (HFS) clarifies that the Illinois HFS will allow hospitals separate reimbursement for the LARC device provided immediately postpartum in the inpatient hospital setting and that the payment will be made in addition to the Diagnostic Related Group (DRG) reimbursement for labor and delivery. | hfs.illinois.gov/medicalproviders/notices/notice.prn150630a.html | July 1, 2015 | |
| Hawaii | Contraception | Emergency contraception Pharmacist prescriber | HAR § 16-95-130 | Rule | June 12, 2015 | This rule establishes education, training and collaborative agreement requirements between licensed physicians and pharmacists for prescribing emergency contraception. | files.hawaii.gov/dcca/pvl/pvl/har/har_95-c.pdf | June 22, 2015 | |
| Oregon | Contraception | Extended supply | HB 3343 | Enacted bill | June 11, 2015 | This bill requires health insurance coverage for a 12-month supply of contraception, with a requirement for an initial 3-month supply with prescription. Statutes: ORS § 743A.066 | olis.oregonlegislature.gov/liz/2015R1/Downloads/MeasureDocument/HB3343 | January 1, 2016 | |
| Colorado | Contraception | Unbundling IUDs | CO-15-0002 | Medicaid SPA | June 9, 2015 | This state plan amendment updates Rural Health Clinic reimbursement for Long Acting Reversible Contraception (LARC) and Non-surgical Transcervical Permanent Female Contraceptive Devices separate from the per visit rate. | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/CO/CO-15-0002.pdf | April 1, 2015 | |
| Virginia | Contraception | Medicaid Family Planning Expansion | VA-15-0021 | Medicaid SPA | April 1, 2015 | This state plan amendment updates MAGI-Based Eligibility Group Options for Coverage of Individuals Eligible for Family Planning S59 by Increasing Maximum Income Standard to 200% FPL. | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/VA/VA-15-0021.pdf | January 1, 2015 | |
| Connecticut | Contraception | Unbundling IUDs | CT-14-039 | Medicaid SPA | March 27, 2015 | This state plan amendment increases the fee for one type of IUD. | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/CT/CT-14-039.pdf | December 1, 2014 | |
| Virginia | Contraception | Medicaid ACA Expansion | VA-14-0008 | Medicaid SPA | October 31, 2014 | This state plan amendment conforms the existing Virginia Medicaid Works ABP to the requirements of the Affordable Care Act by adding to the package Essential Health Benefits that were not previously provided, which had the effect of expanding access to contraception. | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/VA/VA-14-0008.pdf | January 1, 2014 | |
| Illinois | Contraception | Unbundling IUDs | IL-14-0027 | Medicaid SPA | October 17, 2014 | This state plan amendment allows federal qualified health centers (FQHCs) and rural health clinics (RHCs) to be reimbursed under an alternate payment methodology for Long Acting Reversible Contraceptives (LARCs) and non-surgical, transcervical permanent female contraceptive devices. | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/IL/IL-14-0027.pdf | October 1, 2014 | |
| Michigan | Contraception | Medicaid ACA Expansion | MI-13-0001 | Medicaid SPA | October 9, 2014 | This state plan amendment incorporates MAGI-Based Income Methodologies for the adult group newly eligible under the ACA, which had the effect of expanding access to contraception. | www.medicaid.gov/CHIP/Downloads/MI/MI-13-0001-MC1.pdf | January 1, 2014 | |
| Pennsylvania | Contraception | Medicaid ACA Expansion | PA-14-0012-MM1 | Medicaid SPA | October 2, 2014 | This state plan amendment incorporates the MAGI-Based Eligibility Group into Pennsylvania’s State Plan in accordance with the Affordable Care Act, which had the effect of expanding access to contraception. | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/PA/PA-14-0012-MM1.pdf | January 1, 2014 | |
| California | Contraception | Insurance coverage No cost-sharing Non-step therapy Unbundling IUDs | SB 1053 | Enacted bill | September 30, 2014 | This bill expands contraceptive coverage, without cost-sharing, under Medi-Cal. Statutes: HSC § 1367.25 | leginfo.legislature.ca.gov/faces/billCompareClient.xhtml?bill_id=201320140SB1053 | November 21, 2024 | |
| North Carolina | Contraception | Medicaid Family Planning Expansion Minor consent | NC-14-018 | Medicaid SPA | September 23, 2014 | This state plan amendment allows the provision of Family Planning Services to all individuals who are eligible; requires the | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/NC/NC-14-018.pdf | October 1, 2014 | |
| North Carolina | Contraception | Medicaid Family Planning Expansion | NC-14-0005-MM1 | Medicaid SPA | September 22, 2014 | This state plan amendment restores the state’s election of the MAGI-based eligibility for the family planning optional eligibility group in the Medicaid state plan, restoring eligibility for residents of reproductive age at or below 195% of the federal poverty level. | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/NC/NC-14-0005-MM1.pdf | October 1, 2014 | |
| Connecticut | Contraception | Medicaid ACA Expansion | CT-14-0007-MM7 | Medicaid SPA | June 3, 2014 | This state plan amendment implements the Medicaid expansion under the ACA, including the addition of adults (HUSKY D) as a MAGI eligibility group and expansion of MAGI groups statewide, which give more adults access to coverage for contraception. | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/CT/CT-14-0007-MM7.pdf | January 1, 2014 | |
| Washington | Contraception | Medicaid ACA Expansion | WA-14-0009 | Medicaid SPA | May 13, 2014 | This state plan amendment defines the new Alternative Benefit | www.medicaid.gov/sites/default/files/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/WA/WA-14-0009.pdf | January 1, 2014 | |
| Massachusetts | Contraception | Medicaid ACA Expansion | 13-0025-MM3 | Medicaid SPA | March 19, 2014 | This state plan amendment implements Modified Adjusted Gross Income (MAGI)-based income methodologies for Medicaid eligibility — a foundational change for ACA expansion eligibility which had the effect of expanding access to contraception. | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/MA/MA-13-0025-MM3.pdf | January 1, 2014 | |
| New Jersey | Contraception | Medicaid ACA Expansion | NJ-13-0018 | Medicaid SPA | February 19, 2014 | This state plan amendment expands CHIP eligibility to 350% of the Federal Poverty Line for low-income children and 200% of the FPL for low-income pregnant women, increasing access to coverage which in turn expands access to contraception among other medical care. | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/NJ/NJ-13-0018.pdf | January 1, 2014 | |
| Minnesota | Contraception | Medicaid ACA Expansion | MN-13-0009 | Medicaid SPA | February 13, 2014 | This state plan amendment incorporates the MAGI-based eligibility process requirements in accordance with the Affordable Care Act, which had the effect of expanding access to contraception. | www.medicaid.gov/sites/default/files/CHIP/Downloads/MN/MN-13-0009-MC4.pdf | January 1, 2014 | |
| Colorado | Contraception | Medicaid ACA Expansion | CO-13-0055 | Medicaid SPA | February 10, 2014 | This state plan amendment implements Colorado’s ACA Medicaid expansion population (the “new adult group”) by authorizing an Alternative Benefit Plan (ABP) for adults newly eligible under the ACA up to ~138 % of the Federal Poverty Level, and sets out delivery system selections and assurances under the state plan. This had the effect of expanding access to contraception. | www.medicaid.gov/sites/default/files/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/CO/CO-13-0055.pdf | January 1, 2014 | |
| Arizona | Contraception | Medicaid ACA Expansion | AZ-14-0006 | Medicaid SPA | January 1, 2014 | This state plan amendment establishes the Alternative Benefit Plan (ABP) for the newly eligible adult group under the ACA Medicaid expansion (the population newly eligible up to ~133-138% FPL). This had the effect of expanding access to contraception. | www.medicaid.gov/sites/default/files/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/AZ/AZ-14-0006.pdf | January 1, 2014 | |
| Oregon | Contraception | Medicaid ACA Expansion | OR-13-0014-MM3 | Medicaid SPA | January 1, 2014 | This state plan amendment incorporates the Modified Adjusted Gross Income (MAGI)-Based Methodologies into the Medicaid State Plan in accordance with the Affordable Care Act, which had the effect of expanding access to contraception. | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/OR/OR-13-0014-MM3.pdf | January 1, 2014 | |
| Minnesota | Contraception | Medicaid ACA Expansion | MN-13-0020 | Medicaid SPA | December 30, 2013 | This state plan amendment establishes the Alternative Benefit Plan For Adult Expansion Group under the ACA, which had the effect of expanding access to contraception. | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/MN/MN-13-0020.pdf | January 1, 2014 | |
| Michigan | Contraception | Medicaid ACA Expansion | 11-W-00245/5 | Medicaid waiver | December 30, 2013 | This state 1115 waiver amendment implements a program that will make quality health care affordable and accessible for all Michigan citizens up to 133% of the federal poverty level who are otherwise not eligible for Medicaid at the time of enrollment, which had the effect of expanding access to contraception. | www.medicaid.gov/Medicaid-CHIP-Program-Information/By-Topics/Waivers/1115/downloads/mi/Healthy-Michigan/mi-healthy-michigan-cms-amend-appvl-12302013.pdf | December 30, 2013 | |
| Colorado | Contraception | Medicaid ACA Expansion | CO-13-0045-MM1 | Medicaid SPA | December 18, 2013 | This state plan amendment incorporates MAGI-based mandatory and optional eligibility group requirements into Colorado’s Medicaid state plan, including adults newly eligible under the ACA expansion up to ~138 % FPL (the “new adult group”), which had the effect of expanding access to contraception. | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/CO/CO-13-0045-MM1.pdf | January 1, 2014 | |
| New York | Contraception | Medicaid Family Planning Expansion | NY-12-12 | Medicaid SPA | December 16, 2013 | This state plan amendment incorporates the Family Planning Benefit Program as a State Plan Service. | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/NY/NY-12-12.pdf | November 1, 2012 | |
| New York | Contraception | Medicaid ACA Expansion | NY-13-0040-MM1 | Medicaid SPA | December 13, 2013 | This state plan amendment adopted MAGI eligibility methodology and streamlined enrollment processes in accordance with the ACA, which had the effect of expanding access to contraception. | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/NY/NY-13-0040-MM1.pdf | January 1, 2014 | |
| California | Abortion | Medication abortion | AB 154 | Enacted bill | October 10, 2013 | This bill allowed qualified and trained nurse practitioners and physicians assistants to provide first trimester abortions through aspiration or medication as long as it was within their training and scope of practice – previously only physicians could provide abortion care. Statutes: BPC §§ 2253; 2725.4; 3502.4; HSC § 123468 | leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201320140AB154 | January 1, 2014 | |
| Delaware | Contraception | Medicaid ACA Expansion | DE-13-0008MM | Medicaid SPA | October 6, 2013 | This state plan amendment makes changes to eligibility and income methodology consistent with the ACA MAGI framework, which had the effect of expanding access to contraception. | dhss.delaware.gov/wp-content/uploads/sites/9/dmma/pdf/sp_magi.pdf | January 1, 2014 | |
| Arizona | Contraception | Medicaid ACA Expansion | AZ-13-008 | Medicaid SPA | October 4, 2013 | This state plan amendment updates the State Plan to include MAGI-based eligibility groups, which had the effect of expanding access to contraception. | www.azahcccs.gov/Resources/Downloads/MedicaidStatePlan/Amendments/2013/13-008_Approved.pdf | January 1, 2014 | |
| California | Contraception | Emergency contraception Pharmacist prescriber | SB 493 | Enacted bill | October 1, 2013 | This bill authorizes authorizes pharmacists to furnish hormonal contraceptives – including the pill, patch, ring and emergency contraception, as long as a specific protocol is followed. Statutes: BPC §§ 733; 4016.5 (https://leginfo.legislature.ca.gov/faces/codes_displayText.xhtml?lawCode=BPC& division=2.& title=& part=& chapter=9.& article=2.)4050-4052; 4060 (https://leginfo.legislature.ca.gov/faces/codes_displayText.xhtml?lawCode=BPC& division=2.& title=& part=& chapter=9.& article=3.), 4076; 4111 (https://leginfo.legislature.ca.gov/faces/codes_displayText.xhtml?lawCode=BPC& division=2.& title=& part=& chapter=9.& article=7.), 4174 (https://leginfo.legislature.ca.gov/faces/codes_displayText.xhtml?lawCode=BPC& division=2.& title=& part=& chapter=9.& article=12.), 4210; 4233 | BPC §§ 733 | leginfo.legislature.ca.gov/faces/billCompareClient.xhtml?bill_id=201320140SB493 | January 1, 2014 |
| California | Contraception | Medicaid ACA Expansion | CA-13-0023-MM | Medicaid SPA | September 30, 2013 | This state plan amendment updated the MAGI methodology for California’s Medicaid eligibility in alignment with the ACA that enabled coverage of adults up to ~138 % FPL, thus expanding access to contraception. | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/CA/CA-13-0023-MM.pdf | September 6, 2013 | |
| Hawaii | Contraception | Medicaid ACA Expansion | HI-13-0007-MM1 | Medicaid SPA | September 13, 2013 | This state plan amendment incorporates MAGI-based eligibility groups under the ACA, which had the effect of expanding access to contraception. | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/HI/HI-13-0007-MM1.pdf | January 1, 2014 | |
| Illinois | Contraception | Medicaid ACA Expansion | SB 26 | Enacted bill | July 22, 2013 | This bill extends benefits under the state’s medical assistance program to persons aged 19-65 with income at or below 133% of the federal poverty level plus 5% for the applicable family size. It also provides that if Illinois’ federal medical assistance percentage (FMAP) is reduced below 90% for persons eligible for medical assistance under the specified provisions, medical assistance eligibility for this new class of persons shall cease no later than the end of the third month following the month in which the reduction in FMAP takes effect. This aligns state law pertaining to Medicaid eligibility with the federal Affordable Care Act (ACA), and therefore expands the eligible population who may receive coverage and benefits related to contraception through Medicaid. Statutes: 305 ILCS 5 § 5-2(18) | www.ilga.gov/Documents/Legislation/PublicActs/98/PDF/098-0104.pdf | July 22, 2013 | |
| New Mexico | Contraception | Medicaid Family Planning Expansion | NM-13-04 | Medicaid SPA | July 10, 2013 | This state plan amendment makes technical changes to reflect the income disregards currently in place for the family planning and the optional poverty-level pregnant women and infants groups. | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/NM/NM-13-04.pdf | April 1, 2013 | |
| Arizona | Contraception | Medicaid ACA Expansion | HB 2010 | Enacted bill | June 17, 2013 | This bill expanded eligibility for different populations under the Arizona Health Care Cost Containment System, which had the effect of expanding access to contraception. Statutes: A.R.S. §§ 36-2901.07. – 36-2901..09 | A.R.S. §§ 36-2901.07. – 36-2901..09 | www.azleg.gov/legtext/51leg/1s/bills/hb2010h.pdf | January 1, 2014 |
| North Carolina | Contraception | Medicaid Family Planning Expansion | NC-13-004 | Medicaid SPA | June 7, 2013 | This state plan amendment establishes a new eligibility group | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/NC/NC-13-004-Ltr.pdf | November 1, 2013 | |
| Colorado | Abortion | Decriminalization | HB 13-1154 | Enacted bill | June 5, 2013 | This bill criminalizes the assault or murder of a pregnant woman that also ends the pregnancy, creating a crime of unintentional termination of pregnancy in the first case and a sentence enhancement in the second. This bill explicitly states that neither a woman who ends her pregnancy nor a health care provider rendering such services can be subject to criminal penalties. The act repeals the requirement for coroners to report their suspicions of “criminal abortions” or “self-induced” abortions to the district attorney. Statutes: C.R.S. Title 18, Art. 3.5; 13-22-103; 13-22-105; 18-1.3-406; 17-18-108 | C.R.S. Title 18, Art. 3.5 | www.leg.state.co.us/clics/clics2013a/csl.nsf/fsbillcont3/0A13A83016FE5FA587257AEE0055B9AC?Open&file=1154_enr.pdf | July 1, 2013 |
| Illinois | Contraception | Unbundling IUDs | IL-12-026-179 | Medicaid SPA | March 22, 2013 | This state plan amendment adds a new reimbursement methodology for implantable contraceptive devices. | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/IL/IL-12-026-179.pdf | October 13, 2012 | |
| North Carolina | Contraception | Medicaid Family Planning Expansion Minor consent | NC-11-040 | Medicaid SPA | September 21, 2012 | The amendment allows North Carolina to convert its Section 1115 Family Planning Waiver to a regular State Plan Amendment through Section 2303 of the Affordable Care Act. Through this SPA, North Carolina will provide family planning services to all individuals who are eligible; require the State to cover the same family planning services that other eligible recipients receive; impose no restrictions for eligibility based on age to receive family planning services; and provide non-emergency medical transportation for recipients to and from family planning appointments. | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/NC/NC-11-040-179.pdf | October 1, 2011 | |
| Virginia | Contraception | Medicaid Family Planning Expansion | VA-11-03 | Medicaid SPA | September 22, 2011 | This state plan amendment adds coverage of the optional family planning group with limited covered services. | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/VA/VA-11-03.pdf | October 1, 2011 | |
| New Jersey | Contraception | Emergency contraception | SB 972 | Enacted bill | August 18, 2011 | This bill clarifies that sexual assault victims are not responsible for any costs of forensic sexual assault examinations or related services, including emergency contraception. Statutes: N.J.S.A. § 52:4B-22 | www.njleg.state.nj.us/bill-search/2010/S972/bill-text?f=S1000&n=972_S1 | August 18, 2011 | |
| California | Contraception | Medicaid Family Planning Expansion | CA-10-014 | Medicaid SPA | March 24, 2011 | This state plan amendment incorporates the State Eligibility Option for Family Planning Services. | www.dhcs.ca.gov/formsandpubs/laws/Documents/10-014%20Recent%20Amendment.pdf | July 1, 2010 | |
| New Mexico | Contraception | Medicaid Family Planning Expansion | NM-10-12-179 | Medicaid SPA | February 24, 2011 | This state plan amendment adds New Eligibility Group and Option To Provide Medical Assistance for Family Planning. | www.medicaid.gov/State-resource-center/Medicaid-State-Plan-Amendments/Downloads/NM/NM-10-12-179.pdf | February 1, 2011 | |
| California | Contraception | Emergency contraception | SB 1489 | Enacted bill | September 30, 2010 | This bill allows pharmacists to furnish emergency contraception, with requirements for related continuing education. Statutes: BPC § 4052.3 | www.leginfo.ca.gov/pub/09-10/bill/sen/sb_1451-1500/sb_1489_bill_20100617_amended_asm_v96.html | September 30, 2010 | |
| New York | Contraception | Emergency contraception | AB 9704 | Enacted bill | July 7, 2010 | This FY2011 Budget appropriates $2.2M for services and expenses, including grants, for statewide emergency contraception outreach and education, training and assistance as approved by the commissioner. | assembly.state.ny.us/leg/?default_fld=&leg_video=&bn=A9704&term=2009&Summary=Y&Actions=Y&Floor%26nbspVotes=Y&Text=Y | ||
| Michigan | Contraception | Medicaid ACA Expansion | 11-W-00245/5 | Medicaid waiver | December 22, 2009 | This 1115 waiver extended Michigan’s Medicaid expansion program, which include adults with income up to 133 percent of the FPL in alignment with the ACA, thus expanding access to contraception. The demonstration was set to expire on 12/31/18, and was approved by CMS for extension through 12/31/23. This waiver expired 12/31/23. | www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/mi-healthy-michigan-cms-ext-appvl-12212018.pdf | January 1, 2010 | |
| Oregon | Contraception | Emergency contraception | HB 2009 / SB 158 | Enacted bill | June 26, 2009 | This bill requires hospitals and the Oregon Health Authority to inform and provide contraception upon request to victims of sexual assault. | olis.oregonlegislature.gov/liz/2009R1/Measures/Overview/HB2009 | ||
| Colorado | Contraception | Emergency contraception | SB 09-225 | Enacted bill | May 20, 2009 | This bill defines “emergency contraception” to explicitly exclude mifepristone and other medication abortion drugs. | www.statebillinfo.com/bills/bills/09/225_enr.pdf | August 5, 2009 | |
| New York | Contraception | Emergency contraception | AB 154 | Enacted bill | April 7, 2009 | This FY2010 Budget | assembly.state.ny.us/leg/?default_fld=&bn=A00154&term=2009&Summary=Y&Actions=Y&Text=Y&Committee%26nbspVotes=Y&Floor%26nbspVotes=Y | ||
| Washington | Contraception | Emergency contraception Hospital/ER requirements | WAC 246-320-286 | Rule | March 11, 2009 | This statute requires hospitals with emergency rooms to provide victims of sexual assault with information about emergency contraception and to offer and, upon request, dispense it. | app.leg.wa.gov/wac/default.aspx?cite=246-320-286#:~:text=The%20purpose%20of%20this%20section%20is%20to,and%20implement%20policies%20and%20procedures%20regarding%20the | April 11, 2009 | |
| Rhode Island | Contraception | Medicaid Family Planning Expansion | Rhode Island Comprehensive Demonstration | Medicaid waiver | January 16, 2009 | This state waiver incorporates an Extended Family Planning (EFP) program into its larger, comprehensive Medicaid demonstration waiver, known as the “Global Consumer Choice Compact”. The EFP program is designed to ensure continuity of care and improve health outcomes by offering family planning services to women who are no longer eligible for full Medicaid. | www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/ri-comp-demo-appvl-11282025.pdf | July 1, 2009 | |
| Wisconsin | Contraception | Emergency contraception Hospital/ER requirements | AB 377 | Enacted bill | March 13, 2008 | This statute requires hospitals providing emergency services to inform victims of sexual assault about emergency contraception, to offer it and, upon request, dispense it. Statutes: § 50.375 (https://docs.legis.wisconsin.gov/statutes/statutes/50/ii/375#:~:text=(2)%20A%20hospital%20that%20provides,do%20all%20of%20the%20following%3A& text=(a)%20Provide%20to%20the%20victim,and%20its%20use%20and%20efficacy.) | § 50.375 (https://docs.legis.wisconsin.gov/statutes/statutes/50/ii/375#:~:text=(2)%20A%20hospital%20that%20provides,do%20all%20of%20the%20following%3A&text=(a)%20Provide%20to%20the%20victim,and%20its%20use%20and%20efficacy.) | docs.legis.wisconsin.gov/2007/proposals/ab377 | March 28, 2008 |
| Pennsylvania | Contraception | Emergency contraception | 28 Pa. Code § 117.53 | Regulation | January 25, 2008 | This regulation requires hospitals to provide victims of sexual assault with information about emergency contraception and to offer and dispense it upon request. | www.pacodeandbulletin.gov/Display/pacode?file=/secure/pacode/data/028/chapter117/s117.53.html&d=reduce | January 26, 2008 | |
| Washington | Abortion | Medication abortion | AGO 2004 No. 1 | AG opinion | January 5, 2004 | In this formal opinion from AG Christine Gregoire, then AG Gregoire opines that Advanced Registered Nurse Practitioners can lawfully furnish or prescribe abortion medication, within their scope of professional practice, without supervision from a licensed physician. | www.atg.wa.gov/ago-opinions/authority-advanced-registered-nurse-practitioners-arnps-prescribe-or-furnish-abortion | January 5, 2004 | |
| Rhode Island | Contraception | Scope of practice | SB 827 | Enacted bill | July 9, 2003 | The Rhode Island Nurse Practitioner Act allows CRNPs to prescribe legend medications and Schedules II-V controlled substances. Statutes: R.I.G.L. §5-34-39 | webserver.rilegislature.gov/PublicLaws/law03/law03125.htm | July 9, 2003 | |
| Hawaii | Fertility | IVF coverage | HB 1164 | Enacted bill | June 26, 2003 | This bill requires all individual and group accident and health or sickness insurance policies which provide pregnancy-related benefits to include a one-time benefit for IVF procedures performed on the insured or the insured’s spouse. Additionally, the law forbids individual and group accident and health or sickness insurance policies from excluding contraceptive services. Statutes: H.R.S. §§ 431:10A-116.5; 431:10A-116.6 (https://www.capitol.hawaii.gov/hrscurrent/Vol09_Ch0431-0435H/HRS0431/HRS_0431-0010A-0116_0006.htm) 432:1-604 | H.R.S. §§ 431:10A-116.5 | www.capitol.hawaii.gov/sessions/session2003/bills/HB1164_CD1_.htm | July 1, 2003 |
| Maryland | Abortion | Clinic safety | HB 11 | Enacted bill | May 16, 2002 | This statute is a clinic safety law that prohibits the physical obstruction of clinic entrances. Statutes: § 10-204 | mgaleg.maryland.gov/2002rs/bills/hb/hb0011f.pdf | October 1, 2002 | |
| New Mexico | Contraception | Scope of practice | HB 337 | Enacted bill | April 2, 2001 | This bill allows CNPs to independently prescribe prescription drugs and Schedules II-V controlled substances, which increases access to prescription contraceptives. Statutes: N.M.S.A. §61-3-23.2(B)(2) | www.nmlegis.gov/Sessions/01%20Regular/FinalVersions/house/hb0337fv.pdf | April 2, 2002 | |
| Connecticut | Contraception | Scope of practice | Sub. SB 333 | Enacted bill | June 23, 1999 | This statute loosened previous requirements that APRNs could only prescribe medication under the supervision of a physician, so that APRNs may now do so as long as they collaborate with a physician to prescribe medications for the first three years. The collaboration agreement must address the level of medications and controlled substances the APRN may prescribe and provide a method to review patient outcomes. This may increase access to contraception by allowing additional providers to prescribe it. Statutes: C.G.A. § 20-87a(2) | www.cga.ct.gov/ps99/Act/pa/1999PA-00168-R00SB-00333-PA.htm | June 23, 1999 | |
| Oregon | Contraception | Medicaid Family Planning Expansion | Oregon Contraceptive Care | Medicaid waiver | October 14, 1998 | This state waiver provides family planning and reproductive health services to individuals with household incomes at or below 250% of the federal poverty level (FPL). | www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/or-contraceptive-care-monitor-rdsgn-ovl-ltr.pdf | January 1, 1999 | |
| Michigan | Abortion | Clinic safety | SB 862 | Enacted bill | September 15, 1998 | This bill is a clinic safety measure that prohibit trespassing, harassment and other related conduct on the premises of a health care facility. Statutes: MCL § 333.20198 | archive.legislature.mi.gov/Bills/Bill?ObjectName=1998-SB-0862 | March 23, 1999 | |
| Maine | Abortion | Clinic safety | LD 1216 | Enacted bill | April 5, 1995 | This bill prohibits obstruction of a health care facility, unreasonable noise, repeated phone calls, and odorous devices that interfere with reproductive health care. Statutes: 5 MRSA § 4684-B | lldc.mainelegislature.org/Open/LDs/117/117-LD-1216.pdf | April 5, 1995 | |
| Wisconsin | Contraception | Scope of practice | AB 756 | Enacted bill | March 8, 1994 | This statute provided that the Board of Nursing may issue a certificate to issue prescription orders to an advanced practice nurse (APN) who meets certain education, training and examination requirements. Note: This section is repealed effective 9/1/26 by 2025 Wis. Act 17. Statutes: § 441.16(2) | docs.legis.wisconsin.gov/1993/related/acts/138 | March 23, 1994 | |
| Massachusetts | Abortion | Clinic safety | SB 225 | Enacted bill | January 1, 1994 | This bill prohibits the obstruction of a health care facility. Statutes: MGL 266 § 120E | archives.lib.state.ma.us/entities/archivalmaterial/c9146417-5354-490d-8eeb-66a66efb9192 | January 1, 1994 | |
| North Carolina | Abortion | Clinic safety | SB 873 | Enacted bill | July 20, 1993 | This bill prohibits the obstruction of a health care facility and the threatening or injuring of patients and providers. It also prohibits the carrying of a violent weapon while protesting or demonstrating at a clinic (adding clinics to an existing list of institutions where such conduct is prohibited). Statutes: G.S. § 14‑277.4 | ncleg.gov/Sessions/1993/Bills/Senate/PDF/S873v5.pdf | October 1, 1993 | |
| Minnesota | Abortion | Clinic safety | § 609.7495 | Statute | May 19, 1993 | This statute prohibits intentionally and physically obstructing entrances or exits to or from a health care facility. | www.revisor.mn.gov/statutes/cite/609.7495 | May 20, 1993 | |
| Washington | Abortion | Clinic safety | HB 1338 | Enacted bill | April 26, 1993 | This bill makes it a gross misdemeanor to obstruct the entrances of a health care facility as well as trespassing at a health care facility, creating unreasonable noise near a health care facility, repeatedly calling a health care facility, or threatening a health care facility. Statutes: RCW 9A.50.020 | lawfilesext.leg.wa.gov/biennium/1993-94/Pdf/Bills/Session%20Laws/House/1338-S.SL.pdf?cite=1993%20c%20128%20s%203 | April 26, 1993 | |
| Oregon | Abortion | EMTALA | ORS § 441.094 | Statute | January 1, 1987 | This statute prohibits hospitals with emergency departments to deny screening and/or emergency care based on insurance coverage, or lack thereof, or the inability to pay. | www.oregonlegislature.gov/bills_laws/ors/ors441.html?utm_medium=email&utm_source=govdelivery | ||
| Wisconsin | Abortion | Clinic safety | § 943.145 | Statute | November 12, 1985 | This bill prohibits trespassing at a medical facility. | docs.legis.wisconsin.gov/statutes/statutes/943/ii/145 | November 20, 1985 | |
| Arizona | Contraception | Minor consent | 77-37 | AG opinion | February 11, 1977 | In this opinion, former Attorney General of Arizona Mr. Roger J. Hodges opines that it is not unlawful under state or federal law for agencies or physicians to provide minors with contraception without their parents consent, as long as the minor requested and consented to the service. Several federal and state laws are referenced. Statutes: A.R.S. § 36–125.04; A.R.S. § 36-2907 | A.R.S. § 36–125.04 | azmemory.azlibrary.gov/nodes/view/62889?keywords=77-37&type=all&highlights=WyI3NyIsIjM3Il0%3D&lsk=53f8d586ffe96516f7b90699e5113904 | February 11, 1977 |
| Washington | Contraception | Minor consent | RCW 70.24.110 | Statute | April 24, 1969 | This statute allows minors at least 14 years of age to consent to STI/STD treatment and diagnosis. | app.leg.wa.gov/rcw/default.aspx?cite=70.24.110 | April 24, 1969 | |
| New Jersey | Abortion Contraception | Decriminalization Minor consent Nondiscrimination Rights Decriminalization Minor consent Nondiscrimination Rights | SB 49 | Enacted bill | January 22, 0001 | This bill codifies the constitutional right to freedom of reproductive choice, including the right to access contraception, to terminate a pregnancy, and to carry a pregnancy to term. Any prior or future law, regulation or state policy that is determined to conflict with the constitutional right to reproductive choice is invalidated. Statutes: N.J.S.A. §§ 10:7-1; 10:7-2; 26:2S-39; 52:14-17.29hh; 52:14-17.46.6q | www.njleg.state.nj.us/bill-search/2020/S49 | January 13, 2022 | |
| Virginia | Contraception | Unbundling IUDs | Virginia Postpartum Toolkit Version 03 | Guidance | This toolkit guidance issued by the Virginia Department of Health, Virginia Medicaid and ACOG clarifies that The Virginia Postpartum LARC Medicaid policy states that hospitals may receive Medicaid reimbursement for LARC devices provided after delivery in the inpatient hospital setting. This reimbursement is considered a separate payment and is not part of the Diagnostic Related Group (DRG) reimbursed to the facility. | www.vdh.virginia.gov/content/uploads/sites/28/2021/11/VA_Postpartum_LARC_Toolkit_rev-2021.pdf | November 1, 2021 | ||
| New York | Fertility | Medicaid coverage | Volume 35 Number 7 | Guidance | This guidance provides an update that Medicaid benefits will include medically necessary ovulation enhancing drugs and related medical services for individuals of reproductive age experiencing infertility, defined as the inability to conceive after specific periods of time based on the age of the patient. | www.health.ny.gov/health_care/medicaid/program/update/2019/2019-06.htm#ovulation | October 1, 2019 | ||
| New York | Contraception | Unbundling IUDs | Volume 33 Number 3 | Guidance | This New York State Medicaid Update clarifies that prior approval is not required for any LARC, Medicaid FFS reimbursement for LARC is based on the provider’s actual invoiced acquisition cost, and hospital outpatient department clinics and free standing diagnostic treatment center clinics may bill the invoiced LARC cost as an ordered ambulatory service. It emphasizes that the cost of LARC is carved-out, hospitals may bill Medicaid FFS for the cost of postpartum LARC, and LARCs provided during this inpatient stay can be billed to Medicaid separately from the inpatient claim. | www.health.ny.gov/health_care/medicaid/program/update/2017/2017-03.htm | March 1, 2017 | ||
| Washington | Contraception | Scope of practice | WAC 246-840-410 | Regulation | This regulation allows ARNPs to prescribe drugs and medical services upon applying to the Board of Nursing and completing 30 contact hours of education in pharmacology. | app.leg.wa.gov/WAC/default.aspx?cite=246-840-410 | |||
| California | Contraception | Minor consent | WIC § 14503 | Statute | This law requires family planning services, including contraception, be provided to all those of childbearing age who request it, without regard to age, martial status, or parenthood, without consent from anyone other than the person for whom it is intended. Statutes: WIC § 14503 | leginfo.legislature.ca.gov/faces/codes_displayText.xhtml?lawCode=WIC&division=9.&title=&part=3.&chapter=8.5.&article= | January 1, 2003 | ||
| North Carolina | Contraception | Unbundling IUDs | Update to Reimbursement of Long Acting Reversible Contraceptives (LARCs) | Guidance | This guidance issued by the North Carolina Division of Medical Assistance clarifies that the payment of LARCs is included in the DRG payment of the delivery. Since this is a covered service, the cost of the LARC is an allowable cost on the cost report, which is used in the calculation of the MRI/GAP supplemental payments. Additionally, it clarifies that the new DRG codes listed will allow hospitals and physicians to receive additional fees for LARC insertion. | medicaid.ncdhhs.gov/blog/2018/10/05/update-reimbursement-long-acting-reversible-contraceptives-larcs | |||
| Hawaii | Contraception | Minor consent | HRS § 577A1-3 | Statute | This law affirms the consent of a minor to family planning services as valid and binding. Statutes: H.R.S. §§ 577A-1; 577A-2; 577A-3 | www.capitol.hawaii.gov/hrscurrent/Vol12_Ch0501-0588/HRS0577A/HRS_0577A-0001.htm,%20www.capitol.hawaii.gov/hrscurrent/Vol12_Ch0501-0588/HRS0577A/HRS_0577A-0002.htm | January 1, 2025 | ||
| Hawaii | Contraception | Emergency contraception | HRS §321-512 | Statute | This statute requires hospitals to inform victims of sexual assault about emergency contraception and offer and dispense, upon request. | www.capitol.hawaii.gov/hrscurrent/Vol06_Ch0321-0344/HRS0321/HRS_0321-0512.htm | |||
| New York | Contraception | Unbundling IUDs | Inpatient Clarification on Reimbursement for LongActing Reversible Contraception (LARC) Provided as an Inpatient Post-Partum Service | Newsletter | This newsletter from the New York Department of Health clarifies clarifies Medicaid billing policy for LARC devices | www.emedny.org/listserv/Inpatient/Inpatient_Clarification_on_Reimbursement_for_LARC_Provided_as_an_Inpatient_Post-Partum_Svc_4-9-15.pdf | April 9, 2015 | ||
| Delaware | Contraception | Unbundling IUDs | Inpatient Hospital Provider Policy Manual | Guidance | This guidance from the Delaware Department of Health and Human Services clarifies revised reimubrsement policies pertaining to Long Acting Reversible Contraception (LARC) and emphasizes that LARCs are covered as an outpatient drug, are excluded from inpatient services, and must be billed separately. | medicaidpublications.dhss.delaware.gov/docs/DesktopModules/Bring2mind/DMX/API/Entries/Download?Command=Core_Download&EntryId=895&language=en-US&PortalId=0&TabId=94 | February 1, 2019 | ||
| New York | Contraception | Unbundling IUDs | Inpatient Reimbursement for Long-Acting Reversible Contraception (LARC) Provided as an Inpatient Post-Partum Service | Newsletter | This newsletter from the New York Department of Health clarifies that hospitals can bill Medicaid fee-for-service (FFS) for the cost of the long-acting reversible contraception (LARC) provided to women during their postpartum inpatient hospital stay. | www.emedny.org/listserv/physician/physician_reimbursement_for_larc_provided_as_an_inpatient_post-partum_service_05-28-14.pdf | May 28, 2014 | ||
| Kentucky | Contraception | Scope of practice | KRS § 314.042 | Statute | This statute allows APRNs to prescribe legend drugs, which include hormonal contraception, once entered into a written collaborative agreement with a physician licensed in Kentucky. An APRN may may prescribe without such an agreement after four years. | apps.legislature.ky.gov/law/statutes/chapter.aspx?id=38813 | |||
| Massachusetts | Contraception | Scope of practice | Mass. Code Reg. tit. 244 §4.07 | Regulation | This regulation provides that CNPs with less than two years of experience need guidelines for prescriptive practice and will be supervised by a Qualified Healthcare Professional (physician or NP with independent practice authority). After this period, the CNP may independently prescribe. Nurse midwives may engage in prescriptive practice without guidelines or supervision. | www.mass.gov/doc/244-cmr-4-advanced-practice-registered-nursing/download | |||
| Massachusetts | Contraception | Minor consent | Mass. Gen. Laws ch. 111, § 24E | Statute | This law provides for comprehensive family planning services for individuals of childbearing age, including minors. Statutes: MGL 111 § 24E | malegislature.gov/Laws/GeneralLaws/PartI/TitleXVI/Chapter111/Section24E | |||
| Massachusetts | Contraception | Unbundling IUDs | MassHealth: Payment for In-State Acute Hospital Services and Out-of-State Acute Hospital Services | Notice | This notice of Final Agency Action from emphasizes that Out-of-state acute inpatient hospitals will continue to be paid separately for a LARC Device if the LARC procedure occurs immediately post-labor and delivery during the same inpatient hospital labor and delivery stay, and all other MassHealth acute inpatient hospital requirements are met. | www.mass.gov/doc/notice-of-final-agency-action-masshealth-payment-for-in-state-acute-hospital-services-and-out-of-state-acute-hospital-services-effective-october-1-2022-0/download | October 1, 2022 | ||
| Maryland | Contraception | Scope of practice | Md. Code Ann. §8-101 | Statute | This statute allows APRNs to perform acts under the scope of practice of registered nurse practitioner that include prescribing drugs. | govt.westlaw.com/mdc/Document/NA6514A413D6211F09C29D7DF926EB574?viewType=FullText&originationContext=documenttoc&transitionType=CategoryPageItem&contextData=(sc.Default) | |||
| Massachusetts | Contraception | Emergency contraception Hospital/ER requirements | MGL C. 111 § 70E | Statute | This statute requires that facilities must provide victims of sexual assault with information about emergency contraception, and must offer and dispense, upon request. | malegislature.gov/Laws/GeneralLaws/PartI/TitleXVI/Chapter111/Section70E | |||
| Michigan | Contraception | Scope of practice | Mich. Comp. Laws §333.17211a | Statute | This statute allows an APRN to prescribe a nonscheduled prescription drug, such as contraception, or a controlled substance included in Schedules II-V as a delegated act of a physician. | www.legislature.mi.gov/Laws/MCL?objectName=mcl-333-17211a | |||
| North Carolina | Contraception | Unbundling IUDs | N.C. Medicaid Bulletin October 2017 | Bulletin | This Medicaid bulletin issued by clarifies that the new approved state plan proposes revisions to the reimbursement methodology for long-acting reversible contraceptives (including DepoProvera) at wholesale acquisition cost plus 6 percent. | medicaid.ncdhhs.gov/documents/files/medicaid-bulletin-2017-10-1/open | October 1, 2017 | ||
| New Jersey | Contraception | Scope of practice | N.J.S.A. § 45:11-49(b) | Statute | This statute allows APNs to prescribe medications and devices in medically appropriate settings if certain conditions are met, including an arrangement with a collaborating physician. | lis.njleg.state.nj.us/nxt/gateway.dll?f=templates&fn=default.htm&vid=Publish:10.1048/Enu | |||
| New Mexico | Contraception | Minor consent | N.M.S.A. § 24-8-5 | Statute | This law prohibits the state or providers from imposing requirements or prerequisites for requested family planning services, with few exceptions. Statutes: N.M.S.A. § 24-8-5 (https://www.westlaw.com/Document/N92928FB009B411E58D55DA2CB8736F2F/View/FullText.html?transitionType=Default& contextData=(sc.Default)& VR=3.0& RS=cblt1.0) | N.M.S.A. § 24-8-5 (https://www.westlaw.com/Document/N92928FB009B411E58D55DA2CB8736F2F/View/FullText.html?transitionType=Default&contextData=(sc.Default)&VR=3.0&RS=cblt1.0) | law.justia.com/codes/new-mexico/chapter-24/article-8/section-24-8-5/ | June 19, 2015 | |
| New Mexico | Contraception | Emergency contraception Hospital/ER requirements | N.M.S.A. § 24-10D-3 | Statute | This statute requires that hospitals must inform victims of sexual assault about emergency contraception and offer and dispense it upon request. | nmonesource.com/nmos/nmsa/en/item/4384/index.do#!fragment/undefined/BQCwhgziBcwMYgK4DsDWsBGB7LqC2YATqgJIAm0A5AEwAsAtAIwAMAIvQMyUCUANMlgAuAUwgBFRMMIBPKpV4RhRBBKmzK8xcpABlLIUEAhWQCUAogBkzANQCCAOQDCZ3oLAZogrHG7cgA | |||
| New Jersey | Contraception | Medicaid Postpartum Extension | New Jersey FamilyCare Comprehensive Demonstration (Project Numbers: 11-W-00279/2 and 21-W-00068/2) | Medicaid waiver | This 5 year waiver provides an extension of full state plan benefits to postpartum individuals enrolled in Medicaid or CHIP for up to 12 months from the last day of an individual’s pregnancy. | www.medicaid.gov/medicaid/section-1115-demonstrations/downloads/nj-1115-cms-exten-demnstr-aprvl-03302023.pdf | April 1, 2023 | ||
| Oregon | Contraception | Scope of practice | OAR §851-055-0078 | Rule | According to these rules, APRNs may prescribe drugs, devices and Schedules II-V controlled substances. | secure.sos.state.or.us/oard/displayDivisionRules.action?selectedDivision=5986 | |||
| Oregon | Abortion | EMTALA | OAR 333-520-0070(3)(a). | Rule | This rule promulgated by the Oregon Health Authority provides more specific requirements relating to the state law that requires hospitals with an emergency department to provide immediate lifesaving intervention, and stabilization, regardless of ability to pay, including that the care must be available 24/7. | secure.sos.state.or.us/oard/viewSingleRule.action;JSESSIONID_OARD=BsZa1lMr-mjvnsuHuYJt_7kNiqhd-qe5jyhNKFolzsAoYtJ46e-H!1129229310?ruleVrsnRsn=312477&utm_medium=email&utm_source=govdelivery | |||
| Oregon | Contraception | Scope of practice | ORS § 678.375 | Statute | This statute authorizes NPs to prescribe drugs for the use by and administration to other persons. | www.oregonlegislature.gov/bills_laws/ors/ors678.html | |||
| Oregon | Contraception | Scope of practice | ORS § 678.390 | Statute | This statute allows NPs to apply for prescriptive and dispensing authority via the Oregon State Board of Nursing. | www.oregonlegislature.gov/bills_laws/ors/ors678.html | |||
| New York | Abortion | Clinic safety | PEN § 240.70 (1)(a) – (b), (d) | Statute | This statute creates a crime of “criminal interference with health care services or religious worship,” prohibiting obstruction, harassment, assault, for those seeking or providing reproductive health care services at a health care facility or seeking/participating in religious worship at a religious institution and prohibiting damage to those facilities. | www.nysenate.gov/legislation/laws/PEN/240.70 | |||
| California | Contraception | Emergency contraception | PEN § 13823.11. | Statute | This code establishes a standard of care for sexual assault that requires hospital emergency rooms to provide emergency contraception to sexual assault victims upon request at no charge to the victim. | leginfo.legislature.ca.gov/faces/codes_displayText.xhtml?lawCode=PEN&division=&title=6.&part=4.&chapter=3.&article= | January 1, 2020 | ||
| New York | Contraception | Unbundling IUDs | Physician Reimbursement for Long-Acting Reversible Contraception (LARC) Provided as an Inpatient Post-Partum Service | Newsletter | This newsletter from the New York Department of Health clarifies that hospitals can bill Medicaid fee-for-service for the cost of the long-acting reversible contraception (LARC) provided to women during their postpartum inpatient hospital stay. LARCs provided during this inpatient stay can be | www.emedny.org/listserv/Inpatient/Inpatient_Reimbursement_for_LARC_Provided_as_an_Inpatient_Post-Partum_Service_05-28-14.pdf | May 28, 2014 | ||
| Massachusetts | Abortion Contraception | Emergency contraception Medication abortion Emergency contraception Medication abortion | Policy 2023-05 | Guidance | This guidance from the Department of Public Health, sent to all pharmacies in the Commonwealth, clarifies that all pharmacies and pharmacy departments are required to stock and/or procure all reproductive health medications, including Mifepristone, emergency contraception and other contraception, and dispense those medications pursuant to a valid prescription and/or order. | www.mass.gov/doc/2023-05-access-to-reproductive-health-medications/download | March 22, 2023 | ||
| Arizona | Contraception | Scope of practice | R4-19-511 | Rule | These rules allows RNPs to apply for prescribing privileges with the Board of Nursing to prescribe and dispense drugs and devices within their population focus, including, family-individual across life span, adult-gerontology primary or acute care and neonatal care, which could include contraception for certain RNPs. Statutes: AZ Admin. Code §4-19-511 | apps.azsos.gov/public_services/Title_04/4-19.pdf | |||
| Washington | Contraception | Scope of practice | RCW §1 8.79.050 | Statute | This statute allows an advanced practice registered nurse to prescribe prescription drugs and Schedule II-V controlled substances. | app.leg.wa.gov/RCW/default.aspx?cite=18.79.050 | July 1, 2000 | ||
| Maryland | Contraception | Minor consent | § 20-102 | Statute | This law allows minors to consent to a range of reproductive health care, including all treatment related to pregnancy and contraception (except for sterilization), although the law allows the provider to inform the minor’s parents or guardians about the treatment and a separate code section requires parental notification prior to an abortion. | mgaleg.maryland.gov/mgawebsite/Laws/StatuteText?article=ghg§ion=20-102&enactments=false | January 1, 1982 | ||
| Virginia | Contraception | Minor consent | § 54.1-2969 | Statute | This law authorizes a minor to consent to birth control, family planning, and pregnancy, with the exception of sterilization. Statutes: § 54.1-2969(E) p | law.lis.virginia.gov/vacode/title54.1/chapter29/section54.1-2969/ | |||
| North Carolina | Contraception | Minor consent | § 90-21.5. | Statute | This law gives any minor the right to consent to diagnosis, treatment and prevention of pregnancy. | www.ncleg.net/enactedlegislation/statutes/html/bysection/chapter_90/gs_90-21.5.html | |||
| North Carolina | Contraception | Minor consent | § 90‑21.4. | Statute | This law prohibits providers from notifying the parent or guardian to medical treatment of a minor without the consent of the minor, except under a limited number of circumstances. | www.ncleg.gov/EnactedLegislation/Statutes/PDF/BySection/Chapter_90/GS_90-21.4.pdf | |||
| Minnesota | Contraception | Scope of practice | § 148.235(7a) | Statute | This statute allows APRNs to prescribe, procure, sign for, record, administer and dispense over-the-counter, legend and Schedule II-V controlled substances, including sample drugs upon the completion of requirements specified in Minn. Stat. §148.211(1c). | www.revisor.mn.gov/statutes/cite/148.235 | |||
| Maine | Contraception | Scope of practice | 02 ME Code Rules § 380-8-7 | Regulation | These regulations allow CNPs and certified nurse midwives to prescribe prescription drugs and Schedules II-V controlled substances once registered with the U.S. Drug Enforcement Administration. | www.maine.gov/boardofnursing/docs/Chapter%208%20Regulations%20Relating%20Advanced%20Practice%20%20Registered%20Nursing%20final%20rule.pdf | February 26, 2020 | ||
| Colorado | Contraception | Scope of practice | 3 CCR 716-1 Rule 1.15 | Rule | These rules provide that the Board of Nursing may grant provisional prescriptive authority to an APRN, and is limited to the APRN’s population focus, along with educational, mentorship and training requirements. | www.sos.state.co.us/CCR/GenerateRulePdf.do?ruleVersionId=10794&fileName=3%20CCR%20716-1 | October 28, 2022 | ||
| Delaware | Contraception | Minor consent | 13 Del.C § 710 | Statute | This law establishes that minors ages 12 and over can consent to care and treatment related to pregnancy. | delcode.delaware.gov/title13/c007/sc01/index.html | April 16, 1970 | ||
| New Mexico | Contraception | Extended supply No cost-sharing Nondiscrimination | 13.10.32.8 | Regulation | This regulations requires health insurance coverage of a 6-month supply of contraception and prohibits cost-sharing and discrimination. | www.srca.nm.gov/parts/title13/13.010.0032.pdf | January 1, 2021 | ||
| New Mexico | Contraception | Unbundling IUDs | 19-09 | Guidance | This supplement to the medical assistance program manual issued by the New Mexico Human Services Department Medical Assistance Division (MAD) clarifies that MAD will allow hospital providers to bill and be paid for LARC services and devices separately, and in addition to, the inpatient hospital stay. The separation of reimbursement for LARC services and devices from the inpatient hospital stay applies to both the Medicaid fee-for-service (FFS) and Centennial Care programs. | www.hsd.state.nm.us/wp-content/uploads/files/Providers/New%20Mexico%20Administrative%20Code%20Program%20Rules%20and%20Billing/Supplements%20for%20MAD%20NMAC%20Program%20Rules/Supplement-19-09.pdf | August 3, 2019 | ||
| Maine | Contraception | Minor consent | 22 M.R.S.A. § 1711-C | Statute | This law provides that when a minor consents to health care, authorization for disclosure of health care information must be authorized by the minor. Statutes: 22 M.R.S. § 1711-C | legislature.maine.gov/legis/statutes/22/title22sec1711-C.html | |||
| Maine | Contraception | Minor consent | 22 M.R.S.A. § 1908 | Statute | This law allows family planning services to be furnished by a health care practitioner for a minor, without any obligation on behalf of the practitioner to inform or obtain consent from the parent or guardian of the minor. It explicitly does not prohibit the provider from informing the parent. Statutes: 22 M.R.S.A. § 1908 | www.mainelegislature.org/legis/statutes/22/title22sec1908.html | September 19, 2019 | ||
| Maine | Contraception | Scope of practice | 32 M.R.S.A. §2102-2A. | Statute | This statute allows a CNP or certified nurse midwife who qualifies as an APRN to prescribe and dispense drugs or devices, or both, in accordance with rules adopted by the board. | legislature.maine.gov/statutes/32/title32sec2102.html | |||
| Pennsylvania | Contraception | Scope of practice | 49 § 18.6 | Rule | These rules provide that a nurse midwife may prescribe, dispense, order and administer medical devices, immunizing agents, laboratory tests and therapeutic, diagnostic and preventative measures as established in a collaborative agreement with a collaborating physician, but limit a nurse midwife’s ability to prescribe controlled substances. | www.pacodeandbulletin.gov/Display/pacode?file=/secure/pacode/data/049/chapter18/s18.6a.html&d=reduce | |||
| Pennsylvania | Contraception | Scope of practice | 49 § 21.283 | Rule | These rules provide that CRNPs with prescriptive authority may, when acting in collaboration with a physician, prescribe and dispense drugs provided the drugs are outlined in a written collaboration agreement and relevant to the CRNP’s specialty. | www.pacodeandbulletin.gov/Display/pacode?file=/secure/pacode/data/049/chapter21/chap21toc.html&d#21.801. | |||
| Massachusetts | Contraception | Minor consent | 110 CMR 11.00 | Regulation | This regulation establishes that for minors in the custody of the department of children and family services, for family planning treatment, the consent of a minor is sufficient for the provision of care. | www.mass.gov/doc/110-cmr-11-medical-authorizations/download | August 5, 2022 | ||
| Rhode Island | Contraception | Scope of practice | 216-R.I. Code Regs. §40-05-23.10 | Regulation | These regulations permit a licensed nurse midwife to prescribe all legend medications and may apply for authorization to prescribe Schedule II-V controlled substances. | rules.sos.ri.gov/regulations/part/216-40-05-23 | January 4, 2022 | ||
| Illinois | Contraception | Scope of practice | 225 ILCS 65 | Statute | This statute allows APRNs to transition to independent practice and full prescriptive authority via a written collaboration agreement with a supervising physician. The written agreement may include prescription drugs, such as a contraceptives. | www.ilga.gov/legislation/ILCS/details?MajorTopic=&Chapter=&ActName=Nurse%20Practice%20Act.&ActID=1312&ChapterID=24&ChapAct=225+ILCS+65%2F&SeqStart=16500000&SeqEnd=17850000 | |||
| Illinois | Contraception | Emergency contraception | 410 ILCS 70/2.2 | Statute | This statute requires that hospitals develop and then implement protocol to provide services to victims of sexual assault that inform victims about emergency contraception and offer, and upon request, dispense emergency contraception at no cost to the patient. | www.ilga.gov/Documents/legislation/ilcs/documents/041000700K2.2.htm | |||
| Massachusetts | Contraception | Unbundling IUDs | All Acute Inpatient Hospitals – Billing Instructions for LARC devices | Guidance | This guidance from MassHealth clarifies billing instructions for in-state and out-of-state acute inpatient providers that, for eligible hospitals, separate payment of a LARC Device inserted immediately post-partum during an acute inpatient hospital labor and delivery stay, will be reimbursed for the LARC Device according to the fee schedule rates for such devices as set forth in EOHHS regulations at 101 CMR 317.00 (Medicine). | www.mass.gov/doc/billing-instructions-for-larc-devices-implanted-inpatient-immediate-post-partum-effective-1/download | March 1, 2018 | ||
| California | Contraception | Unbundling IUDs | Billing and Reimbursement | Guidance | This guidance is really a toolkit for healthcare providers to encourage them to understand billing for immediate postpartum LARC and to provide that care. | publichealth.lacounty.gov/owh/LARC/LARCToolkit2019.BillingReimbursement.pdf | July 1, 2015 | ||
| California | Contraception | Scope of practice | BPC § 2746.51 | Statute | This statute provides that CNMs may provide and order drugs and medical devices, including Schedule II-V controlled substances under the supervision of a physician and when directed by the standardized procedures or protocols. | leginfo.legislature.ca.gov/faces/codes_displayText.xhtml?lawCode=BPC&division=2.&title=&part=&chapter=6.&article=2.5 | January 1, 2024 | ||
| California | Contraception | Scope of practice | BPC §2837.103 | Statute | This statute provides that NPs may prescribe, order, dispense, procure and furnish pharmacological agents if they have a furnishing number from the Board of Registered Nursing, they register with the U.S. Drug Enforcement Administration and they complete a course in Schedule II controlled substances, risks and standards. | leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?lawCode=BPC§ionNum=2837.103. | |||
| Colorado | Contraception | Scope of practice | C.R.S. §12-255-112 | Statute | This statute provides that APRNs may be authorized by the State Board of Nursing to prescribe drugs after meeting educational requirements in the use of controlled substances and prescription drugs. | advance.lexis.com/documentpage/?pdmfid=1000516&crid=22e29dc4-4be0-4cf6-abc6-b5daf35ec952&nodeid=AAMAAHAAMAACAAN&nodepath=%2FROOT%2FAAM%2FAAMAAH%2FAAMAAHAAM%2FAAMAAHAAMAAC%2FAAMAAHAAMAACAAN&level=5&haschildren=&populated=false&title=12-255-112.+Prescriptive+authority+-+advanced+practice+registered+nurses+-+certified+midwives+-+limits+on+prescriptions+-+rules+-+financial+benefit+for+prescribing+prohibited.&config=014FJAAyNGJkY2Y4Zi1mNjgyLTRkN2YtYmE4OS03NTYzNzYzOTg0OGEKAFBvZENhdGFsb2d592qv2Kywlf8caKqYROP5&pddocfullpath=%2Fshared%2Fdocument%2Fstatutes-legislation%2Furn%3AcontentItem%3A68C4-X0B3-GXF6-81Y5-00008-00&ecomp=6gf59kk&prid=6a890e63-89e8-481f-8b24-973a2cd38eef | |||
| New York | Abortion | Insurance coverage | CCR 11 § 52.16 (c),(o) | Regulation | These regulations prohibit insurance policies from limiting or excluding coverage or imposing cost-sharing (with the exception of high deductible health plans) for abortions that are medically necessary. | govt.westlaw.com/nycrr/Document/I5001cca5cd1711dda432a117e6e0f345?viewType=FullText&listSource=Search&originationContext=Search+Result&transitionType=SearchItem&contextData=(sc.Search)&navigationPath=Search%2fv1%2fresults%2fnavigation%2fi0a899d9c0000019e1debce3baed4c396%3fppcid%3dcc351b62b91b4563b56e820ea751cff5%26Nav%3dNYREGULATION_PUBLICVIEW%26fragmentIdentifier%3dI5001cca5cd1711dda432a117e6e0f345%26startIndex%3d1%26transitionType%3dSearchItem%26contextData%3d%2528sc.Default%2529%26originationContext%3dSearch%2520Result&list=NYREGULATION_PUBLICVIEW&rank=3&t_section=52.16+ | |||
| Hawaii | Fertility | Medicaid coverage | Chapter 6 Medicaid Provider Manual | Guidance | This Medicaid provider manual clarifies that only infertility diagnosis is covered by MedQuest; all drugs and procedures used for the purpose of inducing ovulation and enhancing fertility are not covered. | medquest.hawaii.gov/content/dam/formsanddocuments/resources/Provider-Resources/provider-manuals/PMChp06.pdf | January 1, 2011 | ||
| Connecticut | Contraception | Emergency contraception | Chapter 368a § 19a-112e. | Statute | This statute establishes a standard of care for sexual assault that requires informing victims about emergency contraception and dispensing upon request. | www.cga.ct.gov/current/pub/chap_368a.htm#sec_19a-112e | |||
| California | Abortion | Clinic safety | CIV § 3427-3427.4 | Statute | This clinic safety law prohibits interference with clinic entrances, blockading clinics, or disrupting the normal functioning of the clinic. | leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=3427.2.&nodeTreePath=9.1.6&lawCode=CIV | January 1, 1996 | ||
| North Carolina | Contraception | Unbundling IUDs | Clarification on Billing for Long Acting Reversible Contraceptives | Guidance | This guidance issued by the North Carolina Division of Medical Assistance clarifies the process for seeking reimbursement for a LARC inserted immediately postpartum. | medicaid.ncdhhs.gov/blog/2019/01/24/clarification-billing-long-acting-reversible-contraceptives | January 24, 2019 | ||
| Delaware | Contraception | Scope of practice | Del. Code Ann. tit. 24 §1935. | Statute | This statute allows APRNs to prescribe, procure, administer, store, dispense and furnish over the counter legend and controlled substances; plan and initiate a therapeutic regimen including ordering and prescribing nonpharmacological interventions; and diagnose, prescribe and institute therapy or referrals of patients. Statutes: Title 24 §1935 | delcode.delaware.gov/title24/c019/index.html#1935. | |||
| New York | Contraception | Scope of practice | EDN § 6902 | Statute | This statute allows NPs to prescribe drugs, devices and immunizing agents in accordance with the practice agreement and practice protocols with their collaborating physician. After practicing for more than 3,600 hours, collaboration with a physician, a written practice agreement and written practice protocols are no longer required for NPs. | www.op.nysed.gov/professions/registered-professional-nursing/laws-rules-regulations/article-139 | |||
| Wisconsin | Contraception | Unbundling IUDs | Encounter Based Payment Guide Version Number: 4.6 | Guidance | This guidance from the Wisconsin Department of Health clarifies that, included in the APR DRG implementation, there was a change to inpatient and inpatient crossover hospital pricing policy to improve the availability and acceptability of LARCs (long-acting reversible contraceptives) for women by providing reimbursement for the insertion of an IUD or implant immediately postpartum. | www.forwardhealth.wi.gov/WIPortal/content/Managed%20Care%20Organization/Reimbursement_and_Capitation/pdf/Encounter_Based_Payment_Guide.pdf.spage | April 1, 2020 | ||
| California | Contraception | Minor consent | FAM § 6925 | Statute | This law allows minors to consent to medical care related to the prevention or treatment of pregnancy, other than sterilization. Statutes: FAM § 6925 | leginfo.legislature.ca.gov/faces/codes_displaySection.xhtml?sectionNum=6925.&lawCode=FAM | September 26, 2025 | ||
| Minnesota | Contraception | Unbundling IUDs | Family Planning Billing | Guidance | This guidance from the Minnesota Department of Human Services emphasizes that long-acting reversible contraceptives can be billed outside of a hospital bundle for labor and delivery and instructs providers to follow outpatient billing procedure when submitting claims. | www.dhs.state.mn.us/main/idcplg?IdcService=GET_DYNAMIC_CONVERSION&RevisionSelectionMethod=LatestReleased&dDocName=dhs16_137811#bill | March 1, 2025 | ||
| Washington | Contraception | Unbundling IUDs | Family Planning Billing Guide | Guidance | This guidance from the Washington State Health Care Authority (HCA) clarifies that HCA reimburses professional services for immediate postpartum IUD or contraceptive implant insertion procedures if billed separately from the professional global obstetric procedure. | www.hca.wa.gov/assets/billers-and-providers/Family-planning-bg-20230101.pdf | January 1, 2023 | ||
| Washington | Contraception | Unbundling IUDs | Family Planning Provider Guide | Guidance | This guidance from the Washington State Health Care Authority (HCA) clarifies that the agency pays an enhanced rate for | www.hca.wa.gov/assets/billers-and-providers/familyplanningprovider_bi_20151001.pdf | October 1, 2015 | ||
| Oregon | Contraception | Unbundling IUDs | Fee-for-service (FFS) billing for postpartum long-acting reversible contraception (LARC) services | Guidance | This fact sheet from the Oregon Health Authority Health Systems Division explains how to bill the Oregon Health Authority (OHA) for immediate postpartum LARC services provided to fee-for-service (open-card) members. | www.oregon.gov/oha/HSD/OHP/Tools/Billing%20for%20LARC%20postpartum%20services.pdf | March 3, 2017 | ||
| Guam | Contraception | Scope of practice | Guam Admin. Code art. 1 §§ 6302, 6502 | Rule | These rules allow an APRN to diagnose, prescribe administer and dispense therapeutic measures, including legend drugs and Schedule II-V controlled substances. | guamhplo.org/sites/default/files/25_gar_ch._6_-_guam_board_of_nurse_examiners.pdf | |||
| Guam | Contraception | Scope of practice | Guam Code Ann. tit. 10 §12313 | Statute | This statute allows an APRN to diagnose, prescribe administer and dispense therapeutic measures, including legend drugs (regular prescription drugs, including contraceptives) and Schedule II-V controlled substances. | guamhplo.org/sites/default/files/10gca_article_3_-_nurse_practice_act.pdf | |||
| Hawaii | Contraception | Scope of practice | HAR § 16-89-119 | Rule | This rules establishes that APRNs can be eligible for prescriptive authority for controlled or non-controlled substances for drugs that are within their scope of practice, which in some cases includes contraception, as long as they meet certain requirements. | files.hawaii.gov/dcca/pvl/pvl/har/har_89-c.pdf | December 27, 2010 | ||
| Hawaii | Contraception | Scope of practice | HAR § 16-89-122 | Rule | This rule authorizes APRNs to prescribe, order, and dispense medical devices and equipment or drugs appropriate to the APRNs specialty, which may include contraceptive drugs and devices for APRNs who are Certified Nurse Midwives (CNMs) or Nurse Practitioners (NPs). | files.hawaii.gov/dcca/pvl/pvl/har/har_89-c.pdf |