Medicaid

Medicaid funding of family planning care is critical to ensuring access to high-quality, confidential family planning and sexual health services and supplies for poor and low-income individuals. Medicaid has been the predominant funding source (75%) for publicly funded family planning care since the 1980s, particularly in states that have expanded their Medicaid eligibility for family planning. Medicaid’s importance in providing publicly funded family planning care will continue to grow under the Affordable Care Act (ACA), as many states expand their Medicaid programs to Americans with incomes up to 138% of the federal poverty level (FPL). 

Medicaid-funded family planning is proven to save taxpayer dollars by expanding access to contraception and increasing women’s use of more effective contraceptive methods - essential factors in reducing high rates of unintended pregnancy among low-income women. Federal law  requires that Medicaid-funded family planning be exempt from cost-sharing requirements, such as deductibles and co-pays, and provides that most Medicaid managed care enrollees can receive family planning services from any provider (a provision referred to as "freedom of choice"), even if their provider of choice is outside of their managed care network.

NFPRHA's Work

NFPRHA works on federal policy and with its membership on state policy to expand access to and improve policies related to Medicaid-funded family planning. 

Resources

NFPRHA Analysis

  • CMS Advancements in Medicaid Family Planning (PDF) – Analysis of new CMS regulations and sub-regulatory guidance that clarify and strengthen existing requirements governing the provision of family planning services and supplies under Medicaid (August 2016).

NFPRHA Fact Sheets

NFPRHA Letters 

 NFPRHA's Position
 

Medicaid
NFPRHA believes that Medicaid funding of family planning and sexual health is critical to ensuring access to high-quality, confidential family planning and sexual health services and supplies for poor and low-income patients.

Happening Now 

  • Thanks to the ACA, millions more have been determined eligible for Medicaid or CHIP programs since October 2013.
  • Medicaid enrollment is growing even in states not expanding Medicaid due in part to elevated outreach and enrollment efforts.
  • State and federal leaders continue to eye changes to Medicaid that could cut funding, waive important Medicaid benefits and protections, and undermine the program.
  • NFPRHA editorial on alternative forms of expansion appeared in Governing in February 2015.

NFPRHA Comments

Other Resources

CMS Links

For additional resources & information, access NFPRHA fact sheets and federal comments by issue or read NFPRHA's publications and recent press statements.

 

 

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National Family Planning & Reproductive Health Association

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Phone: 202-293-3114  |  info@nfprha.org

© 2011 National Family Planning & Reproductive Health Association