
NFPRHA's Position
As the largest payer of family planning care, Medicaid is critical to ensuring access to high-quality, confidential family planning and sexual health services and supplies for people with low or no incomes.
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Medicaid funding of family planning care is critical to ensuring access to high-quality, confidential family planning and sexual health services and supplies for people with low incomes. 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. Federal law requires that Medicaid-funded family planning be exempt from cost-sharing and cover a broad range of family planning services, including the full range of contraceptive methods, Pap tests, and other associated examinations and labs. Federal law also requires that people with Medicaid coverage receive family planning services from any qualified provider willing to provide those services, which is a provision referred to as "freedom of choice.”
States have also broadened eligibility for their Medicaid programs to provide family planning care by either securing a family planning waiver, which is time limited, or a state plan amendment, which is a permanent change to the state’s Medicaid program.
NFPRHA's Work
NFPRHA works on federal policy and with its membership on state policy to protect, expand access to, and improve policies related to Medicaid-funded family planning.

NFPRHA Fact Sheets
NFPRHA Analysis
- CMS Advancements in Medicaid Family Planning – Analysis of CMS regulations and sub-regulatory guidance that clarify and strengthen existing requirements governing the provision of family planning services and supplies under Medicaid.
NFPRHA Letters
NFPRHA Comments
Other Resources
- Medicaid & Reproductive Justice All* Above All, NAPAWF, National Institute for Reproductive Health, National Health Law Program, and In Our Own Voice: National Black Women's Reproductive Justice Agenda
- Medicaid Demonstration Waivers & Reproductive Justice All* Above All, NAPAWF, National Institute for Reproductive Health, National Health Law Program, and In Our Own Voice: National Black Women's Reproductive Justice Agenda
- Efforts to Transform the Nature of Medicaid Could Undermine Access to Reproductive Health Care, Guttmacher Policy Review
- Advocates Guide to MAGI (Updated Guide for 2018), National Health Law Program
CMS Links
Family Planning State Plan Amendments & Waivers
All states provide family planning services to Medicaid enrollees, and many states have expanded their Medicaid coverage of family planning to childless adults through a Section 1115 demonstration waiver from CMS. States also have the option to extend coverage for family planning services and supplies through a state plan amendment (SPA) rather than a waiver.
For additional resources & information, access NFPRHA fact sheets and federal comments by issue or read NFPRHA's publications and recent press statements.