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. To ensure that affordable coverage is broadly available, NFPRHA supports all states adopting Medicaid expansion to the full extent that the law allows, without any harmful policies designed to limit coverage like work requirements and premiums. Additionally, NFPRHA supports funding and policies that ensure equity in coverage access between state Medicaid programs and Medicaid in the five US territories (American Samoa, the Commonwealth of the Northern Mariana Islands, Guam, Puerto Rico, and the US Virgin Islands).  


Medicaid funding of family planning is critical to ensuring access to high-quality, confidential family planning and sexual health care for people with low incomes. Medicaid is the largest funding source of publicly funded family planning care, paying for 75% of all expenditures on family planning services such as contraception, STI services, and cancer screenings. Under federal law, there is no cost-sharing for 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 free choice of provider.

Protections to ensure that Medicaid beneficiaries would not lose their coverage during a public health emergency have expired and states are now working to redetermine eligibility for everyone in the program, in a process referred to as “unwinding," leaving many people with low incomes without access to health care as their coverage is terminated.


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

NFPRHA Fact Sheets

NFPRHA Comments

Unwinding Resources

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

National Family Planning & Reproductive Health Association

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Phone: 202-293-3114  |

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