(Up to date January 8, 2025 with new updates for Minnesota)
State and federal efforts to restrict abortion protection started quickly after the 1973 Supreme Courtroom’s Roe v Wade resolution. In 1977, the Hyde Modification banned federal funding for abortion, with exceptions for pregnancies that endanger the lifetime of the girl, or end result from rape or incest. Some states use their very own funds to cowl different medically vital abortions underneath Medicaid or have been compelled to take action by the courts. The passage of the ACA in 2010 led to renewed legislative efforts to restrict abortion protection, this time in non-public insurance policy. The ACA maintains the Hyde Modification’s limits, and permits states to ban abortion protection from Market plans. Since 2010, many states have enacted non-public plan restrictions and likewise banned abortion protection from Market plans, a few of that are extra restrictive than the Hyde limitations. A handful of states, nevertheless, have enacted legal guidelines that require Medicaid and personal plans to cowl abortion. This interactive map reveals the rise in states with legal guidelines limiting abortion protection in Medicaid and personal insurance coverage 2010 to the current.
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On June 24, 2022, the Supreme Courtroom overturned Roe v. Wade, eliminating the federal constitutional normal that had protected the proper to abortion. States can now set their very own insurance policies to ban or shield abortion. As of January 8, 2025, 12 states have banned abortion (Alabama, Arkansas, Idaho, Indiana, Kentucky, Louisiana, Mississippi, Oklahoma, South Dakota, Tennessee, Texas, and West Virginia). For extra particulars about authorized standing of abortion in states, please go to our Abortion in america Dashboard.
Medicaid Protection Limitations (30 states & DC) – State limits Medicaid protection of abortion to the Hyde Modification restrictions (solely allowed within the circumstances of rape, incest or life endangerment).
Personal Insurance coverage Protection Limitations (10 states) – State has a regulation that prohibits protection of abortions from being included in non-public insurance coverage insurance policies bought within the state (with sure exceptions). Personal insurance coverage contains particular person, small group, and huge group. Some states could enable abortion protection to be bought as a rider.
State Market Protection Limitations (25 states) – State has a regulation that prohibits plans bought on state Marketplaces from masking abortion (with sure exceptions).
No Protection Limitations (8 states) – State doesn’t restrict protection of abortion in non-public insurance coverage or the state Market and the state Medicaid program permits the usage of state funds (non-federal) to pay for abortion in circumstances outdoors of these allowed by the Hyde Modification.
Requires Abortion Protection in Medicaid, Personal and ACA Market Plans (12 states) – State requires all fully-insured group plans and particular person plans to incorporate abortion protection. 9 of those states require no cost-sharing for abortion—Illinois, Minnesota, and New Jersey enable value sharing if there’s cost-sharing for related companies within the plan. Efficient January 1, 2026, Illinois will prohibit cost-sharing for abortion companies. In Colorado, particular person and small group well being plans are required to incorporate abortion protection starting July 24, 2025, however are inspired to start coated in January 2025.
