This brief analyzes state policies and insurer coverage decisions affecting the availability of abortion coverage in 2015 insurance plans offered through the Marketplaces. It finds that abortion coverage is unavailable in a total of 31 states, 24 of which have enacted laws that ban or restrict abortion coverage in plans sold through their Marketplaces and 7 of which have no abortion coverage restrictions but also have no Marketplace plans offering it.
Featured Abortion Resources
Related Abortion Resources
- Reading the Post-Roe Tea Leaves in States Without Abortion Bans or Protections
- KFF Health Tracking Poll: Views on and Knowledge about Abortion in Wake of Leaked Supreme Court Opinion
- The Availability and Use of Medication Abortion
- State Actions to Protect and Expand Access to Abortion Services
- Abortion at SCOTUS: Dobbs v. Jackson Women’s Health
- Employer Coverage of Travel Costs for Out-of-State Abortion
- ‘In Focus with KFF’: What Happens if Roe v. Wade is Overturned?
- The Intersection of State and Federal Policies on Access to Medication Abortion Via Telehealth
- Infographic: The Availability and Use of Medication Abortion Care
- Intersection of State Abortion Policy and Clinical Practice: June 2021 Update
- Medication Abortion and Telemedicine: Innovations and Barriers During the COVID-19 Emergency
- State Action to Limit Abortion Access During the COVID-19 Pandemic
- Interactive: How State Policies Shape Access to Abortion Coverage
- Abortion in the U.S. Dashboard
This Policy Watch takes a look at employers ability to access abortion information when their health plan covers abortion services. With some states criminalizing entities who assist in abortions, employers and providers face legal jeopardy and existing privacy laws such as HIPAA (the Health Insurance Portability and Accountability Act) may be limited in their privacy protections.
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Abortion Coverage in the ACA Marketplace Plans: The Impact of Proposed Rules for Consumers, Insurers and Regulators
On November 7, 2018, a day after the 2018 midterm elections, the Trump Administration issued a proposed regulation to address “Exchange Program Integrity.” A major element of this proposed rule would affect insurers, consumers, and state insurance regulators in the states that either allow or require abortion coverage. The Affordable Care Act (ACA) allows states to ban plans from offering abortion as a benefit on their Qualified Health Plans (QHPs) and requires plans that cover abortion to segregate policyholder payments for abortion coverage from all other premium charges. This brief provides an overview of current ACA-related abortion coverage policies and analyzes the potential impact of the proposed changes.