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ABORTION IN THE U.S.

The Status of Abortion-related State Ballot Initiatives Since Dobbs

Since the Supreme Court’s Dobbs decision, overturning Roe v. Wade, voters in 17 states have weighed in on ballot measures regarding abortion — some more than once. In November 2026, voters in Idaho, Missouri, Nevada, and Virginia will weigh in on abortion measures that could change the legal status of abortion in their state. In addition, a measure in Colorado is in the process of collecting signatures.

CONTRACEPTIve care IN THE U.S.

SELECTED RESOURCES

Over-the-Counter Oral Contraceptive Pills

In July 2023, the FDA approved Opill, the first daily oral contraceptive pill to become available over the counter (OTC) without a doctor’s prescription. This issue brief provides an overview of OTC oral contraceptives and laws and policies related to insurance coverage.

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A promotional image for the the KFF Health Policy 101 Issues in Women’s Health chapter

Health Policy Issues in Women’s Health

Examine the core health coverage and access issues —shaped by federal and state policies—that affect women’s health today, including health coverage and costs, reproductive health services, maternal health, mental health, and intimate partner violence.

State Profiles for Women’s Health

Explore the latest national and state-specific data and policies on women’s health. Topics include health status, insurance and Medicaid coverage, use of preventive services, sexual health, maternal and infant health, and abortion policies. Many indicators provide state-level information for women of different racial and ethnic groups.

The essentials

  • Women’s Health Insurance Coverage

    This factsheet reviews major sources of coverage for women residing in the U.S., discusses the ACA's impact on coverage, and the coverage challenges that many women continue to face.

  • Medicaid Coverage for Women

    This data note presents key data points describing the current state of the Medicaid program as it affects women, including eligibility, reproductive health, chronic conditions, and more.

  • Dobbs: What are the Implications for Racial Disparities?

    This analysis examines the implications of the Dobbs decision and state restrictions on abortion coverage for racial disparities in access to care and health outcomes.

  • State Health Facts: Women's Health Indicators

    Information on women’s health status, utilization of services, health insurance coverage, family planning and childbirth, and abortion statistics and policies.

  • Key Facts on Abortion in the United States

    This report answers some key questions about abortion in the United States and presents data collected before the overturn of Roe v. Wade.

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  • Addressing Abortion Access through State Ballot Initiatives

    Issue Brief

    This issue brief explains why constitutional amendment ballot measures have become so popular with advocates on both sides of the abortion issue, reviews the current initiatives that are in progress and may appear in on state ballots the next general election, and outlines the processes states have available to them to use to place initiatives on the ballot.

  • New KFF Brief Examines Potential Abortion-Related Ballot Initiatives in 13 States

    News Release

    Ahead of the 2024 general election, a new KFF brief examines abortion ballot initiatives in progress in 13 states. These 13 states could follow six other states that have voted on constitutional amendments to protect or restrict abortion since the Supreme Court’s Dobbs decision overturning Roe v. Wade in 2022. In those six states, the side favoring access to abortion prevailed. Citizen-led abortion ballot initiatives have captured nationwide attention and promise to be closely watched;…

  • State and Federal Contraceptive Coverage Requirements: Implications for Women and Employers

    Issue Brief

    Before the ACA was passed, many states had enacted contraceptive equity laws that required plans to treat contraceptives in the same way they covered other services. In addition, since the ACA was passed, a number of states have enacted laws that basically codify in state legislation the ACA benefit rules. This issue brief provides an update on the status of the continuing litigation on the federal contraceptive requirement and explains the interplay between the federal…

  • Contraceptive Coverage Under the Affordable Care Act

    Event Date:
    Event

    The Affordable Care Act (ACA) has changed access to health coverage for millions of women across the nation, including a provision requiring most private health insurance plans to provide coverage for prescription contraceptives and services. On Thursday, April 16 at 9:30 a.m. ET, the Kaiser Family Foundation hosted a briefing to release a new report that examines how the ACA's contraceptive coverage provision is being interpreted by health insurance carriers and to discuss the implications for…

  • Medicaid and Family Planning: Background and Implications of the ACA

    Issue Brief

    This brief reviews the role of Medicaid in financing and enabling access to family planning services for low-income women; discusses how states have expanded access to these services with Medicaid; and highlights future programmatic challenges in the context of the health care delivery and coverage reforms resulting from the Affordable Care Act (ACA).

  • Five Ways the Graham-Cassidy Proposal Would Affect Women

    Fact Sheet

    The Graham-Cassidy Senate proposal to repeal and replace the Affordable Care Act that could have a far-reaching impact on women's health care access and coverage. A new fact sheet outlines the ways women could be affected.

  • Coverage of Gynecological Care and Contraception

    Fact Sheet

    Gynecological services are vital for women throughout their lifetimes. Pap smears, breast exams, counseling, and contraceptive care are important preventive services, but women often do not get these at levels recommended by experts. This fact sheet summarizes coverage of gynecological care and contraceptives. It focuses on women's use of services, types of providers, and types of insurance. Special emphasis is given to uninsured women and those with Medicaid coverage. Fact Sheet:

  • Medicaid and Managed Care: Implications for Low-income Women

    Report

    This commentary reviews Medicaid's role for low-income women and examines the implications Medicaid managed care on the delivery of health services to this vulnerable population. Today 40% of the Medicaid population, mostly poor women and their children, is enrolled in managed care. Medicaid agencies are hoping managed care will control spending and address longstanding problems with access to care. Low-income women have a number of characteristics that make them doubly vulnerable to have trouble accessing…

  • Agenda

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    Are Schools Just Saying No Are Schools "Just Saying No?" Is Abstinence-Only the Trend in Sex Education? And, Who Influences Policy? Tuesday, December 14 9:30 am-11:30 am National Press Club First Amendment Room 529 14th Street NW, 13th Floor Washington, D.C. 9:30 amRegistration 9:50 amWelcome/Introductions 10:00 amNew Research: Findings from Two New National Surveys of Public School Administrators about Sex Education Today Cory L. Richards, Vice President for Public Policy, The Alan Guttmacher Institute, will…