Publication Date: 
Monday, May 24, 2021

This legal map captures insurance coverage mandates of contraception in all 50 U.S. states and the District of Columbia in effect from January 1, 2016 through December 31, 2021. It was produced by Elizabeth A. McCaman, JD, MPH, a senior attorney at the National Health Law Program.

The scope of contraceptive coverage laws varies by state, but may apply to both private and public health insurance programs. These laws generally expand the range of contraceptive methods and services that are covered without cost-sharing, and limit insurer practices of medical management, such as prior authorization or step therapy, which create barriers to access.

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