Coverage for Abortion Services and the ACA

The Patient Protection and Affordable Care Act (ACA) makes significant changes to health coverage for women by expanding access to coverage and broadening the health benefits that many will receive. In January 2014 the coverage expansions to assist uninsured individuals gain access to coverage took effect. The issue of abortion coverage was at the heart of many debates in the run up to the passage of the law and continues to the present day. This brief summarizes the major coverage provisions of the ACA that are relevant for women of reproductive age, reviews current federal and state policies on Medicaid and insurance coverage of abortion services, and presents national and state estimates on the availability of abortion coverage for women who are newly eligible for Medicaid or private coverage as a result of the ACA.