State of Access

A Contraceptive Policy Scorecard

State of Access: A Contraceptive Policy Scorecard assesses policy environments in each U.S. state and the District of Columbia, illuminating where access to contraception is protected or restricted through laws affecting affordability, availability, and environment of care. For this work, we define contraception as medicines, devices, and behaviors that are used to prevent pregnancy and to manage other health conditions.


Info Icon Last updated: July 17, 2025

Affordability Policies

Availability Policies

Environment of Care Policies

Protective
Some protections and/or
some restrictions
Restrictive
No Policy

Policy Definitions

Below are the definitions of each policy used to evaluate states in this scorecard. Definitions will display below corresponding to the specific policies selected above.

Contraceptive Coverage

Contraceptive Coverage measures whether a state requires insurers to cover prescription and over-the-counter contraceptive methods without cost sharing.

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