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.
Last updated: July 17, 2025
Florida has a restrictive policy environment for contraceptive access. The state has not adopted Medicaid expansion under the ACA, restricting access for residents with low income, but it has made efforts to expand Medicaid coverage specifically for family planning services. Florida also has significant restrictions concerning environment of care, such as allowing providers to refuse care for religious or moral reasons, requiring abstinence-only instruction in sex education, and restricting minors’ ability to independently consent to contraceptive care. While the state has some protections for prescriptive authority, it does not have policies that require insurers to cover contraceptives, expand access to emergency contraception, or provide an extended supply of contraceptives, highlighting significant gaps where more can be done to ensure comprehensive contraceptive care.
No Florida policy requires insurers to cover prescription or over-the-counter contraceptives or prohibits them from sharing costs with patients. While no restrictive policy is in place, the policy void could limit access among Floridians who have health insurance but cannot afford to pay out-of-pocket costs, especially policyholders with low income. As such, Florida scores as no policy.
