Original Investigation

State-Level Variation in and Barriers to Medicaid Abortion Coverage

JAMA Network Open 10.1001/jamanetworkopen.2025.30804

September 08, 2025 at 11:00 AM EDT

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How do different states cover abortion services under Medicaid as outlined in their respective state Medicaid policies?This qualitative study of Medicaid abortion policies using 94 documents from all 50 US states and the District of Columbia revealed substantial differences in coverage among states. The findings also highlight stringent eligibility requirements, burdens placed on patients, and numerous physician responsibilities.The findings suggest that the heterogeneity and burden placed on patients and physicians may contribute an additional layer of complexity to abortion access for vulnerable populations.

Corresponding Author: Jasmine W. Jiang, BE, Yale School of Medicine, 367 Cedar St, Harkness D, Student Affairs, 2nd Floor, New Haven, CT 06511 (jasmine.jiang@yale.edu).

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