State-funded Abortion Coverage for Medicaid Enrollees Grows to 21 States, but Reimbursement Rates Remain Low in Most

A KFF analysis reveals that while more states have begun using their own funds to cover abortion services for Medicaid enrollees since the U.S. Supreme Court’s Dobbs decision, only a handful have significantly increased reimbursement rates for providers, potentially undermining access to care for low-income patients.

Since 2024, four states (Nevada, Delaware, Colorado, and Pennsylvania) have transitioned to using state funds to pay for abortions for Medicaid enrollees, bringing the total to 21 states that cover abortion for Medicaid enrollees beyond federal Hyde Amendment restrictions.

The analysis of physician fee schedules for abortions provided to Medicaid enrollees shows limited movement in payment rates over the past two years and that only a few states significantly boosted payment rates for abortion services in that period.

The analysis also finds that reimbursement rates vary dramatically across states, and that most states don't substantially increase payment rates for later-pregnancy procedures, despite their higher costs and complexity.

Read the analysis

Contact: Mikhaila Richards | 202-654-1328 | MRichards@kff.org

When citing our work, please note our legal name is KFF. We should be cited as KFF, a nonprofit health policy research, polling, and news organization. Our name is no longer the Kaiser Family Foundation.

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State-funded Abortion Coverage for Medicaid Enrollees

State-funded Abortion Coverage for Medicaid Enrollees Grows to 21 States, but Reimbursement Rates Remain Low in Most

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