State Policy
KFF Tracker Compiles State Abortion Coverage Policies Across Medicaid and Exchange Plans
This interactive resource tracks state-level abortion coverage policies across Medicaid, private insurance, and ACA exchange plans as of 2025. The tracker shows the number of states with laws restricting abortion coverage in Medicaid and private insurance has increased since 2010. It provides a state-by-state breakdown of coverage restrictions, exceptions for life endangerment or other circumstances, and differences between Medicaid fee-for-service and managed care plan coverage. The tool allows Medicaid agencies, health plans, and advocates to compare abortion coverage rules across states and insurance types.
Why it mattersState Medicaid agencies and MCOs must ensure their coverage policies, member communications, and provider networks comply with state-specific abortion coverage requirements, which vary significantly and affect care coordination, benefits administration, and regulatory compliance.