Medicaid Monitor
Policy Intelligence
Medicaid Monitor
Policy Intelligence
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Federal Policy·September 16, 2026

21.4 Million U.S. Women Face Limited Access to Subsidized Contraception, New Analysis Finds

Power to Decide and Guttmacher Institute released updated county-level maps showing 21.4 million women needing subsidized contraception live in counties with limited access to publicly-funded family planning clinics. The analysis measures clinic capacity against demand among women earning under 250% of federal poverty level, revealing widespread gaps in Title X-funded services. Maricopa County, Arizona exemplifies the challenge with 29 publicly-funded clinics serving only 8% of nearly 300,000 women in need. The methodology focuses on brick-and-mortar clinics receiving federal or state family planning funds, using patient caseloads to estimate capacity and National Survey of Family Growth data to identify women who would use contraception if cost were not a barrier.

Why it matters

States relying on Title X funding and Medicaid family planning programs face documented capacity gaps that may drive higher rates of unintended pregnancy and increase prenatal and delivery costs for Medicaid programs.

Maternal

Read the full article at opb.org

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