State and federal efforts to restrict abortion protection started shortly after the 1973 Supreme Courtroom determination Roe v. Wade determination. In 1977, the Hyde Modification banned federal funding for abortion, with exceptions for pregnancies that endanger the lady’s life, or end result from rape or incest. Some states use their very own funds to cowl different medically crucial abortions underneath Medicaid or are pressured to take action by the courts. The passage of the ACA in 2010 led to renewed legislative efforts to restrict abortion protection, this time in personal insurance coverage. The ACA maintains the bounds of the Hyde Modification and permits states to ban abortion protection from Market plans. Since 2010, many states have launched restrictions on personal plans and likewise banned abortion protection in Market plans, a few of that are extra restrictive than the Hyde restrictions. Nevertheless, a handful of states have handed legal guidelines requiring Medicaid and personal plans to cowl abortion.

The interactive map under reveals the rise in states with legal guidelines limiting abortion protection in Medicaid and personal insurance coverage in 2010, in comparison with immediatelyT.

On June 24, 2022, the Supreme Courtroom overturned Roe v. Wadethus eliminating the federal constitutional commonplace that had protected the best to abortion. States can now set their very own insurance policies to ban or defend abortion. As of January 6, 2026, 13 states have banned abortion (Alabama, Arkansas, Idaho, Indiana, Kentucky, Louisiana, North Dakota, Mississippi, Oklahoma, South Dakota, Tennessee, Texas and West Virginia). For extra particulars on the authorized standing of abortion in states, go to our United States Abortion Dashboard.

Medicaid protection limitations (30 states and DC) – The state limits Medicaid protection of abortion to the restrictions of the Hyde Modification (allowed solely in instances of rape, incest, or risk to life).

Limitations of Personal Insurance coverage Protection (10 States) – The state has a legislation that prohibits abortion protection from being included in personal insurance coverage insurance policies offered within the state (with sure exceptions). Personal insurance coverage contains particular person, small teams and enormous teams. Some states permit abortion protection to be bought as a passenger.

State Market Protection Restrictions (25 states) – The state has a legislation that prohibits plans offered on state marketplaces from masking abortion (with sure exceptions).

No protection restrictions (6 states) – The state doesn’t restrict protection of abortion in personal insurance coverage or the state market and the state Medicaid program permits using state (non-federal) funds to pay for abortion in circumstances exterior these permitted by the Hyde Modification.

Requires abortion protection in Medicaid, Personal, and ACA Market plans (13 states) – The state requires all totally insured group plans and particular person plans to incorporate abortion protection. Ten of those states don’t require value sharing for abortion; Illinois and Minnesota permit value sharing if there’s value sharing for comparable companies within the plan, and Delaware prohibits value sharing for abortions as much as $750.