State and federal efforts to restrict abortion protection started shortly after the 1973 Supreme Courtroom choice Roe v. Wade choice. 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 needed abortions for his or her Medicaid enrollees 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 boundaries 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. Nonetheless, a handful of states have handed legal guidelines requiring personal plans to cowl abortions and state funds to cowl abortions for Medicaid enrollees.

The interactive map beneath exhibits the rise in states with legal guidelines limiting abortion protection for Medicaid and privately insured folks in 2010 in comparison with right now.T.

On June 24, 2022, the Supreme Courtroom overturned Roe v. Wadethus eliminating the federal constitutional commonplace that had protected the precise 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 circumstances of rape, incest, or risk to life).

Limitations of Personal Insurance coverage Protection (10 States) – The state has a regulation 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 regulation 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 doesn’t prohibit the usage of state funds (non-federal) to pay for abortion for Medicaid enrollees in circumstances outdoors these permitted by the Hyde Modification.

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