Restrictions on Insurance Coverage of Abortion

A number of states have laws that restrict private insurance coverage for abortion services, and some states have enacted laws that restrict abortion coverage in plans purchased through health insurance exchanges associated with the Affordable Care Act. States may allow insurance coverage for abortion services in limited circumstances, such as in cases of life endangerment or rape, or with the purchase of a separate rider.  

This dataset explores abortion regulations in all 50 U.S. states and the District of Columbia in effect from December 1, 2018 through November 1, 2022, as well as case law and attorney general opinions that affect the enforceability of these laws.    

This dataset is part of a suite of 16 datasets created by the Policy Surveillance Program of the Center for Public Health Law Research in collaboration with subject matter experts from the Guttmacher Institute, Resources for Abortion Delivery (RAD), American Civil Liberties Union (ACLU), Center for Reproductive Rights (CRR), National Abortion Federation (NAF), and Planned Parenthood Federation of America (PPFA), who conceptualized and developed the Abortion Law Database. If you need broader contextual information on state laws and policies, national level information, or data and evidence related to abortion and other reproductive health issues, please contact the Guttmacher Institute at  

Disclaimer: The information contained herein does not constitute legal advice.  If you have questions regarding your legal rights or obligations, contact an attorney.  If you are an abortion provider seeking legal compliance guidance, the following collaborating organizations may be able to assist you: ACLU, CRR, PPFA (for affiliated health centers), NAF, and Regulatory Assistance for Abortion Providers (a project of RAD).  

If you have any questions about the information provided here, please contact  

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