Advancing Sexual and Reproductive Health and Rights
 
STATE REPRODUCTIVE HEALTH PROFILE

Colorado

NATIONAL BACKGROUND AND CONTEXT

Despite the demonstrable importance and ubiquity of contraception, the truth is that ensuring that every pregnancy is wanted and planned is difficult, at both the individual and the societal levels. For the typical American woman to have two children, she will spend close to three years pregnant, postpartum or attempting to become pregnant, and about three decades—more than three-quarters of her reproductive life—trying to avoid pregnancy. Not all women, however, are successful: About half of all pregnancies in the United States each year—more than three million of them—are unintended. By age 45, more than half of all American women will have experienced an unintended pregnancy, and at 2008 rates about three in ten will have had an abortion. Nonetheless, contraceptive use can and does dramatically reduce women's odds of having an unintended pregnancy.

 

DEMOGRAPHICS

  • In 2013, there were 1,133,040 women of reproductive age (aged 13–44) in Colorado, 670,150 of whom were in need of contraceptive services and supplies. Of these:
    • AGE: 69,370 were under the age of 20 and 600,780 were aged 20–44.
    • INCOME: Among women aged 20–44, 97,440 were below 100% of the federal poverty level.
    • RACE/ETHNICITY: 442,690 were non-Hispanic white; 27,280 were non-Hispanic black; and 152,050 were Hispanic.
  • In 2013 , there were 321,550 women in Colorado in need of publicly supported contraceptive services and supplies. Of these, 69,370 were in need of publicly supported services because they were sexually active teenagers, and 252,180 because they had incomes below 250% of the federal poverty level.
  • In 2012–2013, 19% of women aged 15–44 in Colorado were uninsured, while 12% were enrolled in Medicaid.

For more information, see Contraceptive Needs and Services

PREGNANCIES, BIRTHS AND ABORTIONS

  • In 2011, there were 94,200 pregnancies to the 1,038,102 women of reproductive age (15-44) in Colorado; of those that did not result in miscarriages or stillbirths, 69% resulted in live births and 16% in induced abortions.
  • In 2010, 45% of pregnancies in Colorado were unintended. There were 43,000 unintended pregnancies to women in Colorado, producing an unintended pregnancy rate of 42 per 1,000 women of reproductive age.
  • Of all unintended pregnancies in Colorado in 2010, 56% resulted in live births and 30% resulted in induced abortions.
  • In 2010, 63.8% of unplanned births in Colorado were publicly funded, compared with 44.2% of all births and 33.3% of planned births.
  • Of the 29,300 publicly funded births in Colorado in 2010, 15,100 were unplanned.
  • Unintended pregnancies in Colorado accounted for $237.3 million in public costs in 2010, including $146.1 million in federal costs and $91.1 million in state costs.
  • In 2011, 14,710 women obtained abortions in Colorado, producing a rate of 14.2 abortions per 1,000 women of reproductive age. Some of these women were from other states, and some Colorado residents had abortions in other states, so this rate may not reflect the abortion rate of state residents. The rate declined 10% since 2008, when it was 15.8 abortions per 1,000 women aged 15–44. Colorado represents 1.4% of all abortions in the United States.
  • In 2010, 14,920 Colorado residents obtained abortions, producing a rate of 14.7 per 1,000 women of reproductive age.
  • In 2010, there were 8,790 pregnancies to Colorado teens aged 15–19; pregnancies that did not result in miscarriages or stillbirths, 73% resulted in live births and 27% in induced abortions.
  • In 2008, 2,020 teens obtained abortions in Colorado, producing a rate of 12 abortions per 1,000 women aged 15—19.
  • In 2011, there were 42 abortion providers in Colorado; 24 of those were clinics. This represents a 0% increase in overall providers and a 0% increase in clinics from 2008, when there were 42 abortion providers overall, of which 24 were abortion clinics.
  • In 2011, 78% of Colorado counties had no abortion clinic; 28% of Colorado women lived in these counties.

For more information, see State Facts About Abortion and State Facts about Unintended Pregnancy

PUBLICLY FUNDED CONTRACEPTIVE SERVICES

  • In 2013 in Colorado, publicly funded family plannng providers provided contraceptive care to 131,380 women.
  • In 2010 177 safety-net health centers served 20,510 teenagers in need of contraceptive care.
  • Publicly funded family planning providers in Colorado served 41% of all women in need of publicly supported contraceptive services and supplies in 2013.
  • In Colorado, $80 in public funds was spent on contraceptive services and supplies per woman in need in 2010.
  • In Colorado safety-net health centers that received some support through the federal Title X family planning program provided contraceptive care to 50,670 women in 2013.
  • In 2010, 55 safety-net health centers that received some support through the federal Title X family planning program served 7,950 teenagers in Colorado in need of contraceptive care.
  • Title X-supported centers in Colorado served 16% of all women in need of publicly supported contraceptive services and supplies in 2013.

For more information, see Contraceptive Needs and Services

For county-level data see Guttmacher's County-level Table Maker

IMPACT OF PUBLICLY FUNDED CONTRACEPTIVE SERVICES

  • Publicly funded family planning services help women to avoid pregnancies they do not want and to plan pregnancies they do. In 2013, publicly funded family planning services helped women in Colorado avoid 32,000 unintended pregnancies, which would likely have resulted in about 15,900 unplanned births and 10,900 abortions.
  • Contraceptive services provided at Title X-supported centers in Colorado helped prevent 12,400 unintended pregnancies, which would likely have resulted in about 6,100 unplanned births and 4,200 abortions.
  • The publicly funded family planning services provided at safety-net centers in Colorado saved the federal and state governments $152,496,000 in 2010.

For more information, see Contraceptive Needs and Services and "Return on investment: A fuller assessment of the benefits and cost savings of the US publicly funded family planning program"

STATE POLICIES

Policy Summary Table, as of July 1st, 2015

ABORTION
Abortion Policy in the Absence of Roe v. Wade
No policy in effect 
Abortion Counseling and Waiting Periods
No policy in effect 
Parental Involvement in Minors' Abortions
Parent must be notified before an abortion One parent
Restrictions on Private Insurance Coverage of Abortion
Insurance for state employees restricted Coverage prohibited
Public Funding of Abortion for Poor Women
Public funding is available in cases of life endangerment, rape or incest Only life, rape or incest
Refusal Clauses for Abortion Services
No policy in effect 
ADOLESCENTS
Minors' Consent to Contraceptive Services
All minors explicitly permitted to consent
Minors' Consent to STI Services
All or some minors explicitly permitted to consent All minors
Parental Involvement in Minors' Abortions
Parent must be notified before an abortion One parent
Sex Education
Sex education must either stress or cover abstinence Cover
Sex education must cover contraception
STI/HIV education must either stress or cover abstinence Cover
STI/HIV education must cover contraception
CONTRACEPTION SERVICES AND FINANCING
Emergency Contraception in Emergency Rooms
Information must be provided
Private Insurance Coverage of Contraceptive Services
Insurance coverage mandated
Medicaid Family Planning Expansions
No policy in effect 
Contraceptive Access in Pharmacies
No policy in effect 
Refusal Clauses for Contraceptive Services
Health care providers may refuse
Medical institutions may refuse Private institutions
Minors' Consent to Contraceptive Services
All minors explicitly permitted to consent

For more information, see State Policies in Brief