Advancing Sexual and Reproductive Health and Rights
 
STATE REPRODUCTIVE HEALTH PROFILE

Missouri

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 1,251,650 women of reproductive age (aged 13–44) in Missouri, 684,360 of whom were in need of contraceptive services and supplies. Of these:
    • AGE: 102,110 were under the age of 20 and 582,250 were aged 20–44.
    • INCOME: Among women aged 20–44, 123,980 were below 100% of the federal poverty level.
    • RACE/ETHNICITY: 521,490 were non-Hispanic white; 95,510 were non-Hispanic black; and 29,480 were Hispanic.
  • In 2013 , there were 393,170 women in Missouri in need of publicly supported contraceptive services and supplies. Of these, 102,110 were in need of publicly supported services because they were sexually active teenagers, and 291,060 because they had incomes below 250% of the federal poverty level.
  • In 2012–2013, 20% of women aged 15–44 in Missouri were uninsured, while 13% were enrolled in Medicaid.

For more information, see Contraceptive Needs and Services

PREGNANCIES, BIRTHS AND ABORTIONS

  • In 2011, there were 97,700 pregnancies to the 1,174,783 women of reproductive age (15-44) in Missouri; of those that did not result in miscarriages or stillbirths, 78% resulted in live births and 6% in induced abortions.
  • In 2010, 51% of pregnancies in Missouri were unintended. There were 54,000 unintended pregnancies to women in Missouri, producing an unintended pregnancy rate of 46 per 1,000 women of reproductive age.
  • Of all unintended pregnancies in Missouri in 2010, 64% resulted in live births and 21% resulted in induced abortions.
  • In 2010, 72.2% of unplanned births in Missouri were publicly funded, compared with 50.2% of all births and 33.9% of planned births.
  • Of the 38,500 publicly funded births in Missouri in 2010, 25,000 were unplanned.
  • Unintended pregnancies in Missouri accounted for $518.4 million in public costs in 2010, including $385.9 million in federal costs and $132.6 million in state costs.
  • In 2011, 5,820 women obtained abortions in Missouri, producing a rate of 5 abortions per 1,000 women of reproductive age. Some of these women were from other states, and some Missouri residents had abortions in other states, so this rate may not reflect the abortion rate of state residents. The rate declined 21% since 2008, when it was 6.3 abortions per 1,000 women aged 15–44. Missouri represents 0.5% of all abortions in the United States.
  • In 2010, 15,160 Missouri residents obtained abortions, producing a rate of 12.8 per 1,000 women of reproductive age.
  • In 2010, there were 11,160 pregnancies to Missouri teens aged 15–19; pregnancies that did not result in miscarriages or stillbirths, 81% resulted in live births and 19% in induced abortions.
  • In 2008, 1,780 teens obtained abortions in Missouri, producing a rate of 9 abortions per 1,000 women aged 15—19.
  • In 2011, there were 5 abortion providers in Missouri; 5 of those were clinics. This represents a 17% decrease in overall providers and a 20% decrease in clinics from 2008, when there were 6 abortion providers overall, of which 5 were abortion clinics.
  • In 2011, 97% of Missouri counties had no abortion clinic; 74% of Missouri 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 Missouri, publicly funded family plannng providers provided contraceptive care to 76,130 women.
  • In 2010 193 safety-net health centers served 14,320 teenagers in need of contraceptive care.
  • Publicly funded family planning providers in Missouri served 19% of all women in need of publicly supported contraceptive services and supplies in 2013.
  • In Missouri, $118 in public funds was spent on contraceptive services and supplies per woman in need in 2010.
  • In Missouri safety-net health centers that received some support through the federal Title X family planning program provided contraceptive care to 48,430 women in 2013.
  • In 2010, 98 safety-net health centers that received some support through the federal Title X family planning program served 9,150 teenagers in Missouri in need of contraceptive care.
  • Title X-supported centers in Missouri served 12% 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 Missouri avoid 18,600 unintended pregnancies, which would likely have resulted in about 9,200 unplanned births and 6,300 abortions.
  • Contraceptive services provided at Title X-supported centers in Missouri helped prevent 11,800 unintended pregnancies, which would likely have resulted in about 5,900 unplanned births and 4,000 abortions.
  • The publicly funded family planning services provided at safety-net centers in Missouri saved the federal and state governments $155,334,000 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
State would restrict abortion to maximum extent permitted by Supreme Court
Abortion Counseling and Waiting Periods
Mandated counseling includes information designed to discourage abortion
State imposes waiting period between counseling and abortion 72 hours
Woman must make two trips: one for abortion counseling and another for the procedure
Parental Involvement in Minors' Abortions
Parent must consent to an abortion One parent
Restrictions on Private Insurance Coverage of Abortion
Insurance may only cover in cases of life endangerment
Insurance for state employees restricted Coverage in limited circumstances
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
Medical professionals may refuse
Medical institutions may refuse All institutions
ADOLESCENTS
Minors' Consent to Contraceptive Services
No policy in effect 
Minors' Consent to STI Services
All or some minors explicitly permitted to consent All minors
Parental Involvement in Minors' Abortions
Parent must consent to an abortion One parent
Sex Education
Sex education must either stress or cover abstinence Stress
State mandates STI/HIV education
STI/HIV education must either stress or cover abstinence Stress
CONTRACEPTION SERVICES AND FINANCING
Emergency Contraception in Emergency Rooms
No policy in effect 
Private Insurance Coverage of Contraceptive Services
Insurance coverage mandated
Employers may refuse to provide coverage All employers
Insurers may refuse to provide coverage All insurers
Medicaid Family Planning Expansions
Eligibility for Medicaid family planning based on income 185% Federal Poverty Level
Contraceptive Access in Pharmacies
No policy in effect 
Refusal Clauses for Contraceptive Services
No policy in effect 
Minors' Consent to Contraceptive Services
No policy in effect 

For more information, see State Policies in Brief