President-Elect Joe Biden and Vice President-Elect Kamala Harris will take office in January 2021, having received a record-shattering number of votes nationwide, alongside a Democrat-led U.S. House of Representatives and a Senate with a razor-thin majority that is yet to be decided.

Though many are celebrating the end of the Trump administration and the beginning of Democratic control of the White House, new leadership does not guarantee that sexual and reproductive health care and rights will be fully available to all. Advocates need to hold the incoming administration and congressional lawmakers accountable to undo the harms of the last four years, push for progressive and equitable policies, and make 2021 a turning point for sexual and reproductive health, rights and justice. They must also be vigilant for any harmful or restrictive policies that may be enacted in the period between the election and inauguration.

When the Biden administration enters office, it will have been nearly a year since COVID-19 began to push the fragmented U.S. health care system to its limits. During this time, sexual and reproductive health and rights were neglected or outright targeted by the Trump administration and other opponents of reproductive autonomy. Moving forward, the focus for advocates and policymakers cannot simply be on how to restore the health care system to its prepandemic status, but rather on how to redress long-standing injustices and bolster sexual and reproductive health and rights. In particular, advocates and lawmakers must prioritize the needs of the marginalized communities who bore the brunt of the Trump administration’s attacks.

With this resource, we lay out recommendations for Congress and the executive branch to meet the needs of communities and populations that will be most affected by sexual and reproductive health policy decisions that lie ahead, based on the latest evidence and rooted in values of equity and justice.

Who Will Be Impacted by Sexual and Reproductive Health Policy Decisions in 2021?

Anyone who uses public health insurance programs or the Affordable Care Act
Anyone who uses contraception
Anyone seeking an abortion
Anyone who will need maternal health care
Immigrants
Adolescents and young adults
LGBTQ community
Black, Indigenous and other people of color
People around the world