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Good reproductive health policy starts with credible research

 

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Guttmacher Institute

Good reproductive health policy starts with credible research

 

Donate Now

Connect With Us

  • Facebook
  • Instagram
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  • Email

Highlights

  • Roe v. Wade in Peril
  • COVID-19 impact
  • Reproductive Health Impact Study
  • Adding It Up
  • Abortion Worldwide
  • Guttmacher-Lancet Commission
  • U.S. policy resources
  • State policy resources
  • State legislation tracker

Reports

  • Global
  • U.S.

Articles

  • Global research
  • U.S. research
  • Policy analysis
  • Guttmacher Policy Review
  • Op-eds & external blogs

Fact Sheets

  • Global
  • U.S.
  • U.S. State Laws and Policies

Data & Visualizations

  • Data center
  • Infographics
  • Public-use data sets

Peer-Reviewed Journals

  • International Perspectives on Sexual and Reproductive Health
  • Perspectives on Sexual and Reproductive Health

Global

  • Abortion
  • Contraception
  • HIV & STIs
  • Pregnancy
  • Teens

U.S.

  • Abortion
  • Contraception
  • HIV & STIs
  • Pregnancy
  • Teens

Our Work By Geography

  • Global
  • Africa
  • Asia
  • Europe
  • Latin America & the Caribbean
  • Northern America
  • Oceania

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  • Board
  • Job opportunities
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  • Contact
  • Conflict of Interest Policy

Media

  • Media office
  • News releases

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  • Monthly Giving Circle
  • Donate stock or securites
  • Guttmacher Legacy Circle
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  • Darroch Award
  • Richards Scholarship
  • Bixby Fellowship

Search form

United States Contraception

Affordable Care Act (ACA)

Changes to the health care system under the Affordable Care Act (ACA) are having wide-ranging impacts on health coverage and provision of care to men and women across the United States. Guttmacher studies the ACA’s impact on reproductive health coverage and access, with a particular focus on the federal contraceptive coverage guarantee, which has eliminated cost barriers that could impede women’s ability to obtain the method that is best for them. The Institute also focuses on identifying vulnerable populations, such as many immigrants, who are not fully benefiting from the ACA.

  • Affordable Care Act (ACA)
  • Publicly Funded Family Planning
  • State Policies on Contraception
  • Policy Analysis

    The First 10 Years of the ACA: We Must Protect and Build on Major Gains in Sexual and Reproductive Health

  • Blog / Letter / Op-ed

    U.S. Insurance Coverage, 2018: The Affordable Care Act Is Still Under Threat and Still Vital for Reproductive-Age Women

  • Policy Analysis

    The ACA’s Birth Control Benefit Is Back Before the Supreme Court

Top Facts & Statistics

  • 20%

    decrease in women living below the poverty line who were uninsured between 2013 and 2014
  • 87%

    of insured women did not have to pay out of pocket for a hormonal IUD by spring 2014
  • 15-67%

    increase in women paying zero dollars out of pocket for oral contraceptive pills between fall 2012 and spring 2014.

Resources

  • June 2021 Report

    Trends and Differentials in Receipt of Sexual and Reproductive Health Services in the United States: Services Received and Sources of Care, 2006–2019

    Jennifer J. Frost, Jennifer Mueller and Zoe H. Pleasure

    United States

    • Contraception
    • HIV & STIs
  • June 2021 Fact Sheet

    The Federal Contraceptive Coverage Guarantee: An Effective Policy That Should Be Strengthened and Expanded

    United States

    • Contraception
  • April 2021 Policy Analysis

    Uninsured Rate for People of Reproductive Age Ticked Up Between 2016 and 2019

    Adam Sonfield

    United States

    • Abortion
    • Contraception
  • March 2021 Blog / Letter / Op-ed

    The Next Federal Budget Matters a Lot for Sexual and Reproductive Health and Rights—Here’s What to Look Out for

    Zara Ahmed

    United States

    • Abortion
    • Contraception
  • February 2021 Policy Analysis

    Just the Start: How the Biden-Harris Administration Must Build on Its Early Actions for Lasting Change

    Zara Ahmed, Ruth Dawson, Megan K. Donovan, Leah H. Keller and Adam Sonfield

    United States

    • Abortion
    • Contraception
  • February 2021 Policy Analysis

    A Fragmented System: Ensuring Comprehensive Contraceptive Coverage in All U.S. Health Insurance Plans

    Adam Sonfield,Guttmacher Policy Review

    United States

    • Contraception
  • January 2021 Policy Analysis

    The Biden-Harris Administration Must Address Trump’s Last-Minute Attempts to Damage Health Care

    Zara Ahmed, Ruth Dawson, Megan K. Donovan, Leah H. Keller and Adam Sonfield

    United States

    • Abortion
    • Contraception
  • November 2020 Policy Analysis

    Not Up for Debate: LGBTQ People Need and Deserve Tailored Sexual and Reproductive Health Care

    Ruth Dawson and Tracy Leong

    United States

    • Abortion
    • Contraception
    • Pregnancy
    • Teens
  • November 2020 Policy Analysis

    President-Elect Biden’s Health Insurance Plan and Its Potential Impact on Sexual and Reproductive Health and Rights

    Leah H. Keller and Adam Sonfield

    United States

    • Abortion
    • Contraception
    • HIV & STIs
  • September 2020 Policy Analysis

    An Even-More-Conservative U.S. Supreme Court Could Be Devastating for Sexual and Reproductive Health and Rights

    Ruth Dawson, Megan K. Donovan, Adam Sonfield and Lauren Cross

    United States

    • Abortion
    • Contraception

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Explore the Data Center

Hear From An Expert

There is a growing body of evidence on the impact of the Affordable Care Act (ACA) on women’s contraceptive access. In the past, women seeking a hormonal IUD—one of the most effective forms of contraception available—may have been dissuaded from obtaining one because of high out-of-pocket costs. The ACA is making these more expensive methods a realistic option for many women. More women can now choose a birth control method based on what works best for them, as opposed to what they can afford

Megan L. Kavanaugh

Principal Research Scientist

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