Format

Send to

Choose Destination
BMC Womens Health. 2019 Jun 19;19(1):78. doi: 10.1186/s12905-019-0775-5.

Estimating the proportion of Medicaid-eligible pregnant women in Louisiana who do not get abortions when Medicaid does not cover abortion.

Author information

1
Advancing New Standards in Reproductive Health (ANSIRH), Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, 1330 Broadway, Suite 1100, Oakland, CA, 94612, USA. sarah.roberts@ucsf.edu.
2
Advancing New Standards in Reproductive Health (ANSIRH), Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco, 1330 Broadway, Suite 1100, Oakland, CA, 94612, USA.
3
Present address: Center on Gender Equity and Health, University of California, San Diego, 9500 Gilman Dr, La Jolla, CA, 92093, USA.
4
Department of Obstetrics and Gynecology, Louisiana State University School of Medicine, 3700 St. Charles Avenue, 5th floor, New Orleans, LA, 70115, USA.

Abstract

BACKGROUND:

To estimate the proportion of pregnant women in Louisiana who do not obtain abortions because Medicaid does not cover abortion.

METHODS:

Two hundred sixty nine women presenting at first prenatal visits in Southern Louisiana, 2015-2017, completed self-administered iPad surveys and structured interviews. Women reporting having considered abortion were asked whether Medicaid not paying for abortion was a reason they had not had an abortion. Using study data and published estimates of births, abortions, and Medicaid-covered births in Louisiana, we projected the proportion of Medicaid births that would instead be abortions if Medicaid covered abortion in Louisiana.

RESULTS:

28% considered abortion. Among women with Medicaid, 7.2% [95% CI 4.1-12.3] reported Medicaid not paying as a reason they did not have an abortion. Existing estimates suggest 10% of Louisiana pregnancies end in abortion. If Medicaid covered abortion, this would increase to 14% [95% CI 12, 16]. 29% [95% CI 19, 41] of Medicaid eligible pregnant women who would have an abortion with Medicaid coverage, instead give birth.

CONCLUSIONS:

For a substantial proportion of pregnant women in Louisiana, the lack of Medicaid funding remains an insurmountable barrier to obtaining an abortion. Forty years after the Hyde Amendment was passed, lack of Medicaid funding for abortion continues to have substantial impacts on women's ability to obtain abortions.

KEYWORDS:

Abortion; Barriers to care; Medicaid; Policy; Pregnancy; women’s health

Supplemental Content

Full text links

Icon for BioMed Central Icon for PubMed Central
Loading ...
Support Center