Commonwealth Fund December 16, 2025
Zara Day, Kate Meyer, Anna Britt, Helen Robins

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Federal programs that finance contraceptive access are vital to the reproductive health safety net yet face growing challenges from funding cuts and politicization

States play an important role in protecting contraceptive access, but federal funding cuts or program consolidation would make it harder for millions of people to get family planning care

Abstract

  • Issue: Federal financing for contraceptives is shown to enhance people’s access to these critical family-planning tools and improve their health and economic outcomes. Recent cuts to core federal programs, however, pose significant threats to both.
  • Goals: Analyze the landscape of public funding for contraceptives and identify policies that undermine or expand equity, access, and choice.
  • Methods: Expert interviews, literature review, and analyses of Medicaid state...

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