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June 27, 2017

Evolving State-Based Contraceptive and Abortion Policies

Author Affiliations
  • 1Department of Obstetrics and Gynecology, Northwestern University, Chicago, Illinois
  • 2Departments of Preventive Medicine and Medical Social Sciences, Northwestern University, Chicago, Illinois
  • 3Department of Obstetrics, Gynecology, and Reproductive Biology, Brigham and Women’s Hospital and Harvard Medical School, Boston, Massachusetts
  • 4Planned Parenthood League of Massachusetts, Boston
JAMA. 2017;317(24):2481-2482. doi:10.1001/jama.2017.6103

During the first few months of the Trump presidency, as in previous Republican administrations, there have been numerous restrictions, limitations, and debates regarding sexual and reproductive health. These have included the following: reinstating the Mexico City Policy, which prevents US federal foreign funding for nongovernmental organizations that provide counseling or referrals for abortion-related services1; provisions in the proposed American Health Care Act that would have excluded Planned Parenthood from Medicaid reimbursements, restricted access to plans that cover abortions, and eliminated essential health services such as maternal care2; and a congressional resolution allowing states the right to deny Title X federal family planning grant money to any organization that provides abortion services or is associated with a clinician or center that performs abortions.3 With Republican control of Congress and the White House, measures and attempts to limit access to selected sexual and reproductive health services will undoubtedly continue, reflecting the official party platform and long-established policy positions.