In What States Does Medicaid Pay For Abortions?

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If you’re looking for a simple guide on which states use Medicaid to pay for abortions, you’ve come to the right place.

Keep in mind, the information below is not meant to constitute legal advice, no does it. Laws can change quickly so do your own research before making any decisions regarding your pregnancy.

Federal Level

The Hyde Amendment is a legislative provision that was first implemented in 1977. It restricts the use of federal funds to pay for abortion services, except in cases of rape, incest, or when the woman’s life is in danger.

Essentially, it means that federal Medicaid funds cannot be used to cover the cost of abortion services except in the exceptional circumstances listed above.

There has been much debate in recent years about the Hyde Amendment, but we don’t need to wade into the controversy for the purpose of this article.

State Level

So if federal Medicaid funds can’t be used to pay for abortions, what about state Medicaid funds? As you might imagine, this is where it gets complicated. Below is a breakdown of each state and how it currently manages Medicaid funds and abortions (source).

Following the Hyde Amendment federal restrictions, there are currently 32 states plus the District of Columbia that use Medicaid funds only to provide abortions in cases of life endangerment, rape and incest: Alabama, Arizona, Arkansas, Colorado, Delaware, District of Columbia, Florida, Georgia, Idaho, Indiana, Iowa, Kansas, Kentucky, Louisiana, Michigan, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, Wyoming

South Dakota Medicaid funds will only pay for abortions when necessary to protect the mother’s life.

Four (4) of the states listed above also provide state funds for abortions in cases of fetal impairment: Iowa, Mississippi, Virginia, West Virginia

Four (4) of the states listed above also provide state funds for abortions that are necessary to prevent grave, long-lasting damage to the mother’s physical health: Indiana, Utah, West Virginia, Wisconsin

States That Don’t Follow Hyde Amendment Protocols

There are 17 states that have a policy that directs Medicaid to pay for all or most medically necessary abortions. However, about half of the 17 are voluntary and the rest must do so by a court order. Here’s the breakdown:

  • 8 states that provide voluntary Medicaid funds for abortions: Hawaii, Illinois, Maine, Maryland, New York, Oregon, Rhode Island, Washington
  • 9 states provide Medicaid funds for abortions due to a court order: Alaska, California, Connecticut, Massachusetts, Minnesota, Montana, New Jersey, New Mexico, Vermont

Below is a helpful chart that summarizes the information above (source).

state by state medicaid abortion chart


As you can see, answering the question “In What States Does Medicaid Cover Abortions?” is not so cut and dry. Laws can change quickly and many states have unique circumstances so check the laws in your state before making any decisions regarding your pregnancy.

If you are experiencing an unexpected pregnancy and are in the Las Vegas area, contact us today for information about abortion as well as your other options. We’re here to help!