Policy
Updated January 26, 2026Current Policy Landscape
24 states have enshrined reproductive health care in statute or in the state constitution, though the scope of protected care, exceptions, and limitations vary by state. Since the Supreme Court overturned Roe v. Wade, there is no federal right to abortion care.
IWPR Recommendation
 States should guarantee individuals the right to reproductive freedom and bodily autonomy, covering a broad array of care, including, but not limited to, abortion, contraception, infertility treatment, and gender-affirming care. Access to reproductive freedom should not vary by zip code.
Legislative Tracking: Current Sessions
alaska
Enacted in a previous sessionarizona
Enacted in a previous sessionarkansas
Session has adjourned
california
Enacted in a previous sessioncolorado
Enacted in a previous sessionconnecticut
Enacted in a previous sessionSession has adjourned
delaware
Enacted in a previous sessiondistrict-of-columbia
Enacted in a previous sessionhawaii
Enacted in a previous sessionillinois
Enacted in a previous sessioniowa
Introduced
Passed by 1 Chamber
Signed into Law
kansas
Enacted in a previous sessionlouisiana
Session has adjourned
maine
Enacted in a previous sessionmaryland
Enacted in a previous sessionmassachusetts
Enacted in a previous sessionmichigan
Enacted in a previous sessionminnesota
Enacted in a previous sessionSession has adjourned
missouri
Enacted in a previous sessionmontana
Enacted in a previous sessionSession has adjourned
nevada
Enacted in a previous sessionSession has adjourned
new-jersey
Introduced
Passed by 1 Chamber
Signed into Law
new-york
Enacted in a previous sessionnorth-carolina
north-dakota
Session has adjourned
ohio
Enacted in a previous sessionoklahoma
Session has adjourned
oregon
Enacted in a previous sessionSession has adjourned
pennsylvania
Introduced
Passed by 1 Chamber
Signed into Law
rhode-island
Enacted in a previous sessiontexas
Session has adjourned
vermont
Enacted in a previous sessionwashington
Enacted in a previous sessionIntroduced
Passed by 1 Chamber
Signed into Law
west-virginia
Introduced
Passed by 1 Chamber
Signed into Law
wyoming
Session has adjourned
Current Policy Landscape
19 states have enacted interstate shield laws; some states have additional shield laws pertaining to telemedicine.
IWPR Recommendation
States should implement interstate shield laws to protect providers who offer a broad range of reproductive health care and gender-affirming care to patients who travel, or via telemedicine, from prosecution by other states enforcing their own restrictions.
Legislative Tracking: Current Sessions
arkansas
Session has adjourned
california
Enacted in a previous sessioncolorado
Enacted in a previous sessionconnecticut
Enacted in a previous sessionSession has adjourned
delaware
Enacted in a previous sessiondistrict-of-columbia
Enacted in a previous sessionhawaii
Enacted in a previous sessionillinois
Enacted in a previous sessionIntroduced
Passed by 1 Chamber
Signed into Law
louisiana
Session has adjourned
maine
Enacted in a previous sessionmaryland
Enacted in a previous sessionmassachusetts
Enacted in a previous sessionminnesota
Enacted in a previous sessionSession has adjourned
montana
Session has adjourned
nevada
Enacted in a previous sessionSession has adjourned
new-jersey
Enacted in a previous sessionnew-mexico
Enacted in a previous sessionnew-york
Enacted in a previous sessionIntroduced
Passed by 1 Chamber
Signed into Law
north-carolina
Session has adjourned
north-dakota
Session has adjourned
oklahoma
Session has adjourned
oregon
Enacted in a previous sessionSession has adjourned
rhode-island
Enacted in a previous sessiontexas
Session has adjourned
vermont
Enacted in a previous sessionwashington
Enacted in a previous sessionwyoming
Session has adjourned
Current Policy Landscape
5 states strengthened data privacy protections to prohibit geofencing within a certain radius of health care facilities, protecting patient and provider data. This includes Connecticut, Illinois, Nevada, New York, and Washington.
IWPR Recommendation
States should expressly prohibit geofencing near health care facilities and the sale of health care data to ensure the personal data of patients, providers, and helpers are not vulnerable to hostile entities.
Legislative Tracking: Current Sessions
arkansas
Session has adjourned
california
Enacted in a previous sessionconnecticut
Enacted in a previous sessionSession has adjourned
illinois
Enacted in a previous sessionlouisiana
Session has adjourned
massachusetts
michigan
Introduced
Passed by 1 Chamber
Signed into Law
minnesota
Session has adjourned
montana
Session has adjourned
nevada
Enacted in a previous sessionSession has adjourned
new-jersey
Introduced
Passed by 1 Chamber
Signed into Law
new-york
Enacted in a previous sessionnorth-carolina
Session has adjourned
north-dakota
Session has adjourned
oklahoma
Session has adjourned
oregon
Session has adjourned
rhode-island
Introduced
Passed by 1 Chamber
Signed into Law
texas
Session has adjourned
virginia
Enacted in a previous sessionwashington
Enacted in a previous sessionIntroduced
Passed by 1 Chamber
Signed into Law
wyoming
Session has adjourned
Current Policy Landscape
13 states require private insurers to cover abortion care. These include California, Colorado, Delaware, Illinois, Maine, Maryland, Massachusetts, Minnesota, New Jersey, New York, Oregon, Vermont, and Washington.
IWPR Recommendation
Insurers should not be decision-makers in patient care. States should require coverage for abortion care by private health insurers operating in the state.
Legislative Tracking: Current Sessions
arkansas
Session has adjourned
california
Enacted in a previous sessioncolorado
Enacted in a previous sessionconnecticut
Session has adjourned
delaware
Enacted in a previous sessionillinois
Enacted in a previous sessionlouisiana
Session has adjourned
maine
Enacted in a previous sessionmaryland
Enacted in a previous sessionmassachusetts
Enacted in a previous sessionminnesota
Enacted in a previous sessionSession has adjourned
montana
Session has adjourned
nevada
Session has adjourned
new-jersey
Enacted in a previous sessionnew-york
Enacted in a previous sessionnorth-carolina
Session has adjourned
north-dakota
Session has adjourned
oklahoma
Session has adjourned
oregon
Enacted in a previous sessionSession has adjourned
texas
Session has adjourned
vermont
Enacted in a previous sessionwashington
Enacted in a previous sessionIntroduced
Passed by 1 Chamber
Signed into Law
wyoming
Session has adjourned
Current Policy Landscape
25 states prohibit private insurers from refusing to cover transgender health care.
IWPR Recommendation
States should prohibit private insurance companies from discriminating against LGBTQIA+ patients and refusing coverage for care, and can further strengthen these protections with explicit requirements for coverage of a range of inclusive care.
Legislative Tracking: Current Sessions
arkansas
Session has adjourned
california
Enacted in a previous sessioncolorado
Enacted in a previous sessionconnecticut
Enacted in a previous sessionSession has adjourned
delaware
Enacted in a previous sessiondistrict-of-columbia
Enacted in a previous sessionflorida
Introduced
Passed by 1 Chamber
Signed into Law
hawaii
Enacted in a previous sessionillinois
Enacted in a previous sessionlouisiana
Session has adjourned
maine
Enacted in a previous sessionmaryland
Enacted in a previous sessionmassachusetts
Enacted in a previous sessionmichigan
Enacted in a previous sessionminnesota
Enacted in a previous sessionSession has adjourned
montana
Enacted in a previous sessionSession has adjourned
nevada
Enacted in a previous sessionSession has adjourned
new-hampshire
Enacted in a previous sessionnew-jersey
Enacted in a previous sessionnew-mexico
Enacted in a previous sessionnew-york
Enacted in a previous sessionnorth-carolina
Session has adjourned
north-dakota
Session has adjourned
oklahoma
Session has adjourned
oregon
Enacted in a previous sessionSession has adjourned
pennsylvania
Enacted in a previous sessionrhode-island
Enacted in a previous sessiontexas
Session has adjourned
vermont
Enacted in a previous sessionvirginia
Enacted in a previous sessionwashington
Enacted in a previous sessionIntroduced
Passed by 1 Chamber
Signed into Law
wisconsin
Enacted in a previous sessionwyoming
Session has adjourned
Current Policy Landscape
In 19 states, Medicaid programs include abortion care coverage with state funds. Federal policies, including the Hyde Amendment, prohibit the use of federal funds for abortion care in all states and territories, including the District of Columbia, where Congress wields unique jurisdiction.
IWPR Recommendation
States should expand Medicaid coverage to include abortion care to help patients overcome the undue financial burdens posed by federal restrictions. Everyone who needs an abortion should be able to get one.
Legislative Tracking: Current Sessions
alaska
Enacted in a previous sessionarkansas
Session has adjourned
california
Enacted in a previous sessionconnecticut
Enacted in a previous sessionSession has adjourned
delaware
Enacted in a previous sessionhawaii
Enacted in a previous sessionillinois
Enacted in a previous sessionlouisiana
Session has adjourned
maine
Enacted in a previous sessionmaryland
Enacted in a previous sessionmassachusetts
Enacted in a previous sessionminnesota
Enacted in a previous sessionSession has adjourned
montana
Enacted in a previous sessionSession has adjourned
nevada
Enacted in a previous sessionSession has adjourned
new-jersey
Enacted in a previous sessionnew-mexico
Enacted in a previous sessionnew-york
Enacted in a previous sessionnorth-carolina
Session has adjourned
north-dakota
Session has adjourned
oklahoma
Session has adjourned
oregon
Enacted in a previous sessionSession has adjourned
rhode-island
Enacted in a previous sessiontexas
Session has adjourned
vermont
Enacted in a previous sessionwashington
Enacted in a previous sessionwyoming
Session has adjourned
Current Policy Landscape
In 28 states, gender-affirming care is eligible for coverage under Medicaid.
IWPR Recommendation
States should expand Medicaid coverage to include gender-affirming care to expand access through affordability for patients for whom cost is a significant barrier. Everyone in need of gender-affirming care should be able to receive it.
Legislative Tracking: Current Sessions
alaska
Enacted in a previous sessionarkansas
Session has adjourned
california
Enacted in a previous sessioncolorado
Enacted in a previous sessionconnecticut
Enacted in a previous sessionSession has adjourned
delaware
Enacted in a previous sessiondistrict-of-columbia
Enacted in a previous sessiongeorgia
Enacted in a previous sessionillinois
Enacted in a previous sessioniowa
Enacted in a previous sessionlouisiana
Session has adjourned
maine
Enacted in a previous sessionmaryland
Enacted in a previous sessionmassachusetts
Enacted in a previous sessionmichigan
Enacted in a previous sessionminnesota
Enacted in a previous sessionSession has adjourned
montana
Enacted in a previous sessionSession has adjourned
nevada
Enacted in a previous sessionSession has adjourned
new-hampshire
Enacted in a previous sessionnew-jersey
Enacted in a previous sessionnew-mexico
Enacted in a previous sessionnew-york
Enacted in a previous sessionnorth-carolina
Session has adjourned
north-dakota
Enacted in a previous sessionSession has adjourned
oklahoma
Session has adjourned
oregon
Enacted in a previous sessionSession has adjourned
pennsylvania
Enacted in a previous sessionrhode-island
Enacted in a previous sessiontexas
Session has adjourned
vermont
Enacted in a previous sessionvirginia
Enacted in a previous sessionwashington
Enacted in a previous sessionwisconsin
Enacted in a previous sessionwyoming
Session has adjourned
Current Policy Landscape
49 states have extended Medicaid coverage to one year postpartum. Wisconsin extended coverage for 90 days postpartum. Only Arkansas has not extended Medicaid coverage for postpartum patients.
IWPR Recommendation
States should extend maternal health and postpartum coverage for all Medicaid recipients. Such extension is just one step states can take to reduce comorbidities and long-term health conditions and to address the broader maternal health crisis.
Legislative Tracking: Current Sessions
alabama
Enacted in a previous sessionalaska
Enacted in a previous sessionarizona
Enacted in a previous sessionarkansas
Session has adjourned
california
Enacted in a previous sessioncolorado
Enacted in a previous sessionconnecticut
Enacted in a previous sessionSession has adjourned
delaware
Enacted in a previous sessiondistrict-of-columbia
Enacted in a previous sessionflorida
Enacted in a previous sessiongeorgia
Enacted in a previous sessionhawaii
Enacted in a previous sessionidaho
Enacted in a previous sessionillinois
Enacted in a previous sessionindiana
Enacted in a previous sessioniowa
Enacted in a previous sessionkansas
Enacted in a previous sessionkentucky
Enacted in a previous sessionlouisiana
Enacted in a previous sessionSession has adjourned
maine
Enacted in a previous sessionmaryland
Enacted in a previous sessionmassachusetts
Enacted in a previous sessionmichigan
Enacted in a previous sessionminnesota
Enacted in a previous sessionSession has adjourned
mississippi
Enacted in a previous sessionmissouri
Enacted in a previous sessionmontana
Enacted in a previous sessionSession has adjourned
nebraska
Enacted in a previous sessionnevada
Enacted in a previous sessionSession has adjourned
new-hampshire
Enacted in a previous sessionnew-jersey
Enacted in a previous sessionnew-mexico
Enacted in a previous sessionnew-york
Enacted in a previous sessionnorth-carolina
Enacted in a previous sessionSession has adjourned
north-dakota
Enacted in a previous sessionSession has adjourned
ohio
Enacted in a previous sessionoklahoma
Enacted in a previous sessionSession has adjourned
oregon
Enacted in a previous sessionSession has adjourned
pennsylvania
Enacted in a previous sessionrhode-island
Enacted in a previous sessionsouth-carolina
Enacted in a previous sessionsouth-dakota
Enacted in a previous sessiontennessee
Enacted in a previous sessiontexas
Enacted in a previous sessionSession has adjourned
utah
Enacted in a previous sessionvermont
Enacted in a previous sessionvirginia
Enacted in a previous sessionwashington
Enacted in a previous sessionwest-virginia
Enacted in a previous sessionwyoming
Enacted in a previous sessionSession has adjourned
Current Policy Landscape
3 states have enacted fetal personhood laws: Alabama, Georgia, and Missouri. Litigation is frequently changing the legal landscape and the status of these laws.
IWPR Recommendation
States should reject fetal personhood laws, which are at direct odds with the hard-fought constitutional rights that protect women and pregnant people as individuals equal under federal law.
Legislative Tracking: Current Sessions
alabama
Enacted in a previous sessionarkansas
Session has adjourned
connecticut
Session has adjourned
georgia
Enacted in a previous sessionlouisiana
Session has adjourned
minnesota
Session has adjourned
missouri
Enacted in a previous sessionmontana
Session has adjourned
nevada
Session has adjourned
new-york
Introduced
Passed by 1 Chamber
Signed into Law
north-carolina
Session has adjourned
north-dakota
Session has adjourned
oklahoma
oregon
Session has adjourned
pennsylvania
Introduced
Passed by 1 Chamber
Signed into Law
texas
Session has adjourned
wyoming
Session has adjourned
Current Policy Landscape
IWPR Recommendation
States should not intervene in decisions made between a patient and their doctor, nor should they restrict patientsâ freedom to seek care outside their state.
Legislative Tracking: Current Sessions
arkansas
Session has adjourned
connecticut
Session has adjourned
idaho
Enacted in a previous sessionlouisiana
Session has adjourned
minnesota
Session has adjourned
montana
Session has adjourned
nevada
Session has adjourned
north-carolina
Session has adjourned
north-dakota
Session has adjourned
oklahoma
Session has adjourned
oregon
Session has adjourned
tennessee
Enacted in a previous sessiontexas
Session has adjourned
wyoming
Session has adjourned
Current Policy Landscape
19 states have abortion bans, with 16 imposing near-total bans that allow exceptions only for rape, incest, life-threatening conditions, or only before most people even know they are pregnant. Litigation is frequently changing the legal landscape, and some of these bans may not currently be in effect.
IWPR Recommendation
States should reject abortion bans. Abortion is health care. Only patients and their doctors should make decisions about abortion care; states should never interfere.
Legislative Tracking: Current Sessions
alabama
Enacted in a previous sessionarkansas
Enacted in a previous sessionSession has adjourned
connecticut
Session has adjourned
florida
Enacted in a previous sessiongeorgia
Enacted in a previous sessionhawaii
Introduced
Passed by 1 Chamber
Signed into Law
idaho
Enacted in a previous sessionindiana
Enacted in a previous sessioniowa
Enacted in a previous sessionkentucky
Enacted in a previous sessionlouisiana
Enacted in a previous sessionSession has adjourned
maryland
Introduced
Passed by 1 Chamber
Signed into Law
massachusetts
Introduced
Passed by 1 Chamber
Signed into Law
minnesota
Session has adjourned
montana
Session has adjourned
nebraska
Enacted in a previous sessionnevada
Session has adjourned
north-carolina
Enacted in a previous sessionSession has adjourned
north-dakota
Session has adjourned
oklahoma
Enacted in a previous sessionoregon
Session has adjourned
pennsylvania
Introduced
Passed by 1 Chamber
Signed into Law
south-carolina
Enacted in a previous sessionsouth-dakota
Enacted in a previous sessiontennessee
Enacted in a previous sessiontexas
Enacted in a previous sessionSession has adjourned
utah
Enacted in a previous sessionwest-virginia
Enacted in a previous sessionwyoming
Enacted in a previous sessionSession has adjourned
Current Policy Landscape
27 states ban gender-affirming care up to age 18. Litigation is frequently changing the legal landscape, and some of these bans may not currently be in effect.
IWPR Recommendation
States should reject any ban on gender-affirming care. Gender-affirming care is health care, and decisions about treatment and care should remain exclusively between a patient and their doctor.
Legislative Tracking: Current Sessions
alabama
Enacted in a previous sessionarizona
Enacted in a previous sessionarkansas
Enacted in a previous sessionSession has adjourned
connecticut
Session has adjourned
florida
Enacted in a previous sessiongeorgia
Enacted in a previous sessionIntroduced
Passed by 1 Chamber
Signed into Law
idaho
Enacted in a previous sessionillinois
Introduced
Passed by 1 Chamber
Signed into Law
indiana
Enacted in a previous sessioniowa
Enacted in a previous sessionkansas
Enacted in a previous sessionkentucky
Enacted in a previous sessionlouisiana
Enacted in a previous sessionSession has adjourned
minnesota
Session has adjourned
mississippi
Enacted in a previous sessionmissouri
Enacted in a previous sessionmontana
Enacted in a previous sessionSession has adjourned
nebraska
Enacted in a previous sessionIntroduced
Passed by 1 Chamber
Signed into Law
nevada
Session has adjourned
new-hampshire
Enacted in a previous sessionnorth-carolina
Enacted in a previous sessionSession has adjourned
north-dakota
Enacted in a previous sessionSession has adjourned
ohio
Enacted in a previous sessionoklahoma
Enacted in a previous sessionoregon
Session has adjourned
south-carolina
Enacted in a previous sessionsouth-dakota
Enacted in a previous sessiontennessee
Enacted in a previous sessionIntroduced
Passed by 1 Chamber
Signed into Law
texas
Enacted in a previous sessionutah
Enacted in a previous sessionIntroduced
Passed by 1 Chamber
Signed into Law
virginia
Session has adjourned
washington
Introduced
Passed by 1 Chamber
Signed into Law
west-virginia
Enacted in a previous sessionIntroduced
Passed by 1 Chamber
Signed into Law
wisconsin
Introduced
Passed by 1 Chamber
Signed into Law
wyoming
Enacted in a previous sessionSession has adjourned