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FP-14 Data Details

FP-14 Increase the number of States that set the income eligibility level for Medicaid-covered family planning services to at least the same level used to determine eligibility for Medicaid-covered, pregnancy-related care

About the Data

Description of the data source, numerator, denominator, survey questions, and other relevant details about the national estimate.

Changed Since the Healthy People 2020 Launch
No
Measure
number 
Baseline (Year)
21 (2010)
Target
32
Target-Setting Method
Projection/trend analysis
Numerator
Number of States in which the income-eligibility level for Medicaid-funded family planning services is at least the same as the income-eligibility level for Medicaid-funded pregnancy-related care
Data Collection Frequency
Annual
Comparable Healthy People 2010 Objective
Not applicable
Methodology Notes

Since the 1980’s, states have been required to extend eligibility for Medicaid-covered pregnancy-related care for up to 60 days postpartum to all women with incomes up to 133% of the federal poverty level, a level which was above most states’ regular Medicaid eligibility ceilings. In addition, states were given the option to expand eligibility for pregnancy-related care to women with incomes up to 185% of poverty or beyond.

State efforts to expand Medicaid eligibility for family planning have resulted in an increased number of clients served, improved geographic availability of services, increased use of effective contraceptive methods, prevention of unintended pregnancies, reduction in the number of teen pregnancies, and substantial cost savings for federal and state governments. Overall, states that have expanded Medicaid eligibility for family planning based on income have had the best outcomes. In particular, these states have served more contraceptive clients and have met a greater proportion of the need for publicly-supported family planning services. In addition, establishing parity between the income-level used to determine Medicaid eligibility for pregnancy-related care and the income-level used to determine eligibility for family planning services has been shown to be the most cost-effective approach for expanding Medicaid eligibility for family planning.

References

Additional resources about the objective.

  1. Kaiser Family Foundation. (2007). Medicaid’s Role in Family Planning. Issue Brief #7064-03. Accessed April 8, 2009 from http://www.kff.org/womenshealth/upload/7064_03.pdf.
  2. Kaiser Family Foundation. (2009). Medicaid: A Primer. Accessed on April 8, 2009 from http://www.kff.org/medicaid/upload/7334-03.pdf.
  3. Sonfield, A., Alrich, C, & Gold, R. (2008). State government innovation in the design and implementation of Medicaid family planning expansions. Accessed April 9, 2009 from http://www.guttmacher.org/pubs/2008/03/28/StateMFPEpractices.pdf.