State Reproductive Health Access Policies
Extended Supply of Contraceptives
State By State Policies
Hover over a state to read highlights of the legislation. Click on the state to expand legislation details.
California
California
Print DataExtended Supply of Contraceptives#
2016
January 1, 2017
n/a
Yes: MediCal Managed Care Plans
(+) Provides authority to providers and pharmacists.
(+) The state Medicaid Family Planning Expansion, Family PACT, has allowed an extended supply of oral contraceptives for over 25 years, when dispensed at a clinic.4
(+) The state began requiring Medi-Cal managed care plans to do the same on May 1, 2016 and has since updated the requirements.5
(+) State law specifies that coverage is not excluded for contraception prescribed for reasons other than contraception.
(+) Part of a more expansive law on contraceptive access
2016
January 1, 2017
n/a
Yes: MediCal Managed Care Plans
(+) Provides authority to providers and pharmacists.
(+) The state Medicaid Family Planning Expansion, Family PACT, has allowed an extended supply of oral contraceptives for over 25 years, when dispensed at a clinic.4
(+) The state began requiring Medi-Cal managed care plans to do the same on May 1, 2016 and has since updated the requirements.5
(+) State law specifies that coverage is not excluded for contraception prescribed for reasons other than contraception.
(+) Part of a more expansive law on contraceptive access
^ Some states require the patient to first have an “initial dispensing” of a few months’ worth of a given contraceptive, before receiving a subsequent larger quantity of the same method or therapeutic equivalent. Laws in Colorado, Massachusetts, New Jersey, and Oregon specify that the covered person can receive the larger quantity, whether or not they were enrolled in the same plan when they received the initial dispensing. While an initial dispensing is not a required practice from the medical community, it is a balance some states have struck in order to assuage insurer concerns.
# States requiring a twelve-month supply of contraception at one-time, except for New Jersey and New Mexico, which require a six-month supply at one time.
References
-------------
1 Foster, D.G., Hulett, D., Bradsberry, M., Darney, P., and Policar, M. (2011). Number of Oral Contraceptive Pill Packages Dispensed and Subsequent Unintended Pregnancies. Obstetrics & Gynecology, 117(3):566-572. doi:10.1097/AOG.0b013e3182056309
2 The Centers for Disease Control and Prevention. US Selected Practice Recommendations for Contraceptive Use, 2016. Retrieved from www.cdc.gov/reproductivehealth/contraception/mmwr/spr/combined.html.
3 Judge-Golden, C.P., Smith K.J., Mor M.K., Borrero S. (2019).Financial Implications of 12-Month Dispensing of Oral Contraceptive Pills in the Veterans Affairs Health Care System. JAMA Intern Med. Published online July 08, 2019. doi:10.1001/jamainternmed.2019.1678
4 Effective January 1, 2017, Family PACT policy covers an extended supply of the contraceptive ring and patch at clinics. Family PACT Update. (2017). Retrieved from http://files.medi-cal.ca.gov/pubsdoco/bulletins/artfull/fpact201704.asp#a4.
5 State of California-Health and Human Services Agency, Department of Health Care Services. All Plan Letter 16-003 Revised. (2016). Retrieved from www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2016/APL16-003R.pdf.
6 KFF Medicaid Coverage of Family Planning Benefits: Results from a State Survey. Retrieved from kff.org/attachment/Report-Medicaid-Coverage-of-Family-Planning-Benefits-Results-from-a-State-Survey.
7 Ibid.
8 Ibid.
9 Ibid.
10 Ibid.
11 This does not necessarily mean the coverage would be excluded in states where it is not specified in legislation.
California
Colorado
Colorado
Print DataExtended Supply of Contraceptives#
2019
July 1, 2019
3 months
Yes
(+) SB 19-113 provides $1.8 million in funds to cover dispensing of a 12- month supply of contraceptives at one time for Medicaid beneficiaries. Prior to this the state allowed a 6-month supply of oral contraceptives for Medicaid beneficiaries.7
2017
January 1, 2019
3 months
No
(+) HB 17-1186 Applies to CHIP
(-) The maximum amount of cycles that can be dispensed at once for the contraceptive ring is 3 months.
2019
July 1, 2019
3 months
Yes
(+) SB 19-113 provides $1.8 million in funds to cover dispensing of a 12- month supply of contraceptives at one time for Medicaid beneficiaries. Prior to this the state allowed a 6-month supply of oral contraceptives for Medicaid beneficiaries.7
2017
January 1, 2019
3 months
No
(+) HB 17-1186 Applies to CHIP
(-) The maximum amount of cycles that can be dispensed at once for the contraceptive ring is 3 months.
^ Some states require the patient to first have an “initial dispensing” of a few months’ worth of a given contraceptive, before receiving a subsequent larger quantity of the same method or therapeutic equivalent. Laws in Colorado, Massachusetts, New Jersey, and Oregon specify that the covered person can receive the larger quantity, whether or not they were enrolled in the same plan when they received the initial dispensing. While an initial dispensing is not a required practice from the medical community, it is a balance some states have struck in order to assuage insurer concerns.
# States requiring a twelve-month supply of contraception at one-time, except for New Jersey and New Mexico, which require a six-month supply at one time.
References
-------------
1 Foster, D.G., Hulett, D., Bradsberry, M., Darney, P., and Policar, M. (2011). Number of Oral Contraceptive Pill Packages Dispensed and Subsequent Unintended Pregnancies. Obstetrics & Gynecology, 117(3):566-572. doi:10.1097/AOG.0b013e3182056309
2 The Centers for Disease Control and Prevention. US Selected Practice Recommendations for Contraceptive Use, 2016. Retrieved from www.cdc.gov/reproductivehealth/contraception/mmwr/spr/combined.html.
3 Judge-Golden, C.P., Smith K.J., Mor M.K., Borrero S. (2019).Financial Implications of 12-Month Dispensing of Oral Contraceptive Pills in the Veterans Affairs Health Care System. JAMA Intern Med. Published online July 08, 2019. doi:10.1001/jamainternmed.2019.1678
4 Effective January 1, 2017, Family PACT policy covers an extended supply of the contraceptive ring and patch at clinics. Family PACT Update. (2017). Retrieved from http://files.medi-cal.ca.gov/pubsdoco/bulletins/artfull/fpact201704.asp#a4.
5 State of California-Health and Human Services Agency, Department of Health Care Services. All Plan Letter 16-003 Revised. (2016). Retrieved from www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2016/APL16-003R.pdf.
6 KFF Medicaid Coverage of Family Planning Benefits: Results from a State Survey. Retrieved from kff.org/attachment/Report-Medicaid-Coverage-of-Family-Planning-Benefits-Results-from-a-State-Survey.
7 Ibid.
8 Ibid.
9 Ibid.
10 Ibid.
11 This does not necessarily mean the coverage would be excluded in states where it is not specified in legislation.
Colorado
Connecticut
Connecticut
Print DataExtended Supply of Contraceptives#
2018
January 1, 2019
N/A
No
N/A
^ Some states require the patient to first have an “initial dispensing” of a few months’ worth of a given contraceptive, before receiving a subsequent larger quantity of the same method or therapeutic equivalent. Laws in Colorado, Massachusetts, New Jersey, and Oregon specify that the covered person can receive the larger quantity, whether or not they were enrolled in the same plan when they received the initial dispensing. While an initial dispensing is not a required practice from the medical community, it is a balance some states have struck in order to assuage insurer concerns.
# States requiring a twelve-month supply of contraception at one-time, except for New Jersey and New Mexico, which require a six-month supply at one time.
References
-------------
1 Foster, D.G., Hulett, D., Bradsberry, M., Darney, P., and Policar, M. (2011). Number of Oral Contraceptive Pill Packages Dispensed and Subsequent Unintended Pregnancies. Obstetrics & Gynecology, 117(3):566-572. doi:10.1097/AOG.0b013e3182056309
2 The Centers for Disease Control and Prevention. US Selected Practice Recommendations for Contraceptive Use, 2016. Retrieved from www.cdc.gov/reproductivehealth/contraception/mmwr/spr/combined.html.
3 Judge-Golden, C.P., Smith K.J., Mor M.K., Borrero S. (2019).Financial Implications of 12-Month Dispensing of Oral Contraceptive Pills in the Veterans Affairs Health Care System. JAMA Intern Med. Published online July 08, 2019. doi:10.1001/jamainternmed.2019.1678
4 Effective January 1, 2017, Family PACT policy covers an extended supply of the contraceptive ring and patch at clinics. Family PACT Update. (2017). Retrieved from http://files.medi-cal.ca.gov/pubsdoco/bulletins/artfull/fpact201704.asp#a4.
5 State of California-Health and Human Services Agency, Department of Health Care Services. All Plan Letter 16-003 Revised. (2016). Retrieved from www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2016/APL16-003R.pdf.
6 KFF Medicaid Coverage of Family Planning Benefits: Results from a State Survey. Retrieved from kff.org/attachment/Report-Medicaid-Coverage-of-Family-Planning-Benefits-Results-from-a-State-Survey.
7 Ibid.
8 Ibid.
9 Ibid.
10 Ibid.
11 This does not necessarily mean the coverage would be excluded in states where it is not specified in legislation.
Connecticut
Delaware
Delaware
Print DataExtended Supply of Contraceptives#
2018
July 11, 2018
N/A
Yes
(+) State law specifies that coverage is not excluded for contraception prescribed for reasons other than contraception.11
(+) Part of a more expansive law on contraceptive access
2018
July 11, 2018
N/A
Yes
(+) State law specifies that coverage is not excluded for contraception prescribed for reasons other than contraception.11
(+) Part of a more expansive law on contraceptive access
^ Some states require the patient to first have an “initial dispensing” of a few months’ worth of a given contraceptive, before receiving a subsequent larger quantity of the same method or therapeutic equivalent. Laws in Colorado, Massachusetts, New Jersey, and Oregon specify that the covered person can receive the larger quantity, whether or not they were enrolled in the same plan when they received the initial dispensing. While an initial dispensing is not a required practice from the medical community, it is a balance some states have struck in order to assuage insurer concerns.
# States requiring a twelve-month supply of contraception at one-time, except for New Jersey and New Mexico, which require a six-month supply at one time.
References
-------------
1 Foster, D.G., Hulett, D., Bradsberry, M., Darney, P., and Policar, M. (2011). Number of Oral Contraceptive Pill Packages Dispensed and Subsequent Unintended Pregnancies. Obstetrics & Gynecology, 117(3):566-572. doi:10.1097/AOG.0b013e3182056309
2 The Centers for Disease Control and Prevention. US Selected Practice Recommendations for Contraceptive Use, 2016. Retrieved from www.cdc.gov/reproductivehealth/contraception/mmwr/spr/combined.html.
3 Judge-Golden, C.P., Smith K.J., Mor M.K., Borrero S. (2019).Financial Implications of 12-Month Dispensing of Oral Contraceptive Pills in the Veterans Affairs Health Care System. JAMA Intern Med. Published online July 08, 2019. doi:10.1001/jamainternmed.2019.1678
4 Effective January 1, 2017, Family PACT policy covers an extended supply of the contraceptive ring and patch at clinics. Family PACT Update. (2017). Retrieved from http://files.medi-cal.ca.gov/pubsdoco/bulletins/artfull/fpact201704.asp#a4.
5 State of California-Health and Human Services Agency, Department of Health Care Services. All Plan Letter 16-003 Revised. (2016). Retrieved from www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2016/APL16-003R.pdf.
6 KFF Medicaid Coverage of Family Planning Benefits: Results from a State Survey. Retrieved from kff.org/attachment/Report-Medicaid-Coverage-of-Family-Planning-Benefits-Results-from-a-State-Survey.
7 Ibid.
8 Ibid.
9 Ibid.
10 Ibid.
11 This does not necessarily mean the coverage would be excluded in states where it is not specified in legislation.
Delaware
Hawaii
Hawaii
Print DataExtended Supply of Contraceptives#
2016
January 1, 2017 (private plans)
N/A
Yes: Medicaid Managed Care
N/A
^ Some states require the patient to first have an “initial dispensing” of a few months’ worth of a given contraceptive, before receiving a subsequent larger quantity of the same method or therapeutic equivalent. Laws in Colorado, Massachusetts, New Jersey, and Oregon specify that the covered person can receive the larger quantity, whether or not they were enrolled in the same plan when they received the initial dispensing. While an initial dispensing is not a required practice from the medical community, it is a balance some states have struck in order to assuage insurer concerns.
# States requiring a twelve-month supply of contraception at one-time, except for New Jersey and New Mexico, which require a six-month supply at one time.
References
-------------
1 Foster, D.G., Hulett, D., Bradsberry, M., Darney, P., and Policar, M. (2011). Number of Oral Contraceptive Pill Packages Dispensed and Subsequent Unintended Pregnancies. Obstetrics & Gynecology, 117(3):566-572. doi:10.1097/AOG.0b013e3182056309
2 The Centers for Disease Control and Prevention. US Selected Practice Recommendations for Contraceptive Use, 2016. Retrieved from www.cdc.gov/reproductivehealth/contraception/mmwr/spr/combined.html.
3 Judge-Golden, C.P., Smith K.J., Mor M.K., Borrero S. (2019).Financial Implications of 12-Month Dispensing of Oral Contraceptive Pills in the Veterans Affairs Health Care System. JAMA Intern Med. Published online July 08, 2019. doi:10.1001/jamainternmed.2019.1678
4 Effective January 1, 2017, Family PACT policy covers an extended supply of the contraceptive ring and patch at clinics. Family PACT Update. (2017). Retrieved from http://files.medi-cal.ca.gov/pubsdoco/bulletins/artfull/fpact201704.asp#a4.
5 State of California-Health and Human Services Agency, Department of Health Care Services. All Plan Letter 16-003 Revised. (2016). Retrieved from www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2016/APL16-003R.pdf.
6 KFF Medicaid Coverage of Family Planning Benefits: Results from a State Survey. Retrieved from kff.org/attachment/Report-Medicaid-Coverage-of-Family-Planning-Benefits-Results-from-a-State-Survey.
7 Ibid.
8 Ibid.
9 Ibid.
10 Ibid.
11 This does not necessarily mean the coverage would be excluded in states where it is not specified in legislation.
Hawaii
Idaho
Idaho
Print DataExtended Supply of Contraceptives#
S 1234 (requires coverage for a six-month supply of contraception)
March 2024
January 1, 2025
See other limits and features
Yes
(+) Applies to student health plans
(-) A six-month supply is not required if no prescription contraception has previously been prescribed to the enrollee
(-) Extended supply is shorter than most states (six months instead of twelve months)
S 1234 (requires coverage for a six-month supply of contraception)
March 2024
January 1, 2025
See other limits and features
Yes
(+) Applies to student health plans
(-) A six-month supply is not required if no prescription contraception has previously been prescribed to the enrollee
(-) Extended supply is shorter than most states (six months instead of twelve months)
^ Some states require the patient to first have an “initial dispensing” of a few months’ worth of a given contraceptive, before receiving a subsequent larger quantity of the same method or therapeutic equivalent. Laws in Colorado, Massachusetts, New Jersey, and Oregon specify that the covered person can receive the larger quantity, whether or not they were enrolled in the same plan when they received the initial dispensing. While an initial dispensing is not a required practice from the medical community, it is a balance some states have struck in order to assuage insurer concerns.
# States requiring a twelve-month supply of contraception at one-time, except for New Jersey and New Mexico, which require a six-month supply at one time.
References
-------------
1 Foster, D.G., Hulett, D., Bradsberry, M., Darney, P., and Policar, M. (2011). Number of Oral Contraceptive Pill Packages Dispensed and Subsequent Unintended Pregnancies. Obstetrics & Gynecology, 117(3):566-572. doi:10.1097/AOG.0b013e3182056309
2 The Centers for Disease Control and Prevention. US Selected Practice Recommendations for Contraceptive Use, 2016. Retrieved from www.cdc.gov/reproductivehealth/contraception/mmwr/spr/combined.html.
3 Judge-Golden, C.P., Smith K.J., Mor M.K., Borrero S. (2019).Financial Implications of 12-Month Dispensing of Oral Contraceptive Pills in the Veterans Affairs Health Care System. JAMA Intern Med. Published online July 08, 2019. doi:10.1001/jamainternmed.2019.1678
4 Effective January 1, 2017, Family PACT policy covers an extended supply of the contraceptive ring and patch at clinics. Family PACT Update. (2017). Retrieved from http://files.medi-cal.ca.gov/pubsdoco/bulletins/artfull/fpact201704.asp#a4.
5 State of California-Health and Human Services Agency, Department of Health Care Services. All Plan Letter 16-003 Revised. (2016). Retrieved from www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2016/APL16-003R.pdf.
6 KFF Medicaid Coverage of Family Planning Benefits: Results from a State Survey. Retrieved from kff.org/attachment/Report-Medicaid-Coverage-of-Family-Planning-Benefits-Results-from-a-State-Survey.
7 Ibid.
8 Ibid.
9 Ibid.
10 Ibid.
11 This does not necessarily mean the coverage would be excluded in states where it is not specified in legislation.
Idaho
Illinois
Illinois
Print DataExtended Supply of Contraceptives#
2016
January 1, 2017
N/A
No
(+) The state already allows a 3-month supply of oral contraceptives for Medicaid beneficiaries.7
(+) Part of a more expansive law on contraceptive access
2016
January 1, 2017
N/A
No
(+) The state already allows a 3-month supply of oral contraceptives for Medicaid beneficiaries.7
(+) Part of a more expansive law on contraceptive access
^ Some states require the patient to first have an “initial dispensing” of a few months’ worth of a given contraceptive, before receiving a subsequent larger quantity of the same method or therapeutic equivalent. Laws in Colorado, Massachusetts, New Jersey, and Oregon specify that the covered person can receive the larger quantity, whether or not they were enrolled in the same plan when they received the initial dispensing. While an initial dispensing is not a required practice from the medical community, it is a balance some states have struck in order to assuage insurer concerns.
# States requiring a twelve-month supply of contraception at one-time, except for New Jersey and New Mexico, which require a six-month supply at one time.
References
-------------
1 Foster, D.G., Hulett, D., Bradsberry, M., Darney, P., and Policar, M. (2011). Number of Oral Contraceptive Pill Packages Dispensed and Subsequent Unintended Pregnancies. Obstetrics & Gynecology, 117(3):566-572. doi:10.1097/AOG.0b013e3182056309
2 The Centers for Disease Control and Prevention. US Selected Practice Recommendations for Contraceptive Use, 2016. Retrieved from www.cdc.gov/reproductivehealth/contraception/mmwr/spr/combined.html.
3 Judge-Golden, C.P., Smith K.J., Mor M.K., Borrero S. (2019).Financial Implications of 12-Month Dispensing of Oral Contraceptive Pills in the Veterans Affairs Health Care System. JAMA Intern Med. Published online July 08, 2019. doi:10.1001/jamainternmed.2019.1678
4 Effective January 1, 2017, Family PACT policy covers an extended supply of the contraceptive ring and patch at clinics. Family PACT Update. (2017). Retrieved from http://files.medi-cal.ca.gov/pubsdoco/bulletins/artfull/fpact201704.asp#a4.
5 State of California-Health and Human Services Agency, Department of Health Care Services. All Plan Letter 16-003 Revised. (2016). Retrieved from www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2016/APL16-003R.pdf.
6 KFF Medicaid Coverage of Family Planning Benefits: Results from a State Survey. Retrieved from kff.org/attachment/Report-Medicaid-Coverage-of-Family-Planning-Benefits-Results-from-a-State-Survey.
7 Ibid.
8 Ibid.
9 Ibid.
10 Ibid.
11 This does not necessarily mean the coverage would be excluded in states where it is not specified in legislation.
Illinois
Iowa
Iowa: Pending
Print DataExtended Supply of Contraceptives#
Legislation did not become law
Iowa: Pending
Louisiana
Louisiana
Print DataExtended Supply of Contraceptives#
June 2022
January 1, 2023
6 months
Yes
(-) Applies only to Medicaid health plans
(+) Contracts with managed care plans shall allow the insured to receive onsite dispensing of the prescribed contraceptive drugs at family practice clinics, if available.
June 2022
January 1, 2023
6 months
Yes
(-) Applies only to Medicaid health plans
(+) Contracts with managed care plans shall allow the insured to receive onsite dispensing of the prescribed contraceptive drugs at family practice clinics, if available.
^ Some states require the patient to first have an “initial dispensing” of a few months’ worth of a given contraceptive, before receiving a subsequent larger quantity of the same method or therapeutic equivalent. Laws in Colorado, Massachusetts, New Jersey, and Oregon specify that the covered person can receive the larger quantity, whether or not they were enrolled in the same plan when they received the initial dispensing. While an initial dispensing is not a required practice from the medical community, it is a balance some states have struck in order to assuage insurer concerns.
# States requiring a twelve-month supply of contraception at one-time, except for New Jersey and New Mexico, which require a six-month supply at one time.
References
-------------
1 Foster, D.G., Hulett, D., Bradsberry, M., Darney, P., and Policar, M. (2011). Number of Oral Contraceptive Pill Packages Dispensed and Subsequent Unintended Pregnancies. Obstetrics & Gynecology, 117(3):566-572. doi:10.1097/AOG.0b013e3182056309
2 The Centers for Disease Control and Prevention. US Selected Practice Recommendations for Contraceptive Use, 2016. Retrieved from www.cdc.gov/reproductivehealth/contraception/mmwr/spr/combined.html.
3 Judge-Golden, C.P., Smith K.J., Mor M.K., Borrero S. (2019).Financial Implications of 12-Month Dispensing of Oral Contraceptive Pills in the Veterans Affairs Health Care System. JAMA Intern Med. Published online July 08, 2019. doi:10.1001/jamainternmed.2019.1678
4 Effective January 1, 2017, Family PACT policy covers an extended supply of the contraceptive ring and patch at clinics. Family PACT Update. (2017). Retrieved from http://files.medi-cal.ca.gov/pubsdoco/bulletins/artfull/fpact201704.asp#a4.
5 State of California-Health and Human Services Agency, Department of Health Care Services. All Plan Letter 16-003 Revised. (2016). Retrieved from www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2016/APL16-003R.pdf.
6 KFF Medicaid Coverage of Family Planning Benefits: Results from a State Survey. Retrieved from kff.org/attachment/Report-Medicaid-Coverage-of-Family-Planning-Benefits-Results-from-a-State-Survey.
7 Ibid.
8 Ibid.
9 Ibid.
10 Ibid.
11 This does not necessarily mean the coverage would be excluded in states where it is not specified in legislation.
Louisiana
Maine
Maine
Print DataExtended Supply of Contraceptives#
2017
January 1, 2019
N/A
No
(+) Part of a more expansive law on contraceptive access
*Indicates that the provision is part of a more expansive bill or regulation on contraceptive access.
2017
January 1, 2019
N/A
No
(+) Part of a more expansive law on contraceptive access
*Indicates that the provision is part of a more expansive bill or regulation on contraceptive access.
^ Some states require the patient to first have an “initial dispensing” of a few months’ worth of a given contraceptive, before receiving a subsequent larger quantity of the same method or therapeutic equivalent. Laws in Colorado, Massachusetts, New Jersey, and Oregon specify that the covered person can receive the larger quantity, whether or not they were enrolled in the same plan when they received the initial dispensing. While an initial dispensing is not a required practice from the medical community, it is a balance some states have struck in order to assuage insurer concerns.
# States requiring a twelve-month supply of contraception at one-time, except for New Jersey and New Mexico, which require a six-month supply at one time.
References
-------------
1 Foster, D.G., Hulett, D., Bradsberry, M., Darney, P., and Policar, M. (2011). Number of Oral Contraceptive Pill Packages Dispensed and Subsequent Unintended Pregnancies. Obstetrics & Gynecology, 117(3):566-572. doi:10.1097/AOG.0b013e3182056309
2 The Centers for Disease Control and Prevention. US Selected Practice Recommendations for Contraceptive Use, 2016. Retrieved from www.cdc.gov/reproductivehealth/contraception/mmwr/spr/combined.html.
3 Judge-Golden, C.P., Smith K.J., Mor M.K., Borrero S. (2019).Financial Implications of 12-Month Dispensing of Oral Contraceptive Pills in the Veterans Affairs Health Care System. JAMA Intern Med. Published online July 08, 2019. doi:10.1001/jamainternmed.2019.1678
4 Effective January 1, 2017, Family PACT policy covers an extended supply of the contraceptive ring and patch at clinics. Family PACT Update. (2017). Retrieved from http://files.medi-cal.ca.gov/pubsdoco/bulletins/artfull/fpact201704.asp#a4.
5 State of California-Health and Human Services Agency, Department of Health Care Services. All Plan Letter 16-003 Revised. (2016). Retrieved from www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2016/APL16-003R.pdf.
6 KFF Medicaid Coverage of Family Planning Benefits: Results from a State Survey. Retrieved from kff.org/attachment/Report-Medicaid-Coverage-of-Family-Planning-Benefits-Results-from-a-State-Survey.
7 Ibid.
8 Ibid.
9 Ibid.
10 Ibid.
11 This does not necessarily mean the coverage would be excluded in states where it is not specified in legislation.
Maine
Maryland
Maryland
Print DataExtended Supply of Contraceptives#
2016
January 1, 2018
2 months
Yes
(+) Also applies to CHIP
(+) Part of a more expansive law on contraceptive access
2016
January 1, 2018
2 months
Yes
(+) Also applies to CHIP
(+) Part of a more expansive law on contraceptive access
2018
January 1, 2020
July 1, 2018
N/A
No
Yes
HB 1283 applies specifically to private plans, HB 994 applies to Medicaid and CHIP
^ Some states require the patient to first have an “initial dispensing” of a few months’ worth of a given contraceptive, before receiving a subsequent larger quantity of the same method or therapeutic equivalent. Laws in Colorado, Massachusetts, New Jersey, and Oregon specify that the covered person can receive the larger quantity, whether or not they were enrolled in the same plan when they received the initial dispensing. While an initial dispensing is not a required practice from the medical community, it is a balance some states have struck in order to assuage insurer concerns.
# States requiring a twelve-month supply of contraception at one-time, except for New Jersey and New Mexico, which require a six-month supply at one time.
References
-------------
1 Foster, D.G., Hulett, D., Bradsberry, M., Darney, P., and Policar, M. (2011). Number of Oral Contraceptive Pill Packages Dispensed and Subsequent Unintended Pregnancies. Obstetrics & Gynecology, 117(3):566-572. doi:10.1097/AOG.0b013e3182056309
2 The Centers for Disease Control and Prevention. US Selected Practice Recommendations for Contraceptive Use, 2016. Retrieved from www.cdc.gov/reproductivehealth/contraception/mmwr/spr/combined.html.
3 Judge-Golden, C.P., Smith K.J., Mor M.K., Borrero S. (2019).Financial Implications of 12-Month Dispensing of Oral Contraceptive Pills in the Veterans Affairs Health Care System. JAMA Intern Med. Published online July 08, 2019. doi:10.1001/jamainternmed.2019.1678
4 Effective January 1, 2017, Family PACT policy covers an extended supply of the contraceptive ring and patch at clinics. Family PACT Update. (2017). Retrieved from http://files.medi-cal.ca.gov/pubsdoco/bulletins/artfull/fpact201704.asp#a4.
5 State of California-Health and Human Services Agency, Department of Health Care Services. All Plan Letter 16-003 Revised. (2016). Retrieved from www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2016/APL16-003R.pdf.
6 KFF Medicaid Coverage of Family Planning Benefits: Results from a State Survey. Retrieved from kff.org/attachment/Report-Medicaid-Coverage-of-Family-Planning-Benefits-Results-from-a-State-Survey.
7 Ibid.
8 Ibid.
9 Ibid.
10 Ibid.
11 This does not necessarily mean the coverage would be excluded in states where it is not specified in legislation.
Maryland
Massachusetts
Massachusetts
Print DataExtended Supply of Contraceptives#
2017
August 2018
3 months
Yes: Medicaid Managed Care
(+) State law specifies that coverage is not excluded for contraception prescribed for reasons other than contraception.11
(+) Part of a more expansive law on contraceptive access
2017
August 2018
3 months
Yes: Medicaid Managed Care
(+) State law specifies that coverage is not excluded for contraception prescribed for reasons other than contraception.11
(+) Part of a more expansive law on contraceptive access
^ Some states require the patient to first have an “initial dispensing” of a few months’ worth of a given contraceptive, before receiving a subsequent larger quantity of the same method or therapeutic equivalent. Laws in Colorado, Massachusetts, New Jersey, and Oregon specify that the covered person can receive the larger quantity, whether or not they were enrolled in the same plan when they received the initial dispensing. While an initial dispensing is not a required practice from the medical community, it is a balance some states have struck in order to assuage insurer concerns.
# States requiring a twelve-month supply of contraception at one-time, except for New Jersey and New Mexico, which require a six-month supply at one time.
References
-------------
1 Foster, D.G., Hulett, D., Bradsberry, M., Darney, P., and Policar, M. (2011). Number of Oral Contraceptive Pill Packages Dispensed and Subsequent Unintended Pregnancies. Obstetrics & Gynecology, 117(3):566-572. doi:10.1097/AOG.0b013e3182056309
2 The Centers for Disease Control and Prevention. US Selected Practice Recommendations for Contraceptive Use, 2016. Retrieved from www.cdc.gov/reproductivehealth/contraception/mmwr/spr/combined.html.
3 Judge-Golden, C.P., Smith K.J., Mor M.K., Borrero S. (2019).Financial Implications of 12-Month Dispensing of Oral Contraceptive Pills in the Veterans Affairs Health Care System. JAMA Intern Med. Published online July 08, 2019. doi:10.1001/jamainternmed.2019.1678
4 Effective January 1, 2017, Family PACT policy covers an extended supply of the contraceptive ring and patch at clinics. Family PACT Update. (2017). Retrieved from http://files.medi-cal.ca.gov/pubsdoco/bulletins/artfull/fpact201704.asp#a4.
5 State of California-Health and Human Services Agency, Department of Health Care Services. All Plan Letter 16-003 Revised. (2016). Retrieved from www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2016/APL16-003R.pdf.
6 KFF Medicaid Coverage of Family Planning Benefits: Results from a State Survey. Retrieved from kff.org/attachment/Report-Medicaid-Coverage-of-Family-Planning-Benefits-Results-from-a-State-Survey.
7 Ibid.
8 Ibid.
9 Ibid.
10 Ibid.
11 This does not necessarily mean the coverage would be excluded in states where it is not specified in legislation.
Massachusetts
Michigan
Michigan
Print DataExtended Supply of Contraceptives#
2022
May 1, 2022
N/A
Applies only to Medicaid, Healthy Michigan Plan, Children’s Special Health Care Services (CSHCS), and Maternity Outpatient Medical Services (MOMS)
(+) Policy applies at pharmacies and family planning clinics
(-) These medications will be subject to other existing Fee-for-Service (FFS) pharmacy policies and coverage limitations, including refill thresholds and prior authorization (PA)
requirements. See Michigan Medicaid Common Formulary.
2022
May 1, 2022
N/A
Applies only to Medicaid, Healthy Michigan Plan, Children’s Special Health Care Services (CSHCS), and Maternity Outpatient Medical Services (MOMS)
(+) Policy applies at pharmacies and family planning clinics
(-) These medications will be subject to other existing Fee-for-Service (FFS) pharmacy policies and coverage limitations, including refill thresholds and prior authorization (PA)
requirements. See Michigan Medicaid Common Formulary.
^ Some states require the patient to first have an “initial dispensing” of a few months’ worth of a given contraceptive, before receiving a subsequent larger quantity of the same method or therapeutic equivalent. Laws in Colorado, Massachusetts, New Jersey, and Oregon specify that the covered person can receive the larger quantity, whether or not they were enrolled in the same plan when they received the initial dispensing. While an initial dispensing is not a required practice from the medical community, it is a balance some states have struck in order to assuage insurer concerns.
# States requiring a twelve-month supply of contraception at one-time, except for New Jersey and New Mexico, which require a six-month supply at one time.
References
-------------
1 Foster, D.G., Hulett, D., Bradsberry, M., Darney, P., and Policar, M. (2011). Number of Oral Contraceptive Pill Packages Dispensed and Subsequent Unintended Pregnancies. Obstetrics & Gynecology, 117(3):566-572. doi:10.1097/AOG.0b013e3182056309
2 The Centers for Disease Control and Prevention. US Selected Practice Recommendations for Contraceptive Use, 2016. Retrieved from www.cdc.gov/reproductivehealth/contraception/mmwr/spr/combined.html.
3 Judge-Golden, C.P., Smith K.J., Mor M.K., Borrero S. (2019).Financial Implications of 12-Month Dispensing of Oral Contraceptive Pills in the Veterans Affairs Health Care System. JAMA Intern Med. Published online July 08, 2019. doi:10.1001/jamainternmed.2019.1678
4 Effective January 1, 2017, Family PACT policy covers an extended supply of the contraceptive ring and patch at clinics. Family PACT Update. (2017). Retrieved from http://files.medi-cal.ca.gov/pubsdoco/bulletins/artfull/fpact201704.asp#a4.
5 State of California-Health and Human Services Agency, Department of Health Care Services. All Plan Letter 16-003 Revised. (2016). Retrieved from www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2016/APL16-003R.pdf.
6 KFF Medicaid Coverage of Family Planning Benefits: Results from a State Survey. Retrieved from kff.org/attachment/Report-Medicaid-Coverage-of-Family-Planning-Benefits-Results-from-a-State-Survey.
7 Ibid.
8 Ibid.
9 Ibid.
10 Ibid.
11 This does not necessarily mean the coverage would be excluded in states where it is not specified in legislation.
Michigan
Minnesota
Minnesota
Print DataExtended Supply of Contraceptives#
SF 2995 (Omnibus Health Appropriations)
2023
January 1, 2024
N/A
Yes
^ Some states require the patient to first have an “initial dispensing” of a few months’ worth of a given contraceptive, before receiving a subsequent larger quantity of the same method or therapeutic equivalent. Laws in Colorado, Massachusetts, New Jersey, and Oregon specify that the covered person can receive the larger quantity, whether or not they were enrolled in the same plan when they received the initial dispensing. While an initial dispensing is not a required practice from the medical community, it is a balance some states have struck in order to assuage insurer concerns.
# States requiring a twelve-month supply of contraception at one-time, except for New Jersey and New Mexico, which require a six-month supply at one time.
References
-------------
1 Foster, D.G., Hulett, D., Bradsberry, M., Darney, P., and Policar, M. (2011). Number of Oral Contraceptive Pill Packages Dispensed and Subsequent Unintended Pregnancies. Obstetrics & Gynecology, 117(3):566-572. doi:10.1097/AOG.0b013e3182056309
2 The Centers for Disease Control and Prevention. US Selected Practice Recommendations for Contraceptive Use, 2016. Retrieved from www.cdc.gov/reproductivehealth/contraception/mmwr/spr/combined.html.
3 Judge-Golden, C.P., Smith K.J., Mor M.K., Borrero S. (2019).Financial Implications of 12-Month Dispensing of Oral Contraceptive Pills in the Veterans Affairs Health Care System. JAMA Intern Med. Published online July 08, 2019. doi:10.1001/jamainternmed.2019.1678
4 Effective January 1, 2017, Family PACT policy covers an extended supply of the contraceptive ring and patch at clinics. Family PACT Update. (2017). Retrieved from http://files.medi-cal.ca.gov/pubsdoco/bulletins/artfull/fpact201704.asp#a4.
5 State of California-Health and Human Services Agency, Department of Health Care Services. All Plan Letter 16-003 Revised. (2016). Retrieved from www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2016/APL16-003R.pdf.
6 KFF Medicaid Coverage of Family Planning Benefits: Results from a State Survey. Retrieved from kff.org/attachment/Report-Medicaid-Coverage-of-Family-Planning-Benefits-Results-from-a-State-Survey.
7 Ibid.
8 Ibid.
9 Ibid.
10 Ibid.
11 This does not necessarily mean the coverage would be excluded in states where it is not specified in legislation.
Minnesota
Mississippi
Mississippi: Pending
Print DataExtended Supply of Contraceptives#
HB 1026 would allow Medicaid to cover a 12-month supply of contraception.
Legislation introduced in February 2024, passed the House on 3/14, before dying in a Senate committee on 4/2.
Medicaid only
HB 1026 would allow Medicaid to cover a 12-month supply of contraception.
Legislation introduced in February 2024, passed the House on 3/14, before dying in a Senate committee on 4/2.
Medicaid only
Mississippi: Pending
Missouri
Missouri: Pending
Print DataExtended Supply of Contraceptives#
Passed the first chamber on April 22, 2024, but did not become law before the end of session.
Legislation did not become law
Passed the first chamber on April 22, 2024, but did not become law before the end of session.
Missouri: Pending
Montana
Montana
Print DataExtended Supply of Contraceptives#
2023
January 1, 2024
N/A
No
(+) Must allow the insured to renew and refill a 12-month prescription a minimum of 60 days before the prescription expires
2023
January 1, 2024
N/A
No
(+) Must allow the insured to renew and refill a 12-month prescription a minimum of 60 days before the prescription expires
^ Some states require the patient to first have an “initial dispensing” of a few months’ worth of a given contraceptive, before receiving a subsequent larger quantity of the same method or therapeutic equivalent. Laws in Colorado, Massachusetts, New Jersey, and Oregon specify that the covered person can receive the larger quantity, whether or not they were enrolled in the same plan when they received the initial dispensing. While an initial dispensing is not a required practice from the medical community, it is a balance some states have struck in order to assuage insurer concerns.
# States requiring a twelve-month supply of contraception at one-time, except for New Jersey and New Mexico, which require a six-month supply at one time.
References
-------------
1 Foster, D.G., Hulett, D., Bradsberry, M., Darney, P., and Policar, M. (2011). Number of Oral Contraceptive Pill Packages Dispensed and Subsequent Unintended Pregnancies. Obstetrics & Gynecology, 117(3):566-572. doi:10.1097/AOG.0b013e3182056309
2 The Centers for Disease Control and Prevention. US Selected Practice Recommendations for Contraceptive Use, 2016. Retrieved from www.cdc.gov/reproductivehealth/contraception/mmwr/spr/combined.html.
3 Judge-Golden, C.P., Smith K.J., Mor M.K., Borrero S. (2019).Financial Implications of 12-Month Dispensing of Oral Contraceptive Pills in the Veterans Affairs Health Care System. JAMA Intern Med. Published online July 08, 2019. doi:10.1001/jamainternmed.2019.1678
4 Effective January 1, 2017, Family PACT policy covers an extended supply of the contraceptive ring and patch at clinics. Family PACT Update. (2017). Retrieved from http://files.medi-cal.ca.gov/pubsdoco/bulletins/artfull/fpact201704.asp#a4.
5 State of California-Health and Human Services Agency, Department of Health Care Services. All Plan Letter 16-003 Revised. (2016). Retrieved from www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2016/APL16-003R.pdf.
6 KFF Medicaid Coverage of Family Planning Benefits: Results from a State Survey. Retrieved from kff.org/attachment/Report-Medicaid-Coverage-of-Family-Planning-Benefits-Results-from-a-State-Survey.
7 Ibid.
8 Ibid.
9 Ibid.
10 Ibid.
11 This does not necessarily mean the coverage would be excluded in states where it is not specified in legislation.
Montana
Nevada
Nevada
Print DataExtended Supply of Contraceptives#
2017
January 1, 2018
3 months
Yes
(-) Requires a second dispensing of up to 9 months in the first year, then allows a refill of up to 12 months in subsequent year if insured by the same plan.
(+) Part of a more expansive law on contraceptive access
*Indicates that the provision is part of a more expansive bill or regulation on contraceptive access.
2017
January 1, 2018
3 months
Yes
(-) Requires a second dispensing of up to 9 months in the first year, then allows a refill of up to 12 months in subsequent year if insured by the same plan.
(+) Part of a more expansive law on contraceptive access
*Indicates that the provision is part of a more expansive bill or regulation on contraceptive access.
^ Some states require the patient to first have an “initial dispensing” of a few months’ worth of a given contraceptive, before receiving a subsequent larger quantity of the same method or therapeutic equivalent. Laws in Colorado, Massachusetts, New Jersey, and Oregon specify that the covered person can receive the larger quantity, whether or not they were enrolled in the same plan when they received the initial dispensing. While an initial dispensing is not a required practice from the medical community, it is a balance some states have struck in order to assuage insurer concerns.
# States requiring a twelve-month supply of contraception at one-time, except for New Jersey and New Mexico, which require a six-month supply at one time.
References
-------------
1 Foster, D.G., Hulett, D., Bradsberry, M., Darney, P., and Policar, M. (2011). Number of Oral Contraceptive Pill Packages Dispensed and Subsequent Unintended Pregnancies. Obstetrics & Gynecology, 117(3):566-572. doi:10.1097/AOG.0b013e3182056309
2 The Centers for Disease Control and Prevention. US Selected Practice Recommendations for Contraceptive Use, 2016. Retrieved from www.cdc.gov/reproductivehealth/contraception/mmwr/spr/combined.html.
3 Judge-Golden, C.P., Smith K.J., Mor M.K., Borrero S. (2019).Financial Implications of 12-Month Dispensing of Oral Contraceptive Pills in the Veterans Affairs Health Care System. JAMA Intern Med. Published online July 08, 2019. doi:10.1001/jamainternmed.2019.1678
4 Effective January 1, 2017, Family PACT policy covers an extended supply of the contraceptive ring and patch at clinics. Family PACT Update. (2017). Retrieved from http://files.medi-cal.ca.gov/pubsdoco/bulletins/artfull/fpact201704.asp#a4.
5 State of California-Health and Human Services Agency, Department of Health Care Services. All Plan Letter 16-003 Revised. (2016). Retrieved from www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2016/APL16-003R.pdf.
6 KFF Medicaid Coverage of Family Planning Benefits: Results from a State Survey. Retrieved from kff.org/attachment/Report-Medicaid-Coverage-of-Family-Planning-Benefits-Results-from-a-State-Survey.
7 Ibid.
8 Ibid.
9 Ibid.
10 Ibid.
11 This does not necessarily mean the coverage would be excluded in states where it is not specified in legislation.
Nevada
New Hampshire
New Hampshire
Print DataExtended Supply of Contraceptives#
2018
January 1, 2019
N/A
Yes
(+) Will also provide authority to pharmacists, due to HB 1822 becoming law in the same session.
2018
January 1, 2019
N/A
Yes
(+) Will also provide authority to pharmacists, due to HB 1822 becoming law in the same session.
^ Some states require the patient to first have an “initial dispensing” of a few months’ worth of a given contraceptive, before receiving a subsequent larger quantity of the same method or therapeutic equivalent. Laws in Colorado, Massachusetts, New Jersey, and Oregon specify that the covered person can receive the larger quantity, whether or not they were enrolled in the same plan when they received the initial dispensing. While an initial dispensing is not a required practice from the medical community, it is a balance some states have struck in order to assuage insurer concerns.
# States requiring a twelve-month supply of contraception at one-time, except for New Jersey and New Mexico, which require a six-month supply at one time.
References
-------------
1 Foster, D.G., Hulett, D., Bradsberry, M., Darney, P., and Policar, M. (2011). Number of Oral Contraceptive Pill Packages Dispensed and Subsequent Unintended Pregnancies. Obstetrics & Gynecology, 117(3):566-572. doi:10.1097/AOG.0b013e3182056309
2 The Centers for Disease Control and Prevention. US Selected Practice Recommendations for Contraceptive Use, 2016. Retrieved from www.cdc.gov/reproductivehealth/contraception/mmwr/spr/combined.html.
3 Judge-Golden, C.P., Smith K.J., Mor M.K., Borrero S. (2019).Financial Implications of 12-Month Dispensing of Oral Contraceptive Pills in the Veterans Affairs Health Care System. JAMA Intern Med. Published online July 08, 2019. doi:10.1001/jamainternmed.2019.1678
4 Effective January 1, 2017, Family PACT policy covers an extended supply of the contraceptive ring and patch at clinics. Family PACT Update. (2017). Retrieved from http://files.medi-cal.ca.gov/pubsdoco/bulletins/artfull/fpact201704.asp#a4.
5 State of California-Health and Human Services Agency, Department of Health Care Services. All Plan Letter 16-003 Revised. (2016). Retrieved from www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2016/APL16-003R.pdf.
6 KFF Medicaid Coverage of Family Planning Benefits: Results from a State Survey. Retrieved from kff.org/attachment/Report-Medicaid-Coverage-of-Family-Planning-Benefits-Results-from-a-State-Survey.
7 Ibid.
8 Ibid.
9 Ibid.
10 Ibid.
11 This does not necessarily mean the coverage would be excluded in states where it is not specified in legislation.
New Hampshire
New Jersey
New Jersey
Print DataExtended Supply of Contraceptives#
2017
March 2018
3 months
No
May limit refills if there are less than six months left in the plan year.
2022
January 1, 2023
N/A
Yes
(+) Eliminates the initial dispensing requirement of the 2017 law
2017
March 2018
3 months
No
May limit refills if there are less than six months left in the plan year.
2022
January 1, 2023
N/A
Yes
(+) Eliminates the initial dispensing requirement of the 2017 law
^ Some states require the patient to first have an “initial dispensing” of a few months’ worth of a given contraceptive, before receiving a subsequent larger quantity of the same method or therapeutic equivalent. Laws in Colorado, Massachusetts, New Jersey, and Oregon specify that the covered person can receive the larger quantity, whether or not they were enrolled in the same plan when they received the initial dispensing. While an initial dispensing is not a required practice from the medical community, it is a balance some states have struck in order to assuage insurer concerns.
# States requiring a twelve-month supply of contraception at one-time, except for New Jersey and New Mexico, which require a six-month supply at one time.
References
-------------
1 Foster, D.G., Hulett, D., Bradsberry, M., Darney, P., and Policar, M. (2011). Number of Oral Contraceptive Pill Packages Dispensed and Subsequent Unintended Pregnancies. Obstetrics & Gynecology, 117(3):566-572. doi:10.1097/AOG.0b013e3182056309
2 The Centers for Disease Control and Prevention. US Selected Practice Recommendations for Contraceptive Use, 2016. Retrieved from www.cdc.gov/reproductivehealth/contraception/mmwr/spr/combined.html.
3 Judge-Golden, C.P., Smith K.J., Mor M.K., Borrero S. (2019).Financial Implications of 12-Month Dispensing of Oral Contraceptive Pills in the Veterans Affairs Health Care System. JAMA Intern Med. Published online July 08, 2019. doi:10.1001/jamainternmed.2019.1678
4 Effective January 1, 2017, Family PACT policy covers an extended supply of the contraceptive ring and patch at clinics. Family PACT Update. (2017). Retrieved from http://files.medi-cal.ca.gov/pubsdoco/bulletins/artfull/fpact201704.asp#a4.
5 State of California-Health and Human Services Agency, Department of Health Care Services. All Plan Letter 16-003 Revised. (2016). Retrieved from www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2016/APL16-003R.pdf.
6 KFF Medicaid Coverage of Family Planning Benefits: Results from a State Survey. Retrieved from kff.org/attachment/Report-Medicaid-Coverage-of-Family-Planning-Benefits-Results-from-a-State-Survey.
7 Ibid.
8 Ibid.
9 Ibid.
10 Ibid.
11 This does not necessarily mean the coverage would be excluded in states where it is not specified in legislation.
New Jersey
New Mexico
New Mexico
Print DataExtended Supply of Contraceptives#
2019
January 1, 2020
N/A
Yes
(+) Medicaid beneficiaries can receive up to 12-month supply
(+) Part of a more expansive law on contraceptive access
*Indicates that the provision is part of a more expansive bill or regulation on contraceptive access.
2019
January 1, 2020
N/A
Yes
(+) Medicaid beneficiaries can receive up to 12-month supply
(+) Part of a more expansive law on contraceptive access
*Indicates that the provision is part of a more expansive bill or regulation on contraceptive access.
^ Some states require the patient to first have an “initial dispensing” of a few months’ worth of a given contraceptive, before receiving a subsequent larger quantity of the same method or therapeutic equivalent. Laws in Colorado, Massachusetts, New Jersey, and Oregon specify that the covered person can receive the larger quantity, whether or not they were enrolled in the same plan when they received the initial dispensing. While an initial dispensing is not a required practice from the medical community, it is a balance some states have struck in order to assuage insurer concerns.
# States requiring a twelve-month supply of contraception at one-time, except for New Jersey and New Mexico, which require a six-month supply at one time.
References
-------------
1 Foster, D.G., Hulett, D., Bradsberry, M., Darney, P., and Policar, M. (2011). Number of Oral Contraceptive Pill Packages Dispensed and Subsequent Unintended Pregnancies. Obstetrics & Gynecology, 117(3):566-572. doi:10.1097/AOG.0b013e3182056309
2 The Centers for Disease Control and Prevention. US Selected Practice Recommendations for Contraceptive Use, 2016. Retrieved from www.cdc.gov/reproductivehealth/contraception/mmwr/spr/combined.html.
3 Judge-Golden, C.P., Smith K.J., Mor M.K., Borrero S. (2019).Financial Implications of 12-Month Dispensing of Oral Contraceptive Pills in the Veterans Affairs Health Care System. JAMA Intern Med. Published online July 08, 2019. doi:10.1001/jamainternmed.2019.1678
4 Effective January 1, 2017, Family PACT policy covers an extended supply of the contraceptive ring and patch at clinics. Family PACT Update. (2017). Retrieved from http://files.medi-cal.ca.gov/pubsdoco/bulletins/artfull/fpact201704.asp#a4.
5 State of California-Health and Human Services Agency, Department of Health Care Services. All Plan Letter 16-003 Revised. (2016). Retrieved from www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2016/APL16-003R.pdf.
6 KFF Medicaid Coverage of Family Planning Benefits: Results from a State Survey. Retrieved from kff.org/attachment/Report-Medicaid-Coverage-of-Family-Planning-Benefits-Results-from-a-State-Survey.
7 Ibid.
8 Ibid.
9 Ibid.
10 Ibid.
11 This does not necessarily mean the coverage would be excluded in states where it is not specified in legislation.
New Mexico
New York
New York
Print DataExtended Supply of Contraceptives#
2017
August 27, 2017
3 months
No
(+) State law specifies that coverage is not excluded for contraception prescribed for reasons other than contraception.
S659A*~
2019
January 1, 2020
N/A
Yes
N/A
2017
August 27, 2017
3 months
No
(+) State law specifies that coverage is not excluded for contraception prescribed for reasons other than contraception.
^ Some states require the patient to first have an “initial dispensing” of a few months’ worth of a given contraceptive, before receiving a subsequent larger quantity of the same method or therapeutic equivalent. Laws in Colorado, Massachusetts, New Jersey, and Oregon specify that the covered person can receive the larger quantity, whether or not they were enrolled in the same plan when they received the initial dispensing. While an initial dispensing is not a required practice from the medical community, it is a balance some states have struck in order to assuage insurer concerns.
# States requiring a twelve-month supply of contraception at one-time, except for New Jersey and New Mexico, which require a six-month supply at one time.
References
-------------
1 Foster, D.G., Hulett, D., Bradsberry, M., Darney, P., and Policar, M. (2011). Number of Oral Contraceptive Pill Packages Dispensed and Subsequent Unintended Pregnancies. Obstetrics & Gynecology, 117(3):566-572. doi:10.1097/AOG.0b013e3182056309
2 The Centers for Disease Control and Prevention. US Selected Practice Recommendations for Contraceptive Use, 2016. Retrieved from www.cdc.gov/reproductivehealth/contraception/mmwr/spr/combined.html.
3 Judge-Golden, C.P., Smith K.J., Mor M.K., Borrero S. (2019).Financial Implications of 12-Month Dispensing of Oral Contraceptive Pills in the Veterans Affairs Health Care System. JAMA Intern Med. Published online July 08, 2019. doi:10.1001/jamainternmed.2019.1678
4 Effective January 1, 2017, Family PACT policy covers an extended supply of the contraceptive ring and patch at clinics. Family PACT Update. (2017). Retrieved from http://files.medi-cal.ca.gov/pubsdoco/bulletins/artfull/fpact201704.asp#a4.
5 State of California-Health and Human Services Agency, Department of Health Care Services. All Plan Letter 16-003 Revised. (2016). Retrieved from www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2016/APL16-003R.pdf.
6 KFF Medicaid Coverage of Family Planning Benefits: Results from a State Survey. Retrieved from kff.org/attachment/Report-Medicaid-Coverage-of-Family-Planning-Benefits-Results-from-a-State-Survey.
7 Ibid.
8 Ibid.
9 Ibid.
10 Ibid.
11 This does not necessarily mean the coverage would be excluded in states where it is not specified in legislation.
New York
Oklahoma
Oklahoma: Pending
Print DataExtended Supply of Contraceptives#
Legislation introduced in 2024, passed both chambers but did not become law before the end of the session.
Legislation introduced in 2024, passed both chambers but did not become law before the end of the session.
Oklahoma: Pending
Oregon
Oregon
Print DataExtended Supply of Contraceptives#
2016
January 1, 2016
3 months
No
(+) Also applies to student health insurance policies.
(+) The state Medicaid Family Planning Expansion, CCare Program, already requires this.8
2016
January 1, 2016
3 months
No
(+) Also applies to student health insurance policies.
(+) The state Medicaid Family Planning Expansion, CCare Program, already requires this.8
^ Some states require the patient to first have an “initial dispensing” of a few months’ worth of a given contraceptive, before receiving a subsequent larger quantity of the same method or therapeutic equivalent. Laws in Colorado, Massachusetts, New Jersey, and Oregon specify that the covered person can receive the larger quantity, whether or not they were enrolled in the same plan when they received the initial dispensing. While an initial dispensing is not a required practice from the medical community, it is a balance some states have struck in order to assuage insurer concerns.
# States requiring a twelve-month supply of contraception at one-time, except for New Jersey and New Mexico, which require a six-month supply at one time.
References
-------------
1 Foster, D.G., Hulett, D., Bradsberry, M., Darney, P., and Policar, M. (2011). Number of Oral Contraceptive Pill Packages Dispensed and Subsequent Unintended Pregnancies. Obstetrics & Gynecology, 117(3):566-572. doi:10.1097/AOG.0b013e3182056309
2 The Centers for Disease Control and Prevention. US Selected Practice Recommendations for Contraceptive Use, 2016. Retrieved from www.cdc.gov/reproductivehealth/contraception/mmwr/spr/combined.html.
3 Judge-Golden, C.P., Smith K.J., Mor M.K., Borrero S. (2019).Financial Implications of 12-Month Dispensing of Oral Contraceptive Pills in the Veterans Affairs Health Care System. JAMA Intern Med. Published online July 08, 2019. doi:10.1001/jamainternmed.2019.1678
4 Effective January 1, 2017, Family PACT policy covers an extended supply of the contraceptive ring and patch at clinics. Family PACT Update. (2017). Retrieved from http://files.medi-cal.ca.gov/pubsdoco/bulletins/artfull/fpact201704.asp#a4.
5 State of California-Health and Human Services Agency, Department of Health Care Services. All Plan Letter 16-003 Revised. (2016). Retrieved from www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2016/APL16-003R.pdf.
6 KFF Medicaid Coverage of Family Planning Benefits: Results from a State Survey. Retrieved from kff.org/attachment/Report-Medicaid-Coverage-of-Family-Planning-Benefits-Results-from-a-State-Survey.
7 Ibid.
8 Ibid.
9 Ibid.
10 Ibid.
11 This does not necessarily mean the coverage would be excluded in states where it is not specified in legislation.
Oregon
Rhode Island
Rhode Island
Print DataExtended Supply of Contraceptives#
2018
July 1, 2019 (Medicaid)
April 1, 2019 (private plans)
N/A
Yes, and any other public insurance plans
N/A
2018
July 1, 2019 (Medicaid)
April 1, 2019 (private plans)
N/A
Yes, and any other public insurance plans
N/A
^ Some states require the patient to first have an “initial dispensing” of a few months’ worth of a given contraceptive, before receiving a subsequent larger quantity of the same method or therapeutic equivalent. Laws in Colorado, Massachusetts, New Jersey, and Oregon specify that the covered person can receive the larger quantity, whether or not they were enrolled in the same plan when they received the initial dispensing. While an initial dispensing is not a required practice from the medical community, it is a balance some states have struck in order to assuage insurer concerns.
# States requiring a twelve-month supply of contraception at one-time, except for New Jersey and New Mexico, which require a six-month supply at one time.
References
-------------
1 Foster, D.G., Hulett, D., Bradsberry, M., Darney, P., and Policar, M. (2011). Number of Oral Contraceptive Pill Packages Dispensed and Subsequent Unintended Pregnancies. Obstetrics & Gynecology, 117(3):566-572. doi:10.1097/AOG.0b013e3182056309
2 The Centers for Disease Control and Prevention. US Selected Practice Recommendations for Contraceptive Use, 2016. Retrieved from www.cdc.gov/reproductivehealth/contraception/mmwr/spr/combined.html.
3 Judge-Golden, C.P., Smith K.J., Mor M.K., Borrero S. (2019).Financial Implications of 12-Month Dispensing of Oral Contraceptive Pills in the Veterans Affairs Health Care System. JAMA Intern Med. Published online July 08, 2019. doi:10.1001/jamainternmed.2019.1678
4 Effective January 1, 2017, Family PACT policy covers an extended supply of the contraceptive ring and patch at clinics. Family PACT Update. (2017). Retrieved from http://files.medi-cal.ca.gov/pubsdoco/bulletins/artfull/fpact201704.asp#a4.
5 State of California-Health and Human Services Agency, Department of Health Care Services. All Plan Letter 16-003 Revised. (2016). Retrieved from www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2016/APL16-003R.pdf.
6 KFF Medicaid Coverage of Family Planning Benefits: Results from a State Survey. Retrieved from kff.org/attachment/Report-Medicaid-Coverage-of-Family-Planning-Benefits-Results-from-a-State-Survey.
7 Ibid.
8 Ibid.
9 Ibid.
10 Ibid.
11 This does not necessarily mean the coverage would be excluded in states where it is not specified in legislation.
Rhode Island
South Carolina
South Carolina
Print DataExtended Supply of Contraceptives#
Part of SCDHHS' July 2020 pharmacy benefit changes
2020
July 1, 2020
N/A
Medicaid only
+ This applies to contraceptive pills, patches, and rings
Part of SCDHHS' July 2020 pharmacy benefit changes
2020
July 1, 2020
N/A
Medicaid only
+ This applies to contraceptive pills, patches, and rings
^ Some states require the patient to first have an “initial dispensing” of a few months’ worth of a given contraceptive, before receiving a subsequent larger quantity of the same method or therapeutic equivalent. Laws in Colorado, Massachusetts, New Jersey, and Oregon specify that the covered person can receive the larger quantity, whether or not they were enrolled in the same plan when they received the initial dispensing. While an initial dispensing is not a required practice from the medical community, it is a balance some states have struck in order to assuage insurer concerns.
# States requiring a twelve-month supply of contraception at one-time, except for New Jersey and New Mexico, which require a six-month supply at one time.
References
-------------
1 Foster, D.G., Hulett, D., Bradsberry, M., Darney, P., and Policar, M. (2011). Number of Oral Contraceptive Pill Packages Dispensed and Subsequent Unintended Pregnancies. Obstetrics & Gynecology, 117(3):566-572. doi:10.1097/AOG.0b013e3182056309
2 The Centers for Disease Control and Prevention. US Selected Practice Recommendations for Contraceptive Use, 2016. Retrieved from www.cdc.gov/reproductivehealth/contraception/mmwr/spr/combined.html.
3 Judge-Golden, C.P., Smith K.J., Mor M.K., Borrero S. (2019).Financial Implications of 12-Month Dispensing of Oral Contraceptive Pills in the Veterans Affairs Health Care System. JAMA Intern Med. Published online July 08, 2019. doi:10.1001/jamainternmed.2019.1678
4 Effective January 1, 2017, Family PACT policy covers an extended supply of the contraceptive ring and patch at clinics. Family PACT Update. (2017). Retrieved from http://files.medi-cal.ca.gov/pubsdoco/bulletins/artfull/fpact201704.asp#a4.
5 State of California-Health and Human Services Agency, Department of Health Care Services. All Plan Letter 16-003 Revised. (2016). Retrieved from www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2016/APL16-003R.pdf.
6 KFF Medicaid Coverage of Family Planning Benefits: Results from a State Survey. Retrieved from kff.org/attachment/Report-Medicaid-Coverage-of-Family-Planning-Benefits-Results-from-a-State-Survey.
7 Ibid.
8 Ibid.
9 Ibid.
10 Ibid.
11 This does not necessarily mean the coverage would be excluded in states where it is not specified in legislation.
South Carolina
Tennessee
Tennessee
Print DataExtended Supply of Contraceptives#
April 2024
Jan 1, 2025
N/A
Medicaid/CHIP only
^ Some states require the patient to first have an “initial dispensing” of a few months’ worth of a given contraceptive, before receiving a subsequent larger quantity of the same method or therapeutic equivalent. Laws in Colorado, Massachusetts, New Jersey, and Oregon specify that the covered person can receive the larger quantity, whether or not they were enrolled in the same plan when they received the initial dispensing. While an initial dispensing is not a required practice from the medical community, it is a balance some states have struck in order to assuage insurer concerns.
# States requiring a twelve-month supply of contraception at one-time, except for New Jersey and New Mexico, which require a six-month supply at one time.
References
-------------
1 Foster, D.G., Hulett, D., Bradsberry, M., Darney, P., and Policar, M. (2011). Number of Oral Contraceptive Pill Packages Dispensed and Subsequent Unintended Pregnancies. Obstetrics & Gynecology, 117(3):566-572. doi:10.1097/AOG.0b013e3182056309
2 The Centers for Disease Control and Prevention. US Selected Practice Recommendations for Contraceptive Use, 2016. Retrieved from www.cdc.gov/reproductivehealth/contraception/mmwr/spr/combined.html.
3 Judge-Golden, C.P., Smith K.J., Mor M.K., Borrero S. (2019).Financial Implications of 12-Month Dispensing of Oral Contraceptive Pills in the Veterans Affairs Health Care System. JAMA Intern Med. Published online July 08, 2019. doi:10.1001/jamainternmed.2019.1678
4 Effective January 1, 2017, Family PACT policy covers an extended supply of the contraceptive ring and patch at clinics. Family PACT Update. (2017). Retrieved from http://files.medi-cal.ca.gov/pubsdoco/bulletins/artfull/fpact201704.asp#a4.
5 State of California-Health and Human Services Agency, Department of Health Care Services. All Plan Letter 16-003 Revised. (2016). Retrieved from www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2016/APL16-003R.pdf.
6 KFF Medicaid Coverage of Family Planning Benefits: Results from a State Survey. Retrieved from kff.org/attachment/Report-Medicaid-Coverage-of-Family-Planning-Benefits-Results-from-a-State-Survey.
7 Ibid.
8 Ibid.
9 Ibid.
10 Ibid.
11 This does not necessarily mean the coverage would be excluded in states where it is not specified in legislation.
Tennessee
Texas
Texas
Print DataExtended Supply of Contraceptives#
2023
1/1/2024
3 months
Yes: Fee for Service and Medicaid Managed Care
(+) Specifies that an enrollee is entitled to a 12-month supply of the covered prescription contraceptive drug at one time each subsequent time the enrollee obtains the same drug, regardless of whether the enrollee was enrolled in the health benefit plan the first time the enrollee obtained the drug.
2023
1/1/2024
3 months
Yes: Fee for Service and Medicaid Managed Care
(+) Specifies that an enrollee is entitled to a 12-month supply of the covered prescription contraceptive drug at one time each subsequent time the enrollee obtains the same drug, regardless of whether the enrollee was enrolled in the health benefit plan the first time the enrollee obtained the drug.
^ Some states require the patient to first have an “initial dispensing” of a few months’ worth of a given contraceptive, before receiving a subsequent larger quantity of the same method or therapeutic equivalent. Laws in Colorado, Massachusetts, New Jersey, and Oregon specify that the covered person can receive the larger quantity, whether or not they were enrolled in the same plan when they received the initial dispensing. While an initial dispensing is not a required practice from the medical community, it is a balance some states have struck in order to assuage insurer concerns.
# States requiring a twelve-month supply of contraception at one-time, except for New Jersey and New Mexico, which require a six-month supply at one time.
References
-------------
1 Foster, D.G., Hulett, D., Bradsberry, M., Darney, P., and Policar, M. (2011). Number of Oral Contraceptive Pill Packages Dispensed and Subsequent Unintended Pregnancies. Obstetrics & Gynecology, 117(3):566-572. doi:10.1097/AOG.0b013e3182056309
2 The Centers for Disease Control and Prevention. US Selected Practice Recommendations for Contraceptive Use, 2016. Retrieved from www.cdc.gov/reproductivehealth/contraception/mmwr/spr/combined.html.
3 Judge-Golden, C.P., Smith K.J., Mor M.K., Borrero S. (2019).Financial Implications of 12-Month Dispensing of Oral Contraceptive Pills in the Veterans Affairs Health Care System. JAMA Intern Med. Published online July 08, 2019. doi:10.1001/jamainternmed.2019.1678
4 Effective January 1, 2017, Family PACT policy covers an extended supply of the contraceptive ring and patch at clinics. Family PACT Update. (2017). Retrieved from http://files.medi-cal.ca.gov/pubsdoco/bulletins/artfull/fpact201704.asp#a4.
5 State of California-Health and Human Services Agency, Department of Health Care Services. All Plan Letter 16-003 Revised. (2016). Retrieved from www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2016/APL16-003R.pdf.
6 KFF Medicaid Coverage of Family Planning Benefits: Results from a State Survey. Retrieved from kff.org/attachment/Report-Medicaid-Coverage-of-Family-Planning-Benefits-Results-from-a-State-Survey.
7 Ibid.
8 Ibid.
9 Ibid.
10 Ibid.
11 This does not necessarily mean the coverage would be excluded in states where it is not specified in legislation.
Texas
Vermont
Vermont
Print DataExtended Supply of Contraceptives#
2016
October 1, 2016 (Medicaid)
October 1, 2017 (private plans)
N/A
Yes, and any other public insurance plans
N/A
2016
October 1, 2016 (Medicaid)
October 1, 2017 (private plans)
N/A
Yes, and any other public insurance plans
N/A
^ Some states require the patient to first have an “initial dispensing” of a few months’ worth of a given contraceptive, before receiving a subsequent larger quantity of the same method or therapeutic equivalent. Laws in Colorado, Massachusetts, New Jersey, and Oregon specify that the covered person can receive the larger quantity, whether or not they were enrolled in the same plan when they received the initial dispensing. While an initial dispensing is not a required practice from the medical community, it is a balance some states have struck in order to assuage insurer concerns.
# States requiring a twelve-month supply of contraception at one-time, except for New Jersey and New Mexico, which require a six-month supply at one time.
References
-------------
1 Foster, D.G., Hulett, D., Bradsberry, M., Darney, P., and Policar, M. (2011). Number of Oral Contraceptive Pill Packages Dispensed and Subsequent Unintended Pregnancies. Obstetrics & Gynecology, 117(3):566-572. doi:10.1097/AOG.0b013e3182056309
2 The Centers for Disease Control and Prevention. US Selected Practice Recommendations for Contraceptive Use, 2016. Retrieved from www.cdc.gov/reproductivehealth/contraception/mmwr/spr/combined.html.
3 Judge-Golden, C.P., Smith K.J., Mor M.K., Borrero S. (2019).Financial Implications of 12-Month Dispensing of Oral Contraceptive Pills in the Veterans Affairs Health Care System. JAMA Intern Med. Published online July 08, 2019. doi:10.1001/jamainternmed.2019.1678
4 Effective January 1, 2017, Family PACT policy covers an extended supply of the contraceptive ring and patch at clinics. Family PACT Update. (2017). Retrieved from http://files.medi-cal.ca.gov/pubsdoco/bulletins/artfull/fpact201704.asp#a4.
5 State of California-Health and Human Services Agency, Department of Health Care Services. All Plan Letter 16-003 Revised. (2016). Retrieved from www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2016/APL16-003R.pdf.
6 KFF Medicaid Coverage of Family Planning Benefits: Results from a State Survey. Retrieved from kff.org/attachment/Report-Medicaid-Coverage-of-Family-Planning-Benefits-Results-from-a-State-Survey.
7 Ibid.
8 Ibid.
9 Ibid.
10 Ibid.
11 This does not necessarily mean the coverage would be excluded in states where it is not specified in legislation.
Vermont
Virginia
Virginia
Print DataExtended Supply of Contraceptives#
2017
January 1, 2018
N/A
No
(+) The state already allows 12-months dispensing of oral contraceptives for Medicaid beneficiaries at clinics.9
(+) State law specifies that coverage is not excluded for contraception prescribed for reasons other than contraception.11
March 2021
Medicaid only
(+) The Department of Medical Assistance Services cannot impose controls over dispensing unless there are contraindications.
2017
January 1, 2018
N/A
No
(+) The state already allows 12-months dispensing of oral contraceptives for Medicaid beneficiaries at clinics.9
(+) State law specifies that coverage is not excluded for contraception prescribed for reasons other than contraception.11
March 2021
Medicaid only
(+) The Department of Medical Assistance Services cannot impose controls over dispensing unless there are contraindications.
^ Some states require the patient to first have an “initial dispensing” of a few months’ worth of a given contraceptive, before receiving a subsequent larger quantity of the same method or therapeutic equivalent. Laws in Colorado, Massachusetts, New Jersey, and Oregon specify that the covered person can receive the larger quantity, whether or not they were enrolled in the same plan when they received the initial dispensing. While an initial dispensing is not a required practice from the medical community, it is a balance some states have struck in order to assuage insurer concerns.
# States requiring a twelve-month supply of contraception at one-time, except for New Jersey and New Mexico, which require a six-month supply at one time.
References
-------------
1 Foster, D.G., Hulett, D., Bradsberry, M., Darney, P., and Policar, M. (2011). Number of Oral Contraceptive Pill Packages Dispensed and Subsequent Unintended Pregnancies. Obstetrics & Gynecology, 117(3):566-572. doi:10.1097/AOG.0b013e3182056309
2 The Centers for Disease Control and Prevention. US Selected Practice Recommendations for Contraceptive Use, 2016. Retrieved from www.cdc.gov/reproductivehealth/contraception/mmwr/spr/combined.html.
3 Judge-Golden, C.P., Smith K.J., Mor M.K., Borrero S. (2019).Financial Implications of 12-Month Dispensing of Oral Contraceptive Pills in the Veterans Affairs Health Care System. JAMA Intern Med. Published online July 08, 2019. doi:10.1001/jamainternmed.2019.1678
4 Effective January 1, 2017, Family PACT policy covers an extended supply of the contraceptive ring and patch at clinics. Family PACT Update. (2017). Retrieved from http://files.medi-cal.ca.gov/pubsdoco/bulletins/artfull/fpact201704.asp#a4.
5 State of California-Health and Human Services Agency, Department of Health Care Services. All Plan Letter 16-003 Revised. (2016). Retrieved from www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2016/APL16-003R.pdf.
6 KFF Medicaid Coverage of Family Planning Benefits: Results from a State Survey. Retrieved from kff.org/attachment/Report-Medicaid-Coverage-of-Family-Planning-Benefits-Results-from-a-State-Survey.
7 Ibid.
8 Ibid.
9 Ibid.
10 Ibid.
11 This does not necessarily mean the coverage would be excluded in states where it is not specified in legislation.
Virginia
Washington
Washington
Print DataExtended Supply of Contraceptives#
2017
January 1, 2018
N/A
No
(-) The plan may limit refills obtained in the last quarter of the plan year if a 12-month supply of the contraceptive has already been dispensed during the plan year.
(+) The state already allows 12-months dispensing of oral contraceptives for Medicaid beneficiaries.10
2017
January 1, 2018
N/A
No
(-) The plan may limit refills obtained in the last quarter of the plan year if a 12-month supply of the contraceptive has already been dispensed during the plan year.
(+) The state already allows 12-months dispensing of oral contraceptives for Medicaid beneficiaries.10
^ Some states require the patient to first have an “initial dispensing” of a few months’ worth of a given contraceptive, before receiving a subsequent larger quantity of the same method or therapeutic equivalent. Laws in Colorado, Massachusetts, New Jersey, and Oregon specify that the covered person can receive the larger quantity, whether or not they were enrolled in the same plan when they received the initial dispensing. While an initial dispensing is not a required practice from the medical community, it is a balance some states have struck in order to assuage insurer concerns.
# States requiring a twelve-month supply of contraception at one-time, except for New Jersey and New Mexico, which require a six-month supply at one time.
References
-------------
1 Foster, D.G., Hulett, D., Bradsberry, M., Darney, P., and Policar, M. (2011). Number of Oral Contraceptive Pill Packages Dispensed and Subsequent Unintended Pregnancies. Obstetrics & Gynecology, 117(3):566-572. doi:10.1097/AOG.0b013e3182056309
2 The Centers for Disease Control and Prevention. US Selected Practice Recommendations for Contraceptive Use, 2016. Retrieved from www.cdc.gov/reproductivehealth/contraception/mmwr/spr/combined.html.
3 Judge-Golden, C.P., Smith K.J., Mor M.K., Borrero S. (2019).Financial Implications of 12-Month Dispensing of Oral Contraceptive Pills in the Veterans Affairs Health Care System. JAMA Intern Med. Published online July 08, 2019. doi:10.1001/jamainternmed.2019.1678
4 Effective January 1, 2017, Family PACT policy covers an extended supply of the contraceptive ring and patch at clinics. Family PACT Update. (2017). Retrieved from http://files.medi-cal.ca.gov/pubsdoco/bulletins/artfull/fpact201704.asp#a4.
5 State of California-Health and Human Services Agency, Department of Health Care Services. All Plan Letter 16-003 Revised. (2016). Retrieved from www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2016/APL16-003R.pdf.
6 KFF Medicaid Coverage of Family Planning Benefits: Results from a State Survey. Retrieved from kff.org/attachment/Report-Medicaid-Coverage-of-Family-Planning-Benefits-Results-from-a-State-Survey.
7 Ibid.
8 Ibid.
9 Ibid.
10 Ibid.
11 This does not necessarily mean the coverage would be excluded in states where it is not specified in legislation.
Washington
Washington, DC
Washington, DC
Print DataExtended Supply of Contraceptives#
2015
Jan 1, 2017
Yes
N/A
^ Some states require the patient to first have an “initial dispensing” of a few months’ worth of a given contraceptive, before receiving a subsequent larger quantity of the same method or therapeutic equivalent. Laws in Colorado, Massachusetts, New Jersey, and Oregon specify that the covered person can receive the larger quantity, whether or not they were enrolled in the same plan when they received the initial dispensing. While an initial dispensing is not a required practice from the medical community, it is a balance some states have struck in order to assuage insurer concerns.
# States requiring a twelve-month supply of contraception at one-time, except for New Jersey and New Mexico, which require a six-month supply at one time.
References
-------------
1 Foster, D.G., Hulett, D., Bradsberry, M., Darney, P., and Policar, M. (2011). Number of Oral Contraceptive Pill Packages Dispensed and Subsequent Unintended Pregnancies. Obstetrics & Gynecology, 117(3):566-572. doi:10.1097/AOG.0b013e3182056309
2 The Centers for Disease Control and Prevention. US Selected Practice Recommendations for Contraceptive Use, 2016. Retrieved from www.cdc.gov/reproductivehealth/contraception/mmwr/spr/combined.html.
3 Judge-Golden, C.P., Smith K.J., Mor M.K., Borrero S. (2019).Financial Implications of 12-Month Dispensing of Oral Contraceptive Pills in the Veterans Affairs Health Care System. JAMA Intern Med. Published online July 08, 2019. doi:10.1001/jamainternmed.2019.1678
4 Effective January 1, 2017, Family PACT policy covers an extended supply of the contraceptive ring and patch at clinics. Family PACT Update. (2017). Retrieved from http://files.medi-cal.ca.gov/pubsdoco/bulletins/artfull/fpact201704.asp#a4.
5 State of California-Health and Human Services Agency, Department of Health Care Services. All Plan Letter 16-003 Revised. (2016). Retrieved from www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2016/APL16-003R.pdf.
6 KFF Medicaid Coverage of Family Planning Benefits: Results from a State Survey. Retrieved from kff.org/attachment/Report-Medicaid-Coverage-of-Family-Planning-Benefits-Results-from-a-State-Survey.
7 Ibid.
8 Ibid.
9 Ibid.
10 Ibid.
11 This does not necessarily mean the coverage would be excluded in states where it is not specified in legislation.
Washington, DC
West Virginia
West Virginia
Print DataExtended Supply of Contraceptives#
2020
January 1, 2021
Unclear
(The law requires coverage for a 12-month refill after the insured has completed the initial supply, but it does not specify the length of the initial supply.)
No
(+) State law specifies that coverage is not excluded for contraception prescribed for reasons other than contraception.11
(+) The West Virginia law requires coverage for a 12-month refill after the insured has completed the initial supply, but it does not specify the length of the initial supply
2020
January 1, 2021
Unclear
(The law requires coverage for a 12-month refill after the insured has completed the initial supply, but it does not specify the length of the initial supply.)
No
(+) State law specifies that coverage is not excluded for contraception prescribed for reasons other than contraception.11
(+) The West Virginia law requires coverage for a 12-month refill after the insured has completed the initial supply, but it does not specify the length of the initial supply
^ Some states require the patient to first have an “initial dispensing” of a few months’ worth of a given contraceptive, before receiving a subsequent larger quantity of the same method or therapeutic equivalent. Laws in Colorado, Massachusetts, New Jersey, and Oregon specify that the covered person can receive the larger quantity, whether or not they were enrolled in the same plan when they received the initial dispensing. While an initial dispensing is not a required practice from the medical community, it is a balance some states have struck in order to assuage insurer concerns.
# States requiring a twelve-month supply of contraception at one-time, except for New Jersey and New Mexico, which require a six-month supply at one time.
References
-------------
1 Foster, D.G., Hulett, D., Bradsberry, M., Darney, P., and Policar, M. (2011). Number of Oral Contraceptive Pill Packages Dispensed and Subsequent Unintended Pregnancies. Obstetrics & Gynecology, 117(3):566-572. doi:10.1097/AOG.0b013e3182056309
2 The Centers for Disease Control and Prevention. US Selected Practice Recommendations for Contraceptive Use, 2016. Retrieved from www.cdc.gov/reproductivehealth/contraception/mmwr/spr/combined.html.
3 Judge-Golden, C.P., Smith K.J., Mor M.K., Borrero S. (2019).Financial Implications of 12-Month Dispensing of Oral Contraceptive Pills in the Veterans Affairs Health Care System. JAMA Intern Med. Published online July 08, 2019. doi:10.1001/jamainternmed.2019.1678
4 Effective January 1, 2017, Family PACT policy covers an extended supply of the contraceptive ring and patch at clinics. Family PACT Update. (2017). Retrieved from http://files.medi-cal.ca.gov/pubsdoco/bulletins/artfull/fpact201704.asp#a4.
5 State of California-Health and Human Services Agency, Department of Health Care Services. All Plan Letter 16-003 Revised. (2016). Retrieved from www.dhcs.ca.gov/formsandpubs/Documents/MMCDAPLsandPolicyLetters/APL2016/APL16-003R.pdf.
6 KFF Medicaid Coverage of Family Planning Benefits: Results from a State Survey. Retrieved from kff.org/attachment/Report-Medicaid-Coverage-of-Family-Planning-Benefits-Results-from-a-State-Survey.
7 Ibid.
8 Ibid.
9 Ibid.
10 Ibid.
11 This does not necessarily mean the coverage would be excluded in states where it is not specified in legislation.
