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. 2024 Jun 25;12:1360349. doi: 10.3389/fpubh.2024.1360349

Table 1.

U.S. state policies related to sexual and reproductive health coverage.

Coverage under traditional Medicaid
State (by rate per 100,000, high to low) Medicaid expansion state PrEP Requires pre-authorization HIV test Emergency contraception Prescription needed HIV testing mandate Pharmacists prescribe PrEP State financial support programs
District of Columbia Yes Yes Yes Yes Yes Yes No, all insurance covers testing in the ED No Yes
Georgia No Yes No Yes No N/A No No No
Maryland Yes Yes Yes Yes Yes Yes No Bill pending No
Florida No Yes No At-risk only Yes No, minimum age 12 No Yes No
Louisiana Yes Yes No Yes Yes No No No No
Mississippi No Yes Yes Yes No N/A No No No
Texas No Yes No Yes Yes No No No No
Alabama No Yes No Yes Yes No, req. prior authorization No No No
West Virginia Yes Yes No Yes Yes No No No No
New Jersey Yes Yes Yes Yes Yes Yes No Bill pending No
Delaware Yes Yes Yes Yes Yes No Routine opt-out testing No No
South Carolina No Yes Yes Yes Yes No No No No
Nevada Yes Yes No Yes Yes No Yes Yes No
New York Yes Yes Yes Yes Yes Yes Yes Bill pending Yes
North Carolina* No Yes No Yes Yes No, prescription pharmacy benefit only No Yes Yes
Arkansas Yes Yes No Yes Unclear Unclear No No Yes
Puerto Rico Yes Yes No Yes Unclear Unclear No No No
Tennessee No Yes No Yes Yes No No Yes No
Massachusetts Yes Yes No Yes Yes No No Bill pending Yes
Illinois Yes Yes No Yes Yes Yes Yes Bill pending Yes

* Medicaid coverage under expansion in North Carolina began on December 1, 2023 after this analysis was completed.