From 2016 to 2019, NIRH supported SisterReach, University of Tennessee-Knoxville, and Vanderbilt University Medical Center in their work to improve access to LARC across the state of Tennessee using a reproductive justice framework. Through the lifetime of this project, this coalition successfully advocated to improve Medicaid reimbursement for immediate postpartum LARC in hospitals and worked to develop and implement systems that facilitated providing this service in hospitals across the state. The coalition worked with providers, health officials, and patients to increase awareness of LARC, patients’ rights to make their own decisions about contraception, and of methods of counseling and service provision that are patient-centered and anti-coercive.