About This Work

Current federal policy, including the Hyde Amendment, bans insurance coverage of abortion for anyone who qualifies for public insurance coverage, such as those who use Medicaid or Medicare, federal employees, Peace Corps volunteers, and members of the military. These bans disproportionately impact low-income people, women of color, immigrants, and transgender & gender non-conforming people.

NIRH works on the local and state level to restore public coverage of abortion, so that all people can access the reproductive health care they need regardless of where their insurance comes from. Ending bans on insurance coverage of abortion is a matter of reproductive and economic justice. We are proud partners in the All* Above All campaign.

Beginning this work in 2010, NIRH conducted ground-breaking research in anticipation of attacks on abortion coverage tied to the Affordable Care Act. Since then, we have worked with state advocates and directly with state agencies to achieve insurance coverage for abortion. On the local level, we have supported advocates across the country to work with their local government to pass resolutions calling for an end on abortion coverage bans and to oppose the Hyde Amendment through the passage of the EACH Woman Act.

Our Successes

Clearer Standards for Health Insurer ID Cards

In 2017, NIRH successfully fought for no-copay coverage of abortion and contraception for all state-regulated insurance plans in New York. However, many New Yorkers are covered by employer-provided self-funded plans which are governed by federal law and do not have to comply with state-level requirements. NIRH then urged the state to find a creative solution that would ensure that all New Yorkers would be able to understand if their health insurance plan must comply with New York state requirements which guarantees coverage for abortion and contraception. In July of 2019, Governor Andrew Cuomo announced a new regulation for health insurer […]

Passing Resolution Supporting Insurance Coverage for Abortion Care in Durham County, NC

On April 9, 2018, the Durham County Board of Commissioners unanimously passed a resolution calling for an end to the Hyde Amendment and calling upon President Trump and North Carolina Governor Roy Cooper to support measures to ensure and protect the rights of women, transgender, and gender-nonconforming individuals everywhere to have unhindered access to safe and comprehensive health care. NIRH and All* Above All partnered with NARAL Pro-Choice North Carolina and a broad coalition of local organizations, including Carolina Abortion Fund, SisterSong, ACLU of North Carolina, Action NC, American Association of University Women NC, Equality NC, Jewish Voice for Peace, […]

Passing a Resolution to Support Abortion Coverage in Public Insurance Programs in Pittsburgh, PA

On November 20, 2017, the Pittsburgh City Council voted to pass a Will of Council calling for the passage of the Equal Access to Abortion Coverage (EACH Woman) Act, a federal bill that would reinstate abortion coverage in public insurance programs, and for the repeal of Pennsylvania’s ban on abortion coverage in private insurance plans sold through the state’s Health Insurance Exchange. This remarkable effort was led by New Voices for Reproductive Justice, a human rights organization dedicated to the health and well-being of Black women and women of color in Pennsylvania and Ohio, and supported by the National Institute […]

Expanding Access to Abortion in Illinois with HB40

The National Institute for Reproductive Health, in partnership with All* Above All, has supported advocacy in Chicago and the state of Illinois to expand public coverage of abortion since 2013 with our partners the ACLU of Illinois (ACLU of IL) and the Chicago Abortion Fund (CAF). In 2017, NIRH supported the ACLU of IL as they successfully fought for passage of House Bill 40, which protects the legal right to abortion in the state and ensures that that right is a reality for low-income women by lifting Illinois’ restriction on Medicaid coverage of abortion. Previously, NIRH and All* Above All had […]

Achieving Regulations to Secure Insurance Coverage for Abortion and Contraception in New York State

In 2017, Governor Andrew Cuomo and his agencies issued four different regulations that affirm access to insurance coverage for abortion and contraception in New York State, protect access to insurance coverage for all New Yorkers if the federal government repeals or restricts the ACA, and improve conditions for women who are incarcerated. The abortion and contraception regulations are wide-ranging and, when implemented, will ensure that women have full access to those services in the state without having to pay coinsurance or copayments or meet a deductible. Under these regulations, doctors in New York can instruct pharmacists to dispense 12 months of birth control at once, […]