State Profiles for Women’s Health
United States Women's Health Insurance Coverage Data
Health insurance coverage, ACA Medicaid expansion, Medicaid eligibility levels, Medicaid family planning programs, coverage policies on contraception and fertility care
Explore the latest national and state-specific data and policies on women's health.
Health Insurance Coverage of Women Ages 19-64, 2024, United States
| Indicator | Value |
|---|---|
| Employer | 60% |
| Non-Group | 9% |
| Medicaid | 18% |
| Other | 3% |
| Uninsured | 10% |
Other includes Medicare, TRICARE, and other sources of coverage. Percentages may not sum to 100% due to rounding.
Source: KFF, State Health Facts, Health Insurance Coverage of Women 19-64, based on the 2024 American Community Survey, 1-Year estimates.
Health Insurance Coverage of Women Ages 19-64 With Lower Incomes, 2024, United States
| Indicator | Value |
|---|---|
| Employer | 26% |
| Non-Group | 10% |
| Medicaid | 43% |
| Other | 4% |
| Uninsured | 18% |
Lower income refers to income below 200% of the federal poverty level. Two hundred percent of the Census Bureau Federal Poverty Level (FPL) in 2024 was $32,640 for a nonelderly individual. Other includes Medicare, TRICARE, and other sources of coverage.
Percentages may not sum to 100% due to rounding. Some estimates are N/A because point estimates do not meet minimum standards for statistical reliability.
Source: KFF estimates based on 2024 American Community Survey, 1-Year Estimates
Uninsured Rates of Women Ages 19-64, 2010–2024, United States
| Indicator | Value |
|---|---|
| 2010 | 19% |
| 2011 | 19% |
| 2012 | 19% |
| 2013 | 19% |
| 2014 | 15% |
| 2015 | 12% |
| 2016 | 11% |
| 2017 | 11% |
| 2018 | 11% |
| 2019 | 11% |
| 2020 | N/A |
| 2021 | 11% |
| 2022 | 10% |
| 2023 | 10% |
| 2023 | 10% |
The American Community Survey did not release the 1-year estimates for 2020 due to significant disruptions to data collection brought on by the coronavirus pandemic.
Source: KFF estimates based on 2008-2024 American Community Survey, 1-Year Estimates
Health Insurance Coverage of Women Ages 19-49, 2024, United States
| Indicator | Value |
|---|---|
| Employer | 60% |
| Non-Group | 8% |
| Medicaid | 19% |
| Other | 2% |
| Uninsured | 11% |
Other includes Medicare, TRICARE, and other sources of coverage. Percentages may not sum to 100% due to rounding. Some estimates are N/A because point estimates do not meet minimum standards for statistical reliability.
Source: KFF estimates based on the 2024 American Community Survey, 1-Year estimates.
Health Insurance Coverage of Women Ages 19-49 With Lower Incomes, 2024, United States
| Indicator | Value |
|---|---|
| Employer | 28% |
| Non-Group | 9% |
| Medicaid | 42% |
| Other | 2% |
| Uninsured | 19% |
Lower income refers to income below 200% of the federal poverty level. Two hundred percent of the Census Bureau Federal Poverty Level (FPL) in 2023 was $32,640 for a nonelderly individual. Other includes Medicare, TRICARE, and other sources of coverage.
Percentages may not sum to 100% due to rounding. Some estimates are N/A because point estimates do not meet minimum standards for statistical reliability.
Source: KFF estimates based on 2024 American Community Survey, 1-Year Estimates
Status of State Action on the Medicaid Expansion Decision, as of May 2025, United States
| Indicator | Value |
|---|---|
| Status of Medicaid Expansion Decision | Adopted–40 states & DC; Not Adopted–10 states |
States’ decisions about adopting the Medicaid expansion are as of May 2025
Source: KFF, State Health Facts, Status of State Action on the Medicaid Expansion Decision, based on KFF tracking and analysis of state executive activity.
Status of Medicaid Postpartum Coverage Extensions, as of January 6, 2025, United States
| Indicator | Value |
|---|---|
| Status of State Action | 12-month extension implemented: 47 states & DC Planning to implement a 12-month extension: 1 states Limited coverage extension proposed: 1 state No state action to extend postpartum coverage: 1 state |
Source: KFF, Medicaid Postpartum Coverage Extension Tracker, as of January 6, 2025
Medicaid Coverage of Doula Services, October 2025, United States
| Indicator | Value |
|---|---|
| State covers doula services in Medicaid program? | Yes – 23 states & DC Implementation in progress – 8 states No – 19 states |
| Coverage began: | n/a |
| Reimbursement rate: | n/a |
N/A – Not Applicable.
Source: NHelP’s Doula Medicaid Project: Current State Efforts at Expanding Access to Doulas, last updated October 2025
Expanded Medicaid Coverage of Family Planning Services, February 2025, United States
| Indicator | Value |
|---|---|
| State Has Secured a Waiver or State Plan Amendment (SPA) from CMS to Cover Services? | 31 Yes |
| Basis for Eligibility | 31 Income; 4 Loss of Medicaid coverage postpartum; 1 Loss of Medicaid coverage for any reason |
| Eligible Populations Includes Men | 24 Yes; 9 No |
| Limited to Individuals 19 years + | 4 Yes; 24 No |
| Organized as a Waiver or State Plan Amendment (SPA)? | 11 Waivers; 20 SPAs; 2 State-funded programs |
| Waiver Expiration Date | N/A |
N/A – Not Applicable.
Source: KFF, State Health Facts, States That Have Expanded Eligibility for Coverage of Family Planning Services Under Medicaid, based on analysis KFF analysis of waivers and state plan amendments and Guttmacher Institute State Policies in Brief.
Data: https://www.kff.org/medicaid/state-indicator/family-planning-services-waivers/
Medicaid Eligibility Income Thresholds for Adults, as a Percent of Federal Poverty Level, 2025, United States
| Indicator | Value |
|---|---|
| Parents of Dependent Children | N/A |
| Adults without Dependent Children | N/A |
| Pregnant Women | N/A |
Federal Poverty Level in 2025 is $26,650 for a family of three and $15,650 for an individual. Reflects highest eligibility limit for pregnant women under Medicaid, CHIP, or the From-Conception-to-the-End-of-Pregnancy (FCEP) option (formerly known as the unborn child option).
N/A – Not Applicable.
Source: KFF, State Health Facts, Medicaid and CHIP Income Eligibility Limits for Pregnant Women and Medicaid Income Eligibility Limits for Adults as a Percent of the Federal Poverty Level, based on a national survey conducted by the Kaiser Program on Medicaid and the Uninsured with the Georgetown University Center for Children and Families, 2025
Distribution of Adults Ages 19-64 Enrolled in Medicaid, by Sex, 2023, United States
| Indicator | Value |
|---|---|
| Male | 43% |
| Female | 57% |
Percentages may not sum to 100% due to rounding. Includes those covered by Medicaid, the Children’s Health Insurance Program (CHIP), and those who have both Medicaid and another type of coverage, such as dual eligibles who are also covered by Medicare.
Source: KFF, State Health Facts, Distribution of Nonelderly Adults with Medicaid by Sex, estimates based on the Census Bureau’s American Community Survey, 2023.
Data: https://www.kff.org/medicaid/state-indicator/medicaid-distribution-adults-19-64-by-sex/
State Policies Expanding Contraceptive Coverage and Availability, 2024, United States
| Indicator | Value |
|---|---|
| Insurers and/or Medicaid must cover extended supply of contraceptives | Yes–26 states, including DC |
| Expansion of pharmacists’ prescribing authority (oral contraceptives) | Yes–30 states, including DC |
| Insurers and/or Medicaid plans must cover some OTC contraception without a prescription | Yes–9 states |
OTC = Over the Counter
Source: KFF. Oral Contraceptive Pills. March 20, 2024.
Mandated Coverage of Infertility Treatment, 2024, United States
| Indicator | Value |
|---|---|
| State Requires Private Insurance Coverage of Infertility Services? | Yes—21 states |
| State Mandate to Cover in Medicaid? | Yes—16 states |
A range of treatments may be available to those facing infertility, including prescription drugs (e.g., to stimulate ovulation) and surgery (e.g., to repair blocked fallopian tubes or seminal vessels). In addition, several assisted conception techniques include, among others, artificial insemination (AI), in vitro fertilization (IVF), gamete intrafallopian transfer (GIFT), intrauterine insemination (IUI), and egg or embryo donation. Some states mandate coverage of at least some kind of infertility treatment in policies sold through the individual market or small group market or both. State mandates vary considerably. Some apply only to certain kinds of health insurance policies, for example, HMOs. Others specify certain types of infertility treatment, such as IVF, that must be, or not be, covered under the mandate.
Source: KFF, State Health Facts, Mandated Coverage of Infertility Treatment, based on analysis of information compiled from member handbooks and provider manuals as available online as of September 2024 and Resolve, The National Infertility Association, Insurance Coverage in Your State.
Data: https://www.kff.org/state-health-policy-data/state-indicator/infertility-coverage/