The Hyde Amendment, first enacted in 1980 and was continually re-enacted every year by both Democratic and Republican lawmakers until its removal from the budget in 2021. The Hyde Amendment banned the use of federal funds for paying for abortions except in the case of rape or incest. The bill affected persons seeking an abortion that are on Medicare and Medicaid, Native American, U.S. servicewomen, volunteers in the Peace Corps, residents of D.C., and federal employees[1]. Between 9 and 38% of women aged 15-44 are covered by Medicare and Medicaid, as shown in the heat map below[2]. Some states have enacted copycat legislation preventing state funds from paying for abortion. Eleven states have bans on abortion coverage in private plans regulated by the state[3]. Without insurance, out-of-pocket expenses for even an early medical abortion is over $500[4].

1.Guttmacher Institute, The Federal Government Has Long Interfered With Abortion Access For Many U.S. Women, (2016).

2.Guttmacher Institute, Gains in Insurance Coverage for Reproductive-Age Women at a Crossroads (December 4, 2018).

3.Adam Sonfield, Guttmacher Institute, Restrictions on Private Insurance Coverage of Abortion: A Danger to Abortion Access and Better U.S. Health Coverage, (June 6, 2018).

4.Guttmacher Institute, Induced Abortion in the United States, (September 2019).