About 850,000 additional adult women of reproductive age (19 to 44) will be uninsured in 2023 if the enhanced premium tax credits (PTCs) passed under the American Rescue Plan Act (ARPA) are allowed to expire at the end of 2022 as they are slated to under current law (table 1). Uninsured women are at higher risk than insured women of having an unintended pregnancy due to more limited access to free or low-cost reproductive health services, including the most effective forms of contraception. Further, many of these additional women who will be uninsured live in states that tightly restrict or plan to tightly restrict access to abortion. In the wake of the Supreme Court’s elimination of the constitutional right to an abortion, uninsured women who are facing an unintended pregnancy and living in certain states are now at a higher risk of being denied access to the full range of reproductive health services, including abortion, than at any time in recent decades.
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