Docstoc

Womens Health - Kaiser State Health Facts

Document Sample
Womens Health - Kaiser State Health Facts Powered By Docstoc
					Category Women's Health
           O
Subcategory ther Services Under Medicaid
Topic      Breast/Cervical Cancer Under Medicaid
Full Title Medicaid Breast and Cervical Cancer Treatment Coverage Expansions, 2002
Data Type Text

                        Offers
             Screening OptionsPresumptive Eligibility?
Alabama Option 1 No
Alaska                  No
             Options 1 and 2
Arizona      Option 1 No
                        No
Arkansas Options 1, 2, and 3
                        Yes
California Options 1 and 3
Colorado Option 1 Yes
             O
Connecticut ption 1 Yes
Delaware Options 1 and 2Yes
             NA
District of Columbia NA
Florida      Option 1 No
Georgia                 Yes
             Options 1, 2, and 3
Hawaii       Option 1 No
Idaho        Option 1 Yes
Illinois                No
             Options 1 and 2
Indiana      Option 1 No
Iowa                    Yes
             Options 1 and 3
Kansas       Option 1 No
Kentucky Options 1 and 2No
                        No
Louisiana Options 1 and 2
Maine        Option 1 No
Maryland Options 1 and 2No
MassachusettsNA         NA
                        No
Michigan Options 1, 2, and 3
Minnesota Option 1 Yes
                        Yes
Mississippi Options 1, 2, and 3
Missouri Option 1 Yes
Montana Option 1 No
Nebraska Options 1 and 3Yes
Nevada                  Yes
             Options 1 and 2
New Hampshire           Yes
             Options 1 and 2
                        Yes
New JerseyOptions 1 and 2
New Mexico   Option 1 Yes
New York Options 1 and 2Yes
             Option 1 No
North Carolina
North Dakota            No
             Options 1 and 2
Ohio         Option 1 No
Oklahoma NA             NA
Oregon       Option 1 Yes
Pennsylvania Option 1 No
Rhode Island            Yes
             Options 1, 2, and 3
             Option 1 No
South Carolina
South Dakota Option 1 No
                        Yes
Tennessee Options 1, 2, and 3
Texas        Option 1 Yes
             All        22 DC
United States 50 States +Yes
Utah                  No
           Options 1, 2, and 3
Vermont Option 1 No
Virginia   Option 1 No
Washington            No
           Options 1 and 2
           Options 1 and 3
West Virginia         Yes
Wisconsin Option 1 Yes
Wyoming Option 1 No


Notes         Data as of December 2002.Under the Breast and Cervical Cancer Prevention and Treatment Act of 2000, states ha
Definitions   Option 1: Any woman screened by a provider in the CDC screening network is eligible for treatment.Option 2: Any w
Sources       Kaiser Family Foundation, Women''s Access to Care: A State-Level Analysis of Key Health Policies, July 2003, ava
Footnote 1    All 50 states and DC have opted to participate in the federal program. Twenty-five states have selected Option 1 on
Footnote 2    Specific information on the jurisdiction''s screening options and presumptive eligibility was not available.
Footnote 3    Funding for Massachusetts'' program was cut before the program started running. Additional information on the sta
Footnote 4    Oklahoma does not have an approved plan but has enacted legislation that indicates a plan will be submitted.
and Treatment Act of 2000, states have the option to provide full Medicaid benefits to uninsured women under age 65 who are diagnosed wit
 eligible for treatment.Option 2: Any woman screened by a non-CDC network provider who receives some CDC funds to support screening se
f Key Health Policies, July 2003, available at http://www.kff.org/womenshealth/loader.cfm?url=/commonspot/security/getfile.cfm&PageID
 five states have selected Option 1 only; twelve states have selected Options 1 and 2; four states have selected Options 1 and 3; and seven s
 gibility was not available.
 ng. Additional information on the state''s screening option/presumptive eligibility was not available.
 icates a plan will be submitted.
under age 65 who are diagnosed with cervical or breast cancer through the National Breast and Cervical Cancer Early Detection Program. C
 e CDC funds to support screening services is eligible for treatment.Option 3: Any woman screened by a provider the state decides to consid
spot/security/getfile.cfm&PageID=14279 . Information based on Centers for Medicare and Medicaid Services, "Breast and Cervical Can
elected Options 1 and 3; and seven states have selected all three options.
 l Cancer Early Detection Program. Coverage extends throughout the duration of treatment.
  provider the state decides to consider part of the CDC screening network is eligible for treatment.Presumptive eligibility allows women who
d Services, "Breast and Cervical Cancer Prevention and Treatment Activity Map," available at http://cms.hhs.gov/bccpt/bccptmap.asp .
mptive eligibility allows women who appear to be eligible for Medicaid to enroll in the program on a temporary basis and receive services wh
hhs.gov/bccpt/bccptmap.asp .
porary basis and receive services while their Medicaid applications are processed.
Category Women's Health
           A
Subcategory bortion Policy
Topic      Mandatory Waiting Periods
Full Title Mandatory Waiting Period and Information Requirements for Women Seeking Abortions, as of December 9, 2005
Data Type Text

                        Delay
             Mandatory Waiting Period and Biased Information Requirements Enacted?
                        24-hour
Alabama Currently Enforced delay
Alaska                  No delay
             Currently Enforced
Arizona      No
                        24-hour
Arkansas Currently Enforced delay. Requires woman to receive state-directed counseling and the option to view the state-pre
California No
Colorado No
Connecticut oN
                        24-hour delay
Delaware Enforcement Stayed by Federal Court
             No
District of Columbia
Florida                 No delay. Requires woman to receive information in person from a health care provider. (Currently in lit
             Enforcement Stayed by State Court
Georgia                 24-hour
             Currently Enforced delay
Guam         NA         NA
Hawaii       No
Idaho                   24-hour
             Currently Enforced delay
Illinois     No
Indiana                 18-hour
             Currently Enforced delay. Requires woman to receive information in person from a health care provider. (In litigat
Iowa         No
Kansas                  24-hour
             Currently Enforced delay
                        24-hour
Kentucky Currently Enforced delay
                        24-hour
Louisiana Currently Enforced delay. Requires woman to receive information in person from a health care provider.
Maine        No
Maryland No
Massachusetts           24-hour delay
             Enforcement Stayed by Federal Court
                        24-hour
Michigan Currently Enforced delay
                        24-hour
Minnesota Currently Enforced delay
                        24-hour
Mississippi Currently Enforced delay. Requires woman to receive information in person from a health care provider.
                        24-hour
Missouri Currently Enforced delay
                        24-hour delay
Montana Enforcement Stayed by State Court
                        24-hour
Nebraska Currently Enforced delay
Nevada       No
New HampshireNo
New JerseyNo
New Mexico   No
New York No
             No
North Carolina
North Dakota            24-hour
             Currently Enforced delay
Ohio                    24-hour
             Currently Enforced delay. Requires woman to receive information in person from a health care provider.
                        24-hour
Oklahoma Currently Enforced delay
Oregon       No
Pennsylvania            24-hour
             Currently Enforced delay
Puerto RicoNA           NA
             NA
Residence Unknown NA
Rhode Island No
             Currently Enforceddelay
South Carolina          1-hour
South Dakota            24-hour
             Currently Enforced delay
                       2-day delay State Court
Tennessee Enforcement Stayed by (excluding the day on which information is given and day of procedure).
Texas                  24-hour
            Currently Enforced delay
            30
United States Yes
Utah                   24-hour
            Currently Enforced delay. Requires woman to receive information in person from a health care provider.
Vermont No
            NA
Virgin Islands         NA
Virginia               24-hour
            Currently Enforced delay
Washington  No
            Currently Enforced delay
West Virginia          24-hour
                       24-hour
Wisconsin Currently Enforced delay. Requires woman to receive information in person from a health care provider.
Wyoming No


Notes       Data as of December 2005.
Definitions
Sources Mandatory Delays and Biased Information Requirements, January 2006, from The Center for Reproductive Rights,
Footnote 1 Mandatory delays in five of the 30 states are either not currently enforced or enjoined by federal or state courts.
Abortions, as of December 9, 2005




g and the option to view the state-prepared materials, "prior to and in no event on the same day as the abortion".




health care provider. (Currently in litigation).




om a health care provider. (In litigation.)



om a health care provider.




om a health care provider.




om a health care provider.
ay of procedure).


om a health care provider.




om a health care provider.




The Center for Reproductive Rights, available at http://www.crlp.org/pub_fac_manddelay1.html.
joined by federal or state courts.
Category Women's Health
           W
Subcategory omen's Preventive Health
Topic      Mammogram Rate by Race/Ethnicity
Full Title Percent of Women Age 50 and Older Who Report Having Had a Mammogram Within the Last Two Years, by Race
Data Type Percent

             White        Black         Hispanic               American
                                                    Asian/Pacific Islander Indian/Alaskan
Alabama         0.7894       0.8153     NA          NA         NA
Alaska          0.7686    NA            NA          NA              0.8706
Arizona         0.7993    NA               0.8074   NA         NA
Arkansas        0.7445       0.8095     NA          NA         NA
California      0.8277    NA               0.8475   NA         NA
Colorado        0.7726    NA               0.7678   NA         NA
Connecticut 0.8439           0.8404        0.8734   NA         NA
Delaware        0.8547       0.9396     NA          NA         NA
                0.8334
District of Columbia         0.8591     NA          NA         NA
Florida         0.8291       0.7874         0.767   NA         NA
Georgia         0.8286       0.8435     NA          NA         NA
Guam         NA           NA            NA          NA         NA
Hawaii          0.7811    NA               0.7586      0.8364 NA
Idaho            0.727    NA            NA          NA         NA
Illinois        0.7737       0.7714     NA          NA         NA
Indiana         0.7345         0.789    NA          NA         NA
Iowa            0.7926    NA            NA          NA         NA
Kansas          0.7822       0.8205        0.6617   NA         NA
Kentucky        0.7681    NA            NA          NA         NA
Louisiana       0.7947       0.7937     NA          NA         NA
Maine           0.8443    NA            NA          NA         NA
Maryland        0.8314            0.9   NA          NA         NA
Massachusetts       0.9      0.8679        0.9433   NA         NA
Michigan        0.8303          0.87    NA          NA         NA
Minnesota        0.844    NA            NA          NA         NA
Mississippi     0.6982       0.6831     NA          NA         NA
Missouri        0.7346       0.8207     NA          NA         NA
Montana         0.7657    NA            NA          NA               0.741
Nebraska        0.7631    NA            NA          NA         NA
Nevada           0.717    NA            NA          NA         NA
New Hampshire   0.8201    NA            NA          NA         NA
New Jersey 0.7879            0.8585        0.8531   NA         NA
New Mexico       0.751    NA               0.7027   NA              0.7674
New York        0.8252       0.8173        0.8868   NA         NA
North Carolina 0.8287        0.8408        0.7718   NA              0.7987
North Dakota 0.8066       NA            NA          NA         NA
Ohio            0.8155       0.8309     NA          NA         NA
Oklahoma        0.7157       0.7245     NA          NA              0.7998
Oregon          0.8128    NA            NA          NA         NA
Pennsylvania        0.8      0.7807        0.9034   NA         NA
Puerto RicoNA             NA               0.7906   NA         NA
             NA
Residence Unknown         NA            NA          NA         NA
Rhode Island 0.8752       NA               0.8524   NA         NA
South Carolina 0.78          0.8364     NA          NA         NA
South Dakota 0.7818       NA            NA          NA              0.7407
Tennessee        0.8141      0.8366 NA          NA            NA
Texas            0.7628      0.7632     0.703   NA            NA
United States    0.8018      0.8131    0.8056        0.7927           0.7
Utah             0.7522   NA        NA          NA            NA
Vermont          0.8207   NA        NA          NA            NA
Virgin Islands   0.6705      0.6952    0.5807   NA            NA
Virginia         0.8164      0.7952 NA          NA            NA
Washington       0.8005   NA           0.7889        0.8537        0.8064
West Virginia    0.7805   NA        NA          NA            NA
Wisconsin        0.8049       0.898 NA          NA            NA
Wyoming           0.737   NA        NA          NA            NA


Notes       U.S. totals include territories. This measure includes women age 50 and older in the non-institutionalized civilian po
Definitions NSD: Not Sufficient Data. In this case the state sample had fewer than 100 respondents.
Sources Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey Data. Atlan
Within the Last Two Years, by Race/Ethnicity, 2006
n the non-institutionalized civilian population who report having had a mammogram within the last two years. The U.S. Preventive Services T

veillance System Survey Data. Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Preventi
ears. The U.S. Preventive Services Task Force recommends screening mammography, with or without clinical breast examination (CBE), ev

ers for Disease Control and Prevention, 2008.
clinical breast examination (CBE), every 1-2 years for women aged 40 and older. Racial/ethnic groups are mutually exclusive. For informatio
re mutually exclusive. For information about the Behavioral Risk Factor Surveillance System (BRFSS) Survey, visit the BRFSS home page a
Survey, visit the BRFSS home page available at http://www.cdc.gov/brfss/index.htm.
Category Women's Health
           W
Subcategory omen's Preventive Health
Topic      Pap Smear Rate by Race/Ethnicity
Full Title Percent of Women Age 18 and Older Who Report Having Had a Pap Smear Within the Last Three Years, by Race/
Data Type Percent

             White        Black        Hispanic               American
                                                   Asian/Pacific Islander Indian/Alaskan
Alabama         0.8345       0.8401    NA          NA         NA
Alaska          0.8691    NA           NA          NA              0.9009
Arizona          0.874    NA              0.7967   NA              0.8748
Arkansas        0.8179       0.8375    NA          NA         NA
California      0.8574           0.9      0.8259      0.8132 NA
Colorado        0.8551    NA              0.8568   NA         NA
Connecticut         0.9      0.8894       0.8425      0.8114 NA
Delaware        0.8963       0.8697    NA          NA         NA
                0.9078
District of Columbia         0.8891       0.8695   NA         NA
Florida         0.8406           0.8       0.815   NA         NA
Georgia         0.8787       0.9035       0.7717   NA         NA
Guam         NA           NA           NA          NA         NA
Hawaii          0.8621    NA              0.8316      0.7824 NA
Idaho           0.7701    NA              0.8244   NA         NA
Illinois        0.8259       0.8899       0.8579   NA         NA
Indiana         0.8141       0.8385       0.8783   NA         NA
Iowa            0.8629    NA              0.8448   NA         NA
Kansas          0.8369       0.8711       0.8353   NA         NA
Kentucky         0.832       0.8665    NA          NA         NA
Louisiana        0.853       0.8694       0.6754   NA         NA
Maine           0.8911    NA           NA          NA         NA
Maryland        0.8777       0.8865       0.8343      0.8433 NA
Massachusetts0.8844          0.9292       0.7988       0.814 NA
Michigan            0.9      0.8963       0.8656   NA         NA
Minnesota       0.8658    NA           NA          NA         NA
Mississippi     0.8279       0.8635    NA          NA         NA
Missouri        0.7953       0.8618    NA          NA         NA
Montana         0.8166    NA           NA          NA              0.8644
Nebraska        0.8152    NA              0.7841   NA         NA
Nevada              0.8   NA              0.8506   NA         NA
New Hampshire   0.8858    NA           NA          NA         NA
New Jersey 0.8398            0.8769       0.8554      0.7708 NA
New Mexico 0.8198         NA              0.8551   NA              0.7837
New York        0.8556       0.8676        0.883   NA         NA
North Carolina 0.8664        0.8987       0.8401      0.7566       0.9099
North Dakota 0.8488       NA           NA          NA         NA
Ohio            0.8289       0.9181       0.7863   NA         NA
Oklahoma        0.7926       0.8291       0.8114   NA              0.8292
Oregon          0.8342    NA              0.8542   NA         NA
Pennsylvania 0.833           0.8195       0.8506   NA         NA
Puerto RicoNA             NA              0.7229   NA         NA
             NA
Residence Unknown         NA           NA          NA         NA
Rhode Island        0.9      0.8952       0.9052   NA         NA
South Carolina      0.9      0.9063       0.8759   NA         NA
South Dakota 0.8496       NA           NA          NA              0.8846
Tennessee        0.8488      0.9141 NA          NA            NA
Texas            0.8222      0.8094    0.7745   NA            NA
United States    0.8448      0.8722    0.8157        0.7558        0.8052
Utah             0.7493   NA           0.7183   NA            NA
Vermont          0.8758   NA        NA          NA            NA
Virgin Islands   0.8569      0.8071    0.8348   NA            NA
Virginia          0.856      0.8906    0.8771   NA            NA
Washington       0.8416      0.8256    0.8831        0.7923        0.8939
West Virginia    0.8402   NA        NA          NA            NA
Wisconsin        0.8636      0.9202 NA          NA            NA
Wyoming          0.8079   NA           0.8203   NA            NA


Notes       U.S. totals include territories.  This measure includes women age 18 and older in the non-institutionalized civi
Definitions NSD: Not Sufficient Data. In this case the state sample had fewer than 100 respondents.
Sources Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey Data. Atlan
Within the Last Three Years, by Race/Ethnicity, 2006
d older in the non-institutionalized civilian population who report having had a pap smear within the last three years. The U.S. Preventive Serv
 00 respondents.
 veillance System Survey Data. Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Preventi
hree years. The U.S. Preventive Services Task Force recommends pap smears at least every three years in women who have been sexually

ers for Disease Control and Prevention, 2008.
rs in women who have been sexually active and have a cervix. Racial/ethnic groups are mutually exclusive.For information about the Behavio
ve.For information about the Behavioral Risk Factor Surveillance System (BRFSS) Survey, visit the BRFSS home page available at http://ww
FSS home page available at http://www.cdc.gov/brfss/index.htm.
Category Women's Health
           W
Subcategory omen's Preventive Health
Topic      Percent of Women who had Dental Visit
Full Title Percentage of Women who Visited the Dentist or Dental Clinic within the Past Year, 2006
Data Type Percent


Alabama         0.6866
Alaska          0.6754
Arizona         0.6961
Arkansas        0.6354
California      0.7182
Colorado        0.7204
Connecticut 0.8257
Delaware        0.7735
                 0.731
District of Columbia
Florida         0.7084
Georgia          0.725
Guam         NA
Hawaii          0.7536
Idaho           0.6864
Illinois        0.7134
Indiana         0.7068
Iowa            0.7678
Kansas          0.7266
Kentucky        0.6327
Louisiana       0.6489
Maine           0.7271
Maryland         0.767
Massachusetts 0.794
Michigan        0.7736
Minnesota       0.8169
Mississippi      0.615
Missouri        0.6553
Montana         0.6984
Nebraska        0.7449
Nevada          0.7033
New Hampshire   0.7816
New Jersey 0.7613
New Mexico 0.6644
New York        0.7498
North Carolina 0.6954
North Dakota 0.7528
Ohio            0.7569
Oklahoma        0.5914
Oregon          0.6995
Pennsylvania 0.7268
Puerto Rico 0.7724
             NA
Residence Unknown
Rhode Island 0.8122
South Carolina 0.6787
South Dakota 0.725
Tennessee        0.6672
Texas            0.6381
United States    0.7182
Utah             0.7216
Vermont          0.7539
Virgin Islands   0.6409
Virginia         0.7558
Washington       0.7403
West Virginia    0.6357
Wisconsin        0.7892
Wyoming          0.6985


Notes       U.S. total includes territories.  Includes women age 18 and older in the non-institionalized population who rep
Definitions
Sources Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey Data. Atlan
on-institionalized population who reported visiting the dentist or dental clinic within the past year for any reason.  For information about

veillance System Survey Data. Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Preventi
reason.  For information about the Behavioral Risk Factor Surveillance System (BRFSS) Survey, visit the BRFSS home page available

ers for Disease Control and Prevention, 2008.
visit the BRFSS home page available at http://www.cdc.gov/brfss/index.htm.
Category Women's Health
           B
Subcategory reastfeeding
Topic      Breastfeeding Rates
Full Title Percentage of Children Ever Breastfed by Age and Exclusivity Among Children born in 2006
Data Type Percent

                        Breastfed at 6 monthsat 12 months
             Ever breastfed                              Exclusive breastfeeding through
                                   Breastfed Exclusive breastfeeding through 3 months 6 months
Alabama           0.588     0.266       0.114      0.242      0.063
Alaska            0.885     0.489       0.262      0.455      0.169
Arizona           0.765     0.453       0.223      0.297      0.119
Arkansas          0.615     0.269       0.106      0.236      0.063
California        0.847      0.53       0.311      0.424      0.186
Colorado          0.825     0.595       0.305      0.492      0.226
Connecticut       0.749     0.419       0.233      0.351      0.144
Delaware          0.667     0.328       0.154      0.281      0.075
                  0.696
District of Columbia        0.456       0.202      0.313      0.133
Florida           0.757     0.372       0.182      0.307      0.119
Georgia           0.625     0.364       0.181       0.28      0.148
Hawaii            0.882     0.563        0.35      0.449      0.224
Idaho             0.798     0.551       0.253      0.467      0.177
Illinois          0.695     0.387       0.159      0.285      0.119
Indiana           0.711     0.372       0.189      0.289      0.106
Iowa              0.681     0.332       0.158      0.323      0.106
Kansas            0.781     0.438       0.236       0.36      0.168
Kentucky          0.536     0.289       0.158      0.272      0.094
Louisiana         0.491     0.207       0.099      0.178       0.05
Maine              0.75     0.457        0.26      0.387      0.181
Maryland          0.764     0.433       0.254      0.285      0.101
Massachusetts 0.782         0.447       0.245       0.39      0.135
Michigan          0.648     0.312       0.144      0.235      0.107
Minnesota         0.799     0.516       0.247      0.398       0.15
Mississippi       0.483     0.201       0.087      0.168      0.046
Missouri          0.653     0.331       0.149      0.248      0.085
Montana           0.827     0.568       0.306      0.408      0.205
Nebraska          0.768     0.462       0.226      0.317      0.119
Nevada            0.793     0.453       0.225      0.318      0.097
New Hampshire 0.784         0.551       0.305      0.426      0.206
New Jersey        0.814      0.53       0.274      0.297      0.132
New Mexico        0.726     0.422       0.257      0.332       0.14
New York          0.764     0.494       0.289      0.249      0.096
North Carolina 0.669        0.367       0.189      0.302      0.131
North Dakota 0.711          0.376       0.206      0.337      0.111
Ohio              0.585     0.297        0.12      0.224      0.091
Oklahoma          0.656     0.274       0.124      0.306      0.084
Oregon            0.914      0.63        0.37      0.566      0.208
Pennsylvania 0.676          0.358       0.194      0.293      0.101
Rhode Island 0.754          0.404       0.198      0.318      0.087
South Carolina 0.613        0.304       0.139      0.255      0.096
South Dakota 0.768          0.475       0.221      0.365      0.176
Tennessee         0.588     0.379       0.148      0.282      0.128
Texas             0.782     0.487       0.253      0.342      0.142
United States 0.739         0.434       0.227      0.331      0.136
Utah            0.928      0.695      0.339       0.508       0.24
Vermont         0.801      0.595      0.384       0.492      0.235
Virginia        0.797      0.483      0.258       0.387      0.188
Washington      0.864       0.58       0.35       0.488      0.253
West Virginia   0.588      0.272      0.126       0.213      0.084
Wisconsin       0.755      0.486      0.259       0.452      0.168
Wyoming         0.842      0.508      0.267       0.462      0.168


Notes       The information on children born in 2006 is from interviews conducted through November of 2009. Data is prelimina
Definitions Exclusive Breastfeeding: Only breast milk is fed to child, no solids, no water, and no other liquids.
Sources Breastfeeding Report Card, United States 2009: Outcome Indicators, based on the United States National Immuniz
born in 2006
 November of 2009. Data is preliminary.
nd no other liquids.
 the United States National Immunization Survey, 2006 Births, Centers for Disease Control and Prevention, Department of Health and
revention, Department of Health and Human Services. Available at http://www.cdc.gov/breastfeeding/data/report_card2.htm.
ta/report_card2.htm.
Category Women's Health
           M
Subcategory andated Benefits in Private Insurance
Topic      Cancer Screening for Women
Full Title State Mandated Benefits: Cancer Screening for Women, 2008
Data Type Text

                       Breast Cancer Screening? Screening?Screening?
                                  Cancer Cancer
                                             Ovarian Cancer
             Mandates Any Type of CervicalScreening for Women?
Alabama Yes            Yes        No         No
Alaska       Yes       Yes        Yes        No
Arizona      Yes       Yes        No         No
Arkansas Yes           Yes        No         No
California Yes         Yes        Yes        No
Colorado Yes           Yes        No         No
             Y
Connecticut es         Yes        No         No
Delaware Yes           Yes        Yes        No
             Yes
District of Columbia Yes          Yes        No
Florida      Yes       Yes        No         No
Georgia      Yes       Yes        Yes        Yes
Hawaii       Yes       Yes        No         No
Idaho        Yes       Yes        No         No
Illinois     Yes       Yes        Yes        No
Indiana      Yes       Yes        No         No
Iowa         Yes       Yes        No         No
Kansas       Yes       Yes        Yes        No
Kentucky Yes           Yes        No         No
Louisiana Yes          Yes        Yes        No
Maine        Yes       Yes        Yes        No
Maryland Yes           Yes        No         No
MassachusettsYes       Yes        Yes        No
Michigan Yes           Yes        No         No
Minnesota Yes          Yes        Yes        Yes
Mississippi Yes        Yes        No         No
Missouri Yes           Yes        Yes        No
Montana Yes            Yes        No         No
Nebraska Yes           Yes        No         No
Nevada       Yes       Yes        Yes        No
New HampshireYes       Yes        No         No
New JerseyYes          Yes        Yes        No
New Mexico   Yes       Yes        Yes        No
New York Yes           Yes        Yes        No
             Yes
North Carolina         Yes        Yes        Yes
North Dakota Yes       Yes        No         No
Ohio         Yes       Yes        Yes        No
Oklahoma Yes           Yes        Yes        No
Oregon       Yes       Yes        Yes        No
Pennsylvania Yes       Yes        Yes        No
Rhode Island Yes       Yes        Yes        No
             Yes
South Carolina         Yes        Yes        No
South Dakota Yes       Yes        No         No
Tennessee Yes          Yes        Yes        No
Texas        Yes       Yes        Yes        No
             49        4          2          3
United States + DC Yes9 + DC Yes8 + DC Yes Yes
Utah       No            No         No          No
Vermont Yes              Yes        No          No
Virginia   Yes           Yes        Yes         No
Washington Yes           Yes        No          No
           Yes
West Virginia            Yes        Yes         No
Wisconsin Yes            Yes        Yes         No
Wyoming Yes              Yes        Yes         No


Notes         Data as of March 15, 2008. These requirements apply to managed care organizations and to the large group marke
Definitions    
Sources       Health Policy Tracking Service, a service of Thomson West, April 2008, available at http://www.netscan.com.
Footnote 1    Current law stipulates that health plans must provide coverage for the ovarian cancer monitoring test (CA-125) subs
zations and to the large group market (50+ employees) only.

ble at http://www.netscan.com.
cancer monitoring test (CA-125) subsequent to treatment. However, the law does not indicate that coverage should be provided for routine s
rage should be provided for routine screening.
Category Women's Health
           M
Subcategory andated Benefits in Private Insurance
Topic      Direct Access to OB/GYNs
Full Title State Mandated Benefits: Direct Access to OB/GYNs, 2008
Data Type Text

                       Notes
             Mandates Direct Access to OB/GYNs?
Alabama Yes
Alaska       No
Arizona      No
Arkansas Yes
California Yes         Exception: does not apply to specialized health care service plan.
Colorado Yes           In the alternative, a request for a timely referral shall not be unreasonably withheld.
             Y
Connecticut es
Delaware Yes           Prohibits additional copay or surcharge; enrollees must be notified about direct access requirement.
             Yes
District of Columbia
Florida      Yes       Limit of one (1) visit per year.
Georgia      Yes       Enrollees must be notified about direct access requirement.
Guam         No
Hawaii       No
Idaho        Yes
Illinois     Yes       Enrollees must be notified about direct access requirement.
Indiana      No
Iowa         No
Kansas       Yes       Limit of one (1) visit per year to an in-network OB/GYN.
Kentucky Yes           Direct access provided for an annual pap smear.
Louisiana Yes          At least two (2) visits a year, where the second visit is permitted based upon medical necessity, plus any
Maine        Yes       Limit of one (1) visit a year.
Maryland Yes
MassachusettsYes       Requires direct access for an annual preventative health exam, maternity care, and medically necessary
Michigan Yes           Enrollees must be notified about direct access requirement.
Minnesota Yes          Prohibits additional copay requirement.
Mississippi Yes
Missouri Yes           Limit of one (1) visit per year currently. Prohibits additional copay and provides unlimited access.
Montana Yes            Prohibits additional copay or surcharge; enrollees must be notified about direct access requirement.
Nebraska No
Nevada       Yes
New HampshireYes       Enrollees must be notified about direct access requirement; limit of 1 visit per year.
New JerseyNo
New Mexico   No
New York Yes           Enrollees must be notified about direct access requirement; at least 2 visits a year covered.
             Yes
North Carolina         Enrollees must be notified about direct access requirement.
North Dakota No
Ohio         Yes       Prohibits limiting the number of visits provided per year and imposing additional copays or surcharges.
Oklahoma No
Oregon       Yes       At least 1 exam a year, plus medically necessary follow-up care or pregnancy-related services.
Pennsylvania Yes
Puerto RicoNo
Rhode Island Yes       Limit of 1 visit a year.
             Yes
South Carolina         At least 2 visits a year for any female enrollee over 13 years of age. Enrollees must be notified about dir
South Dakota No
Tennessee No
Texas       Yes      Prohibits additional copay or surcharge; enrollees must be notified about direct access requirement.
            36
United States + DC Yes
Utah        Yes      Enrollees must be notified about direct access requirement.
Vermont No
            No
Virgin Islands
Virginia    Yes      Enrollees must be notified about direct access requirement; limit of 1 visit per year.
Washington  Yes
            Yes
West Virginia        Prohibits additional copay or surcharge; enrollees must be notified about direct access requirement.
Wisconsin Yes        Enrollees must be notified about direct access requirement.
Wyoming No


Notes       Data as of February 2008.  These requirements apply to managed care organizations and to the large
Definitions
Sources Health Policy Tracking Service, a service of Thomson West, available at http://www.netscan.com.
onably withheld.

about direct access requirement.




sed upon medical necessity, plus any care related to pregnancy.


ternity care, and medically necessary gynecologic evaluations and subsequent necessary treatments. Prohibits additional copay or surcharge



nd provides unlimited access.
about direct access requirement.


1 visit per year.


 2 visits a year covered.


ng additional copays or surcharges.

pregnancy-related services.



 Enrollees must be notified about direct access requirement.
about direct access requirement.




1 visit per year.

about direct access requirement.




 care organizations and to the large group market (50+ employees) only.

www.netscan.com.
rohibits additional copay or surcharge.
Category Women's Health
           M
Subcategory andated Benefits in Private Insurance
Topic      OB/GYNs as Primary Care Providers
Full Title State Mandated Benefits: OB/GYNs as Primary Care Providers, 2008
Data Type Text

             Mandates OB/GYNs as Primary Care Providers?
Alabama Yes
Alaska       Yes
Arizona      Yes
Arkansas No
California Yes
Colorado No
             Y
Connecticut es
Delaware Yes
             Yes
District of Columbia
Florida      No
Georgia      No
Guam         No
Hawaii       Yes
Idaho        Yes
Illinois     No
Indiana      Yes
Iowa         Yes
Kansas       No
Kentucky Yes
Louisiana Yes
Maine        Yes
Maryland Yes
MassachusettsNo
Michigan No
Minnesota No
Mississippi Yes
Missouri Yes
Montana Yes
Nebraska Yes
Nevada       No
New HampshireNo
New JerseyNo
New Mexico   No
New York No
             No
North Carolina
North Dakota No
Ohio         No
Oklahoma No
Oregon       Yes
Pennsylvania No
Puerto RicoYes
Rhode Island No
             No
South Carolina
South Dakota No
Tennessee No
Texas       No
            22
United States + DC Yes
Utah        Yes
Vermont No
            No
Virgin Islands
Virginia    No
Washington  No
            Yes
West Virginia
Wisconsin Yes
Wyoming No


Notes       U.S. total does not include territories.Data as of February 2008. These requirements apply to managed care organiz
Definitions
Sources Health Policy Tracking Service, a service of Thomson West, available at http://www.netscan.com.
Footnote 1 State gives some, if not all, insurers the option to choose Ob/Gyns as primary care providers
ments apply to managed care organizations and to the large group market (50+ employees) only.

www.netscan.com.
care providers
Category Women's Health
           M
Subcategory andated Benefits in Private Insurance
Topic      Minimum IP Mastectomy Stay
Full Title State Mandated Benefits: Inpatient Mastectomy Stay, 2008
Data Type Text

                       Notes
             Mandates Coverage of Mastectomy Stay?
Alabama No
Alaska       No
Arizona      No
Arkansas Yes           48 hours
California Yes         Length of stay determined by surgeon in consultation with patient.
Colorado No
             Y
Connecticut es         48 hours, longer if determined to be medically necessary.
Delaware No
             No
District of Columbia
Florida      Yes       Length of stay determined by surgeon to be medically necessary.
Georgia      Yes       Inpatient length of stay determined by physician to be medically necessary.
Guam         NA
Hawaii       No
Idaho        No
Illinois     Yes       Inpatient stay to be determined by physician.
Indiana      No
Iowa         No
Kansas       No
Kentucky Yes           Length of stay determined by surgeon in consultation with patient.
Louisiana No
Maine        Yes       Length of stay determined by surgeon in consultation with patient.
Maryland Yes           If less than 48 hours patient entitled to a visiting nurse within 24 hours of discharge.
MassachusettsNo
Michigan No
Minnesota No
Mississippi No
Missouri No
Montana Yes            Length of stay determined by surgeon in consultation with patient.
Nebraska No
Nevada       No
New HampshireNo
New JerseyNo
New Mexico   Yes       48 hour stay.
New York Yes           Inpatient stay determined by physician.
             Yes
North Carolina         Inpatient stay determined by physician.
North Dakota No
Ohio         No
Oklahoma Yes           48 hour stay.
Oregon       Yes       Inpatient stay.
Pennsylvania Yes       Inpatient stay determined by physician.
Puerto RicoNA
Rhode Island Yes       48 hour stay.
             Yes
South Carolina         48 hour stay.
South Dakota No
Tennessee No
Texas       Yes       48 hour stay.
            20
United States Yes
Utah        No
Vermont No
            NA
Virgin Islands
Virginia    Yes       48 hours for a radical or modified radical mastectomy and 24 hours for a mastectomy or partial mastecto
Washington  No
            No
West Virginia
Wisconsin No
Wyoming No


Notes       Data as of March 15, 2008These requirements apply to managed care organizations and to the large group market
Definitions Minimum stay: Requires insurers that provide coverage for mastectomies to provide coverage for at least the specif
Sources Health Policy Tracking Service, a service of Thomson West, available at http://www.netscan.com.
urs of discharge.
for a mastectomy or partial mastectomy.




ations and to the large group market (50+ employees) only.
ovide coverage for at least the specified number of hours of inpatient care following the mastectomy.
www.netscan.com.
Category Women's Health
           M
Subcategory andated Benefits in Private Insurance
Topic      Reconstructive Surgery After Mastectomy
Full Title State Mandated Benefits: Reconstructive Surgery After Mastectomy, 2008
Data Type Text

                       Notes
             Mandates Reconstructive Surgery After Mastectomy?
Alabama No
Alaska       Yes       Women's Health and Cancer Rights Act (WHCRA) coverage requirements apply to any policy that cove
Arizona      Yes       Any policy that covers mastectomy must cover reconstruction.
Arkansas Yes           WHCRA coverage requirements apply to any policy that requires covers mastectomies.
California Yes         Any policy that covers mastectomy must cover reconstruction.
Colorado No
             Y
Connecticut es         Any policy that covers mastectomy must cover reconstruction.
Delaware Yes           Any policy that covers mastectomy must cover reconstruction.
             Yes
District of Columbia Any policy that covers mastectomy must cover reconstruction.
Florida      Yes       Any policy that covers mastectomy must cover reconstruction.
Georgia      No
Guam         NA
Hawaii       No
Idaho        No
Illinois     Yes       If no malignancy found, reconstruction must be performed within two years.
Indiana      Yes       Any policy that covers mastectomy must cover reconstruction.
Iowa         No
Kansas       Yes       Any policy that covers mastectomy must cover reconstruction.
Kentucky Yes
Louisiana Yes          Any policy that covers mastectomy must cover reconstruction.
Maine        Yes       Any policy that covers mastectomy must cover reconstruction.
Maryland Yes           Any policy that covers mastectomy must cover reconstruction.
MassachusettsNo
Michigan Yes           Any policy that covers mastectomy must cover reconstruction.
Minnesota Yes          Any policy that covers mastectomy must cover reconstruction.
Mississippi No
Missouri Yes           Any policy that covers mastectomy must cover reconstruction.
Montana Yes            Any policy that covers mastectomy must cover reconstruction.
Nebraska Yes           Any policy that covers mastectomy must cover reconstruction.
Nevada       Yes       Any policy that covers mastectomy must cover reconstruction.
New HampshireYes       Any policy that covers mastectomy must cover reconstruction.
New JerseyYes          Any policy that covers mastectomy must cover reconstruction.
New Mexico   No
New York Yes           Any policy that covers mastectomy must cover reconstruction.
             Yes
North Carolina         Any policy that covers mastectomy must cover reconstruction.
North Dakota Yes       Women's Health and Cancer Rights Act (WHCRA) coverage requirements apply to any policy that cove
Ohio         No
Oklahoma Yes           Any policy that covers mastectomy must cover reconstruction.
Oregon       Yes       Any policy that covers mastectomy must cover reconstruction.
Pennsylvania Yes       Any policy that covers mastectomy must cover reconstruction.
Puerto RicoNA
Rhode Island Yes       Any policy that covers mastectomy must cover reconstruction.
             Yes
South Carolina         Any policy that covers mastectomy must cover reconstruction.
South Dakota No
Tennessee No
Texas       Yes      Any policy that covers mastectomy must cover reconstruction.
            35
United States + DC Yes
Utah        Yes      Any policy that covers mastectomy must cover reconstruction.
Vermont No
            NA
Virgin Islands
Virginia    Yes      Any policy that covers mastectomy must cover reconstruction.
Washington  No
            Yes
West Virginia        Any policy that covers mastectomy must cover reconstruction.
Wisconsin Yes        Any policy that covers mastectomy must cover reconstruction.
Wyoming No


Notes       Data as of March 15, 2008.States are noted if they provide broader coverage for reconstructive surgery following a
Definitions WHCRA: The Women's Health and Cancer Rights Act (WHCRA) sets minimum federal standards for coverage of r
Sources Health Policy Tracking Service, a service of Thomson West, available at http://www.netscan.com.
ements apply to any policy that covers mastectomies.

overs mastectomies.




ements apply to any policy that covers mastectomies.
or reconstructive surgery following a mastectomy than is required by federal law under WHCRA.Reconstructive surgery includes, but is not lim
m federal standards for coverage of reconstructive surgery following a mastectomy. The law requires group health plans that provide medica
www.netscan.com.
 ructive surgery includes, but is not limited to, augmentation mammoplasty, reduction mammoplasty, and mastopexy. These requirements ap
oup health plans that provide medical and surgical mastectomy benefits to also provide coverage for reconstruction of the breast on which th
d mastopexy. These requirements apply to managed care organizations and to the large group market (50+ employees) only.
onstruction of the breast on which the mastectomy has been performed; surgery and reconstruction of the other breast to produce a symmet
50+ employees) only.
he other breast to produce a symmetrical appearance; and prosthesis and treatment for physical complications during all stages of mastecto
cations during all stages of mastectomy, including lymphedemas in a manner determined by the attending physician in consultation with the
ng physician in consultation with the patient.
Category Women's Health
           M
Subcategory andated Benefits in Private Insurance
Topic      Osteoporosis Screening
Full Title State Mandated Benefits: Osteoporosis Screening, 2008
Data Type Text

                       Notes
             Mandates Osteoporosis Screening?
Alabama No
Alaska       No
Arizona      No
Arkansas No
California Yes         All services related to diagnosis, treatment and management are covered.
Colorado No
Connecticut oN
Delaware No
             No
District of Columbia
Florida      Yes       All services related to diagnosis and treatment are covered.
Georgia      Yes       Bone mass measurement for diagnosis and treatment.
Guam         NA
Hawaii       No
Idaho        No
Illinois     Yes       Bone mass measurement for diagnosis and treatment.
Indiana      No
Iowa         No
Kansas       Yes       All services related to diagnosis and treatment are covered.
Kentucky Yes           Bone density testing for women age 35 and over.
Louisiana Yes          Bone density testing for women age 35 and over.
Maine        No
Maryland Yes           Bone mass measurement, diagnosis, treatment and management.
MassachusettsNo
Michigan No
Minnesota No
Mississippi No
Missouri Yes           Testing and treatment.
Montana No
Nebraska No
Nevada       No
New HampshireNo
New JerseyNo
New Mexico   No
New York Yes           Bone density tests and treatment.
             Yes
North Carolina         Bone mass evaluation.
North Dakota No
Ohio         No
Oklahoma Yes           Bone density test for women 45 years and older. Maximum benefit $150 per test.
Oregon       No
Pennsylvania No
Puerto RicoNA
Rhode Island No
             No
South Carolina
South Dakota No
Tennessee Yes          Bone mass measurement for diagnosis and treatment.
Texas       Yes       Bone mass measurement for diagnosis and treatment.
            13
United States Yes
Utah        No
Vermont No
            NA
Virgin Islands
Virginia    No
Washington  No
            No
West Virginia
Wisconsin No
Wyoming No


Notes       Data as of March 15, 2008These requirements apply to managed care organizations and to the large group market
Definitions Bone mass measurement: A radiologic or radioistopic procedure or other scientifically proven technology performed
Sources Health Policy Tracking Service, a service of Thomson West, available at http://www.netscan.com.
$150 per test.
ations and to the large group market (50+ employees) only.
tifically proven technology performed on an individual for the purpose of identifying bone mass or detecting bone loss.High-risk or qualified in
www.netscan.com.
ing bone loss.High-risk or qualified individuals: Estrogen-deficient individuals who are at clinical risk for the disease; individuals with vertebra
he disease; individuals with vertebral abnormalities; individuals receiving long-term glucocorticoid (steroid) therapy; individuals who have prim
id) therapy; individuals who have primary hyperparathyroidism; individuals being monitored to assess the efficacy of approved osteoporosis
e efficacy of approved osteoporosis drug therapies; or those with a family history.Specialized health benefit plans: May include accident-only
efit plans: May include accident-only, disability income, hospital indemnity, Medicare supplement, long-term care, specified disease and othe
erm care, specified disease and other limited benefit health insurance policies or short-term medical policies of six months or less.NA: Data
icies of six months or less.NA: Data not available.
Category Women's Health
           M
Subcategory andated Benefits in Private Insurance
Topic      Eating Disorder Parity
Full Title State Mandated Benefits: Eating Disorder Parity, 2007
Data Type Text

                       Strength of Change from 2004
                                    2007 Policy
             Requires Private Insurers to Cover Treatment for Eating Disorders?
Alabama No             NA          Same
Alaska       No        NA          Same
Arizona      Yes                   Same
                       Limited Policy
Arkansas Yes                       S
                       Meets Policy ame
California Yes                     S
                       Meets Policy ame
Colorado No            NA          Same
             Y
Connecticut es                     S
                       Meets Policy ame
Delaware Yes                       S
                       Meets Policy ame
             No
District of Columbia NA            Same
Florida      No        NA          Same
Georgia      No        NA          Same
Hawaii       No        NA          Same
Idaho        No        NA          Same
Illinois     No        NA          Same
Indiana      No        NA          Worse
Iowa         No        NA          Same
Kansas       No        NA          Same
Kentucky Yes                       S
                       Meets Policy ame
Louisiana No           NA          Same
Maine        Yes                   S
                       Meets Policy ame
Maryland Yes                       S
                       Meets Policy ame
MassachusettsYes                   S
                       Meets Policy ame
Michigan No            NA          Same
Minnesota Yes                      S
                       Meets Policy ame
Mississippi No         NA          Same
Missouri Yes                       Same
                       Limited Policy
Montana No             NA          Same
Nebraska Yes                       Better
                       Limited Policy
Nevada       No        NA          Same
New HampshireYes                   S
                       Meets Policy ame
New JerseyYes                      Better
                       Limited Policy
New Mexico   Yes                   S
                       Meets Policy ame
New York Yes                       B
                       Meets Policy etter
             Yes
North Carolina                     Same
                       Limited Policy
North Dakota No        NA          Same
Ohio         No        NA          Same
Oklahoma No            NA          Same
Oregon       Yes                   B
                       Meets Policy etter
Pennsylvania No        NA          Same
Rhode Island Yes                   S
                       Meets Policy ame
             No
South Carolina         NA          Worse
South Dakota No        NA          Same
Tennessee Yes                      Same
                       Limited Policy
Texas        No        NA          Same
             24
United States Yes                  6 Better
                       17 Meet Policy
Utah       Yes                     Same
                       Limited Policy
Vermont Yes                        S
                       Meets Policy ame
Virginia   No          NA          Same
Washington Yes                     B
                       Meets Policy etter
           Yes
West Virginia                      B
                       Meets Policy etter
Wisconsin No           NA          Same
Wyoming No             NA          Same


Notes       Data as of February, 2007.
Definitions States that require insurers to cover anorexia and bulimia on the same basis as other health conditions receive a m
Sources National Women's Law Center. Making the Grade on Women''s Health: A National and State-by-State Report Card,
s other health conditions receive a meets policy. States that require coverage in a limited way (i.e., they only require parity in spending limits o
onal and State-by-State Report Card, 2007. http://hrc.nwlc.org/Policy-Indicators/Womens-Access-to-Health-Care-Services/Mental-Health.asp
only require parity in spending limits or only for certain populations such as state employees) receive a limited policy. Those states with no la
alth-Care-Services/Mental-Health.aspx#16
mited policy. Those states with no laws requiring insurers to cover anorexia and bulimia on par with other health conditions receive a no polic
er health conditions receive a no policy.
Category Women's Health
           W
Subcategory omen's Health Status
Topic      % Women with High Blood Pressure
Full Title Percentage of Women who Report Ever being Told by a Doctor they have High Blood Pressure, 2007
Data Type Percent


Alabama       0.333307
Alaska        0.218621
Arizona        0.23603
Arkansas 0.303242
California 0.250898
Colorado      0.199706
Connecticut 0.252025
Delaware 0.275163
              0.287068
District of Columbia
Florida       0.275615
Georgia       0.305287
Guam          0.242211
Hawaii        0.275698
Idaho         0.257947
Illinois      0.273203
Indiana       0.277837
Iowa          0.259446
Kansas        0.255167
Kentucky 0.292524
Louisiana 0.323793
Maine         0.264033
Maryland      0.287501
Massachusetts 0.255092
Michigan      0.267324
Minnesota 0.213289
Mississippi 0.34614
Missouri      0.290952
Montana        0.24805
Nebraska 0.259704
Nevada        0.253209
New Hampshire 0.247731
New Jersey 0.281778
New Mexico 0.249329
New York 0.261057
North Carolina0.295392
North Dakota  0.258813
Ohio          0.280685
Oklahoma 0.305428
Oregon        0.252387
Pennsylvania 0.27269
Puerto Rico 0.332138
Rhode Island  0.274825
South Carolina0.302549
              0
South Dakota .244882
Tennessee 0.320135
Texas        0.279195
United States 0.272
Utah         0.190695
Vermont      0.225536
             0.269678
Virgin Islands
Virginia     0.261306
Washington 0.244944
West Virginia0.316452
Wisconsin 0.252112
Wyoming 0.246512


Notes         Includes women age 18 and older.For information about the Behavioral Risk Factor Surveillance System (BRFSS) S
Definitions   NA: Data Not Available.
Sources       Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey Data. Atlan
Footnote 1    Excludes woman who were told they had high blood pressure only during pregnancy.
Blood Pressure, 2007
actor Surveillance System (BRFSS) Survey, visit the BRFSS home page available at http://www.cdc.gov/brfss/index.htm.Survey question: Ha

veillance System Survey Data. Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Preventi
/brfss/index.htm.Survey question: Have you ever been told by a doctor, nurse or other health professional that you have high blood pressure

ers for Disease Control and Prevention, 2007.
al that you have high blood pressure?
Category Women's Health
           W
Subcategory omen's Health Status
Topic      Percent of Women with Arthritis
Full Title Percentage of Women who Report having Arthritis, 2007
Data Type Percent


Alabama       0.378924
Alaska        0.282136
Arizona       0.293886
Arkansas 0.352741
California 0.254181
Colorado      0.265296
Connecticut 0.295702
Delaware 0.351579
              0.275084
District of Columbia
Florida       0.274832
Georgia       0.318974
Guam           0.15257
Hawaii        0.263014
Idaho         0.281967
Illinois      0.306459
Indiana       0.346476
Iowa          0.294072
Kansas         0.31274
Kentucky 0.344713
Louisiana 0.297137
Maine         0.352402
Maryland       0.30415
Massachusetts 0.310721
Michigan      0.344043
Minnesota 0.247561
Mississippi 0.341223
Missouri      0.348859
Montana       0.320184
Nebraska 0.307164
Nevada        0.298216
New Hampshire 0.339062
New Jersey 0.318588
New Mexico 0.300679
New York 0.322472
North Carolina0.329374
North Dakota  0.309964
Ohio          0.358038
Oklahoma 0.341466
Oregon        0.307751
Pennsylvania  0.361538
Puerto Rico 0.26855
Rhode Island  0.328774
South Carolina0.337483
              0
South Dakota .299877
Tennessee 0.376773
Texas        0.277204
United States 0.309
Utah         0.243679
Vermont      0.318845
             0.189512
Virgin Islands
Virginia     0.315697
Washington 0.313959
West Virginia0.383495
Wisconsin 0.306217
Wyoming 0.298755


Notes       Includes women age 18 and older.For information about the Behavioral Risk Factor Surveillance System (BRFSS) S
Definitions NA: Data Not Available.
Sources Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey Data. Atlan
actor Surveillance System (BRFSS) Survey, visit the BRFSS home page available at http://www.cdc.gov/brfss/index.htm.Survey question: Ha

veillance System Survey Data. Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Preventi
/brfss/index.htm.Survey question: Have you ever been told by a doctor or other health professional that you have some form of arthritis, rheu

ers for Disease Control and Prevention, 2007.
you have some form of arthritis, rheumatoid arthritis, gout, lupus, or fibromyalgia?
Category Women's Health
           W
Subcategory omen's Health Status
Topic      Cervical Cancer Death Rate by R/E
Full Title Cervical Cancer Deaths per 100,000 Women by Race/Ethnicity, 2005
Data Type Rate

             White       Black       Hispanic
Alabama            2.4           6.8 NA
Alaska       NA          NA          NA
Arizona            2.3   NA                 3.5
Arkansas           2.8             8 NA
California         2.3           2.8        3.3
Colorado           1.7   NA          NA
Connecticut        1.7   NA          NA
Delaware NA              NA          NA
             NA
District of Columbia     NA          NA
Florida            2.6           4.7        2.9
Georgia            1.9           4.6 NA
Hawaii       NA          NA          NA
Idaho        NA          NA          NA
Illinois           2.2           5.7        3.6
Indiana            2.6   NA          NA
Iowa                 2   NA          NA
Kansas             2.7   NA          NA
Kentucky           2.9   NA          NA
Louisiana          2.8           4.8 NA
Maine        NA          NA          NA
Maryland           1.5           3.2 NA
Massachusetts      1.5   NA          NA
Michigan           1.7           5.6 NA
Minnesota          1.7   NA          NA
Mississippi        2.4             6 NA
Missouri           2.1           5.4 NA
Montana NA               NA          NA
Nebraska NA              NA          NA
Nevada             2.8   NA          NA
New Hampshire 2.2        NA          NA
New Jersey         2.5           3.8 NA
New Mexico           3   NA          NA
New York           2.2           4.1        3.9
North Carolina     2.4           4.8 NA
North Dakota NA          NA          NA
Ohio                 2           3.1 NA
Oklahoma           2.6   NA          NA
Oregon             1.8   NA          NA
Pennsylvania         2           3.7 NA
Rhode Island NA          NA          NA
South Carolina     1.8           5.5 NA
South Dakota NA          NA          NA
Tennessee          2.9           5.5 NA
Texas              2.7           4.9        3.9
United States      2.2           4.4        3.1
Utah       NA            NA        NA
Vermont NA               NA        NA
Virginia             2   NA        NA
Washington           2   NA        NA
West Virginia      3.3   NA        NA
Wisconsin          1.8   NA        NA
Wyoming NA               NA        NA


Notes       Data were calculated by the National Cancer Institute (NCI) and were age-adjusted to 5 year age groups to the 2000
Definitions Cervical cancer is the uncontrolled growth of abnormal cell changes in the cervix, the lower part of the uterus, which
Sources National Cancer Institute, State Cancer Profiles, Death Rate Report by State, 2005. Available at http://statecancerpr
sted to 5 year age groups to the 2000 U.S. standard population.Totals for White and Black races include persons of Hispanic origin. Totals fo
ix, the lower part of the uterus, which opens into the vagina. Nearly all cervical cancer is caused by 10 to 15 high-risk types of a common sex
005. Available at http://statecancerprofiles.cancer.gov/cgi-bin/deathrates/deathrates.pl?00&057&00&2&001&1&am
e persons of Hispanic origin. Totals for persons of Hispanic origin may be of any race.
o 15 high-risk types of a common sexually transmitted virus called the human papillomavirus (HPV). In most cases, the virus disappears with
mp;00&2&001&1&1
most cases, the virus disappears within two years without symptoms or treatment. In a small percentage of women, however, the virus persis
of women, however, the virus persists and normal cervical cells gradually change into abnormal, precancerous cells (also called cervical les
ncerous cells (also called cervical lesions). NA: Data are not available.  In this case data have been suppressed to ensure confidentiali
n suppressed to ensure confidentiality and stability of rate estimates.
Category Women's Health
           W
Subcategory omen's Health Status
Topic      Breast Cancer Death Rate by R/E
Full Title Breast Cancer Deaths per 100,000 Women by Race/Ethnicity, 2005
Data Type Rate

             White        Black        Hispanic
Alabama            24.7           34.5 NA
Alaska             19.4   NA           NA
Arizona            21.2           24.6      17.1
Arkansas             23           32.7 NA
California         23.3           34.4      14.2
Colorado           22.4           29.6      12.4
Connecticut        23.8             25 NA
Delaware           24.8   NA           NA
                   20.7
District of Columbia              31.5 NA
Florida            21.3           31.2      17.3
Georgia            20.5           31.1 NA
Hawaii             24.8   NA           NA
Idaho              19.5   NA           NA
Illinois           24.2           37.3      10.3
Indiana            21.8           36.4 NA
Iowa               21.2   NA           NA
Kansas             23.7           30.7 NA
Kentucky           23.7           23.1 NA
Louisiana          25.3           41.7 NA
Maine              22.1   NA           NA
Maryland           24.9           28.8 NA
Massachusetts 23.2                  29      15.5
Michigan             23           32.5 NA
Minnesota          22.2           39.3 NA
Mississippi        21.2           36.5 NA
Missouri           27.1           36.2 NA
Montana            23.4   NA           NA
Nebraska           24.1   NA           NA
Nevada             24.7           25.9 NA
New Hampshire 23.7        NA           NA
New Jersey         26.9           29.9      14.4
New Mexico         23.2   NA                21.3
New York           23.5           29.8      16.6
North Carolina 22.9               33.9 NA
North Dakota       22.5   NA           NA
Ohio               25.7           34.7 NA
Oklahoma           24.8           32.2 NA
Oregon             21.9   NA           NA
Pennsylvania       24.2           33.4 NA
Rhode Island       25.4   NA           NA
South Carolina 24.3               30.9 NA
South Dakota       23.5   NA           NA
Tennessee          24.5           39.5 NA
Texas                22             34         17
United States      23.3           32.8      15.1
Utah              23.6   NA        NA
Vermont           20.5   NA        NA
Virginia          24.1          35 NA
Washington        23.2        28.2       16.4
West Virginia     26.5   NA        NA
Wisconsin         22.7        23.1 NA
Wyoming           21.9   NA        NA


Notes       Data were calculated by the National Cancer Institute (NCI) and were age-adjusted to 5 year age groups to the 2000
Definitions NA: Data are not available. In this case data have been suppressed to ensure confidentiality and stability of rate est
Sources National Cancer Institute, State Cancer Profiles, Death Rate Report by State, 2005. Available at http://statecancerpr
sted to 5 year age groups to the 2000 U.S. standard population.Totals for White and Black races include persons of Hispanic origin. Totals fo
confidentiality and stability of rate estimates.
 005. Available at http://statecancerprofiles.cancer.gov/cgi-bin/deathrates/deathrates.pl?00&055&00&2&001&1&am
e persons of Hispanic origin. Totals for persons of Hispanic origin may be of any race.

mp;00&2&001&1&1
Category Women's Health
           W
Subcategory omen's Health Status
Topic      Breast Cancer Death Rate
Full Title Breast Cancer Deaths per 100,000 Women, 2005
Data Type Rate


Alabama           27.1
Alaska            17.9
Arizona           20.8
Arkansas          24.1
California        22.7
Colorado          22.2
Connecticut       23.7
Delaware          23.5
                  27.7
District of Columbia
Florida           22.3
Georgia             23
Hawaii            19.7
Idaho             19.2
Illinois          25.6
Indiana           22.6
Iowa              21.2
Kansas            23.8
Kentucky          23.6
Louisiana         29.9
Maine             22.4
Maryland          25.7
Massachusetts       23
Michigan            24
Minnesota         22.3
Mississippi       25.9
Missouri          27.8
Montana           23.7
Nebraska          23.8
Nevada              24
New Hampshire 23.4
New Jersey        26.9
New Mexico        22.5
New York          24.1
North Carolina      25
North Dakota      22.8
Ohio              26.4
Oklahoma          24.9
Oregon            21.8
Pennsylvania      24.8
Rhode Island      24.5
South Carolina 25.9
South Dakota      23.6
Tennessee         26.4
Texas             22.8
United States       24
Utah             23.8
Vermont          20.5
Virginia         25.7
Washington         23
West Virginia    26.9
Wisconsin        22.7
Wyoming          21.4


Notes       Data were calculated by the National Cancer Institute (NCI) and were age-adjusted to the 2000 U.S. standard popu
Definitions
Sources National Cancer Institute, State Cancer Profiles, Death Rate Report by State, 2005. Available at http://statecancerpr
sted to the 2000 U.S. standard population.

005. Available at http://statecancerprofiles.cancer.gov/cgi-bin/deathrates/deathrates.pl?00&055&00&2&001&1&am
mp;00&2&001&1&1&1.
Category Women's Health
           W
Subcategory omen's Health Status
Topic      Cervical Cancer Death Rate
Full Title Cervical Cancer Deaths per 100,000 Women, 2005
Data Type Rate


Alabama            3.5
Alaska       NA
Arizona            2.2
Arkansas           3.4
California         2.3
Colorado           1.8
Connecticut        1.7
Delaware NA
             NA
District of Columbia
Florida            2.8
Georgia            2.5
Hawaii       NA
Idaho        NA
Illinois           2.7
Indiana            2.6
Iowa               1.9
Kansas             2.7
Kentucky             3
Louisiana          3.4
Maine              1.9
Maryland             2
Massachusetts      1.6
Michigan           2.2
Minnesota          1.7
Mississippi        3.7
Missouri           2.3
Montana NA
Nebraska NA
Nevada             2.8
New Hampshire 2.2
New Jersey         2.6
New Mexico         2.9
New York           2.5
North Carolina     2.9
North Dakota NA
Ohio               2.1
Oklahoma           2.6
Oregon               2
Pennsylvania       2.1
Rhode Island NA
South Carolina     2.7
South Dakota NA
Tennessee          3.3
Texas              2.9
United States      2.4
Utah       NA
Vermont NA
Virginia           1.9
Washington         1.9
West Virginia      3.5
Wisconsin          1.9
Wyoming NA


Notes       Data were calculated by the National Cancer Institute (NCI) and were age-adjusted to the 2000 U.S. standard popu
Definitions Cervical cancer is the uncontrolled growth of abnormal cell changes in the cervix, the lower part of the uterus, which
Sources National Cancer Institute, State Cancer Profiles, Death Rate Report by State, 2005. Available at http://statecancerpr
sted to the 2000 U.S. standard population.
ix, the lower part of the uterus, which opens into the vagina. Nearly all cervical cancer is caused by 10 to 15 high-risk types of a common sex
005. Available at http://statecancerprofiles.cancer.gov/cgi-bin/deathrates/deathrates.pl?00&057&00&2&001&1&am
o 15 high-risk types of a common sexually transmitted virus called the human papillomavirus (HPV). In most cases, the virus disappears with
mp;00&2&001&1&1&1.
most cases, the virus disappears within two years without symptoms or treatment. In a small percentage of women, however, the virus persis
of women, however, the virus persists and normal cervical cells gradually change into abnormal, precancerous cells (also called cervical les
ncerous cells (also called cervical lesions). NA: Data have been suppressed to ensure confidentiality and stability of rate estimates.
stability of rate estimates.
Category Women's Health
           M
Subcategory andated Benefits in Private Insurance
Topic      Infertility Coverage
Full Title Mandated Coverage of Infertility Treatment, January 2009
Data Type Text

                       Individual Market Infertility Treatment? of
                                   Type        Small       Type
             State Mandates Coverage ofof Mandate Group Market Mandate
Alabama No             NA          NA          NA          NA
Alaska       No        NA          NA          NA          NA
Arizona      No        NA          NA          NA          NA
Arkansas Yes           Yes         Cover       Yes         Cover
California Yes         No          NA          Yes         Offer
Colorado No            NA          NA          NA          NA
             Y
Connecticut es         Yes         Cover       Yes         Cover
Delaware No            NA          NA          NA          NA
             No
District of Columbia NA            NA          NA          NA
Florida      No        NA          NA          NA          NA
Georgia      Yes       Yes         Cover       Yes         Cover
Hawaii       Yes       Yes         Cover       Yes         Cover
Idaho        No        NA          NA          NA          NA
Illinois     Yes       No          NA          No          Cover
Indiana      No        NA          NA          NA          NA
Iowa         No        NA          NA          NA          NA
Kansas       No        NA          NA          NA          NA
Kentucky No            NA          NA          NA          NA
Louisiana No           NA          NA          NA          NA
Maine        No        NA          NA          NA          NA
Maryland Yes           Yes         Cover       Yes         Cover
MassachusettsYes       Yes         Cover       Yes         Cover
Michigan No            NA          NA          NA          NA
Minnesota No           NA          NA          NA          NA
Mississippi No         NA          NA          NA          NA
Missouri No            NA          NA          NA          NA
Montana Yes            Yes         Cover       Yes         Cover
Nebraska No            NA          NA          NA          NA
Nevada       No        NA          NA          NA          NA
New HampshireNo        NA          NA          NA          NA
New JerseyNo           NA          NA          NA          NA
New Mexico   Yes       Yes         Cover       Yes         Cover
New York Yes           Yes         Cover       Yes         Cover
             No
North Carolina         NA          NA          NA          NA
North Dakota No        NA          NA          NA          NA
Ohio         Yes       Yes         Cover       Yes         Cover
Oklahoma No            NA          NA          NA          NA
Oregon       No        NA          NA          NA          NA
Pennsylvania No        NA          NA          NA          NA
Rhode Island Yes       Yes         Cover       Yes         Cover
             No
South Carolina         NA          NA          NA          NA
South Dakota No        NA          NA          NA          NA
Tennessee No           NA          NA          NA          NA
Texas        Yes       No          NA          Yes         Offer
             15
United States Yes      12 Yes      NA          14 Yes      NA
Utah       No          NA          NA          NA          NA
Vermont No             NA          NA          NA          NA
Virginia   No          NA          NA          NA          NA
Washington No          NA          NA          NA          NA
           Yes
West Virginia          Yes         Cover       Yes         Cover
Wisconsin No           NA          NA          NA          NA
Wyoming No             NA          NA          NA          NA


Notes       Data as of January 2009.A range of treatments may be available to those facing infertility, including prescription dru
Definitions Sometimes, state law require health insurance plans sold by licensed insurers to include coverage for a specific ben
Sources Data compiled through review of federal and state law. Data collection and analysis by researchers at the Health Po
Footnote 1 IVF only. Applicable to policies that otherwise cover maternity benefits. State law specifies certain qualifications for b
Footnote 2 Infertility treatment, excluding IVF; In the case of HMOS, only when the HMO plan is offered to an employer with at
Footnote 3 Infertility treatment, including IVF and other specified techniques; State law specifies certain qualifications for benef
Footnote 4 Infertility services not defined; applicable to HMOs only.
Footnote 5 IVF only; Applicable to policies that otherwise cover pregnancy-related benefits. State law requires coverage for on
Footnote 6 Infertility treatment, including IVF and other specified techniques; Applicable to group plans covering 25 or more em
Footnote 7 IVF only. Applicable to policies that otherwise cover pregnancy related benefits. State law specifies certain qualifica
Footnote 8 Infertility treatment, including IVF and other specified techniques. Applicable to policies that otherwise cover pregna
Footnote 9 Treatment for physical conditions causing infertility, except voluntary sterilization surgery. Applicable to HMOs only.
Footnote 10 Insurers cannot exclude treatment of correctable medical conditions resulting in infertility. State mandate does not in
Footnote 11 Infertility coverage, including medically necessary treatment; applicable to policies that otherwise cover pregnancy-r
Footnote 12 IVF only; Applicable to policies that otherwise cover pregnancy-related benefits. State law specifies certain qualifica
g infertility, including prescription drugs (e.g., to stimulate ovulation) and surgery (e.g., to repair blocked fallopian tubes or seminal vessels).&
 o include coverage for a specific benefit. This is called a "mandate to cover".  As an alternative, a state law may require health insurer
lysis by researchers at the Health Policy Institute, Georgetown University.
w specifies certain qualifications for benefits and minimum benefit standards.
lan is offered to an employer with at least 20 employees. State law specifies qualifications for benefits.
 cifies certain qualifications for benefits, including the imposition of a 12 month waiting period for infertility benefits and restriction of benefits t

. State law requires coverage for one IVF procedure and specifies certain qualifications for benefits.
 group plans covering 25 or more employees that otherwise cover pregnancy-related benefits. State law specifies certain qualifications for be
. State law specifies certain qualifications for benefits. State law allows insurers to limit coverage to 3 IVF attempts per live birth, not to excee
  policies that otherwise cover pregnancy related benefits. State law specifies certain qualifications for benefits.
n surgery. Applicable to HMOs only.
n infertility. State mandate does not include IVF and other specified procedures. State law specifies certain qualifications for benefits, includin
ies that otherwise cover pregnancy-related benefits. State law specifies certain qualifications for benefits, including restriction of benefit to en
. State law specifies certain qualifications for benefits.
fallopian tubes or seminal vessels).  In addition, several assisted conception techniques include, among others, artificial insemination
 state law may require health insurers to offer coverage for a specific benefit, but the person or group buying the policy does not have to elec



y benefits and restriction of benefits to enrollees over the age of 40. State law permits an exception to infertility benefit mandate for religious


specifies certain qualifications for benefits. State law permits an exception to infertility benefit mandate for religious purposes.
F attempts per live birth, not to exceed a maximum lifetime benefit of $100,000. State law permits an exception to infertility benefit mandate


ain qualifications for benefits, including the imposition of a 12 month waiting period for infertility benefits and restriction of benfit to enrollees 2
s, including restriction of benefit to enrollees 25 to 42. State law allows insurers to limit coverage to a maximum lifetime benefit of $100,000.
among others, artificial insemination (AI), in vitro fertilization (IVF), gamete intrafallopian transfer (GIFT), and egg or embryo donation. 14 sta
uying the policy does not have to elect coverage for that specific benefit.  This is a "mandate to offer".NA: Data are not available.



nfertility benefit mandate for religious purposes.


 or religious purposes.
xception to infertility benefit mandate for religious purposes.


and restriction of benfit to enrollees 21 to 44.
aximum lifetime benefit of $100,000.
 and egg or embryo donation. 14 states mandate coverage of at least some kind of infertility treatment in policies sold through the individual
er".NA: Data are not available.
n policies sold through the individual market, the small group market, or both.  State mandates vary considerably. Some apply only to c
ry considerably. Some apply only to certain kinds of health insurance policies, for example, HMOs. Others specify certain types of infertility tr
rs specify certain types of infertility treatment, such as IVF, that must be, or not be, covered under the mandate.
Category Women's Health
           M
Subcategory andated Benefits in Private Insurance
Topic      Maternity Care
Full Title Mandated Coverage of Maternity Care, January 2009
Data Type Text

                       Individual Market Maternity Care? Type of
                                   Type      Small
             State Mandates Coverage ofof Mandate Group Market Mandate
Alabama Yes            Yes         Cover     Yes         Cover
Alaska       No        NA          NA        NA          NA
Arizona      No        NA          NA        NA          NA
Arkansas No            NA          NA        NA          NA
California Yes         Yes         Cover     Yes         Cover
Colorado Yes           No          NA        Yes         Cover
Connecticut oN         NA          NA        NA          NA
Delaware No            NA          NA        NA          NA
             No
District of Columbia NA            NA        NA          NA
Florida      No        NA          NA        NA          NA
Georgia      Yes       Yes         Cover     Yes         Cover
Hawaii       Yes       No          NA        Yes         Cover
Idaho        Yes       Yes         Cover     Yes         Cover
Illinois     Yes       Yes         Cover     No          NA
Indiana      No        NA          NA        NA          NA
Iowa         No        NA          NA        NA          NA
Kansas       No        NA          NA        NA          NA
Kentucky No            NA          NA        NA          NA
Louisiana No           NA          NA        NA          NA
Maine        No        NA          NA        NA          NA
Maryland No            NA          NA        NA          NA
MassachusettsYes       Yes         Cover     Yes         Cover
Michigan Yes           No          NA        Yes         Cover
Minnesota Yes          Yes         Cover     Yes         Cover
Mississippi No         NA          NA        NA          NA
Missouri No            NA          NA        NA          NA
Montana Yes            Yes         Cover     Yes         Cover
Nebraska No            NA          NA        NA          NA
Nevada       No        NA          NA        NA          NA
New HampshireYes       Yes         Offer     Yes         Offer
New JerseyYes          Yes         Cover     Yes         Cover
New Mexico   No        NA          NA        NA          NA
New York Yes           Yes         Cover     Yes         Cover
             No
North Carolina         NA          NA        NA          NA
North Dakota No        NA          NA        NA          NA
Ohio         No        NA          NA        NA          NA
Oklahoma No            NA          NA        NA          NA
Oregon       Yes       Yes         Cover     Yes         Cover
Pennsylvania No        NA          NA        NA          NA
Rhode Island No        NA          NA        NA          NA
             No
South Carolina         NA          NA        NA          NA
South Dakota No        NA          NA        NA          NA
Tennessee No           NA          NA        NA          NA
Texas        No        NA          NA        NA          NA
             18
United States Yes      14 Yes      NA        16 Yes      NA
Utah       No            NA          NA         NA          NA
Vermont Yes              Yes         Cover      Yes         Cover
Virginia   Yes           No          NA         Yes         Offer
Washington Yes           Yes         Cover      Yes         Cover
           No
West Virginia            NA          NA         NA          NA
Wisconsin No             NA          NA         NA          NA
Wyoming No               NA          NA         NA          NA


Notes         Data as of January 2009.The vast majority of group health plans provide coverage for maternity care, including pren
Definitions   Sometimes, state law require health insurance plans sold by licensed insurers to include coverage for a specific ben
Sources       Data compiled through review of federal and state law. Data collection and analysis by researchers at the Health Po
Footnote 1    Applicable to HMOs only.
Footnote 2    Applicable to groups sized 15 or greater.
age for maternity care, including prenatal care. This is due in large part to the Pregnancy Discrimination Act of 1978 (PDA), an amendment to
 o include coverage for a specific benefit. This is called a "mandate to cover".  As an alternative, a state law health inusrers to offer cov
lysis by researchers at the Health Policy Institute, Georgetown University.
Act of 1978 (PDA), an amendment to Title VII of the 1964 Civil Rights Act, that prohibits discrimination based on gender, pregnancy, childbir
state law health inusrers to offer coverage for a specific benefit, but the person or group buying the policy does not have to elect coverage f
based on gender, pregnancy, childbirth, or pregnancy-related conditions. The PDA requires health plans sponsored by employers with 15 or m
 cy does not have to elect coverage for that specific benefit.  This is a "mandate to offer".NA: Data are not available.
sponsored by employers with 15 or more employees to cover pregnancy, childbirth, and pregnancy-related conditions in the same way as ot
are not available.
ted conditions in the same way as other temporarily disabling conditions. Though the PDA is not a mandated benefit law, per se, it has the e
dated benefit law, per se, it has the effect of promoting maternity coverage under most employer sponsored health plans. Enactment of the H
red health plans. Enactment of the Health Insurance Portability and Accountability Act of 1996 (HIPAA) effectively broadened the reach of th
effectively broadened the reach of the PDA.  HIPAA requires all health insurance policies for small employer groups (defined as firms
ll employer groups (defined as firms with 2 to 50 employees) to be sold on a guaranteed issue basis. This means small empl
is means small empl
Category Women's Health
           W
Subcategory omen's Preventive Health
Topic      Pap Smear Rate
Full Title Percent of Women Age 18 and Older Who Report Having Had a Pap Smear Within the Last Three Years, 2008
Data Type Percent


Alabama          0.813
Alaska           0.836
Arizona          0.823
Arkansas         0.808
California       0.841
Colorado         0.839
Connecticut      0.838
Delaware         0.844
                 0.889
District of Columbia
Florida          0.833
Georgia          0.875
Guam             0.666
Hawaii           0.827
Idaho            0.768
Illinois         0.837
Indiana          0.787
Iowa              0.84
Kansas            0.84
Kentucky         0.817
Louisiana        0.766
Maine            0.863
Maryland         0.841
Massachusetts 0.875
Michigan            0.8
Minnesota        0.859
Mississippi      0.825
Missouri         0.828
Montana          0.815
Nebraska         0.837
Nevada           0.781
New Hampshire 0.861
New Jersey       0.798
New Mexico       0.807
New York         0.833
North Carolina 0.869
North Dakota 0.827
Ohio             0.827
Oklahoma         0.813
Oregon           0.816
Pennsylvania      0.82
Puerto Rico      0.757
Rhode Island 0.861
South Carolina 0.86
South Dakota 0.825
Tennessee        0.839
Texas            0.814
United States    0.828
Utah             0.741
Vermont          0.858
Virgin Islands   0.824
Virginia         0.832
Washington       0.826
West Virginia    0.808
Wisconsin        0.831
Wyoming          0.784


Notes       U.S. total does not include territories. This measure includes women age 18 and older in the non-institutionalized civ
Definitions  
Sources Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey Data. Atlan
Within the Last Three Years, 2008
d older in the non-institutionalized civilian population who report having had a pap smear within the last three years. The U.S. Preventive Ser

veillance System Survey Data. Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Preventi
three years. The U.S. Preventive Services Task Force recommends pap smears at least every three years in women who have been sexual

ers for Disease Control and Prevention, 2008, available at http://apps.nccd.cdc.gov/brfss/list.asp?cat=WH&yr=2008&qkey=4426&a
ars in women who have been sexually active and have a cervix. For information about the Behavioral Risk Factor Surveillance System (BRF

H&yr=2008&qkey=4426&state=All.
sk Factor Surveillance System (BRFSS) Survey, visit the BRFSS home page available at http://www.cdc.gov/brfss/index.htm.
.gov/brfss/index.htm.
Category Women's Health
           W
Subcategory omen's Preventive Health
Topic      Mammogram Rate for Women 40 years+
Full Title Percent of Women Age 40 and Older Who Report Having Had a Mammogram Within the Last Two Years, 2008
Data Type Percent


Alabama           0.74
Alaska           0.675
Arizona          0.774
Arkansas         0.709
California       0.789
Colorado         0.727
Connecticut      0.841
Delaware         0.822
                 0.807
District of Columbia
Florida          0.793
Georgia          0.789
Guam             0.637
Hawaii           0.787
Idaho            0.681
Illinois         0.758
Indiana          0.738
Iowa             0.765
Kansas           0.749
Kentucky          0.75
Louisiana        0.759
Maine            0.832
Maryland         0.769
Massachusetts 0.848
Michigan         0.792
Minnesota        0.791
Mississippi      0.689
Missouri         0.734
Montana          0.717
Nebraska         0.727
Nevada            0.68
New Hampshire 0.83
New Jersey        0.76
New Mexico       0.708
New York         0.799
North Carolina 0.784
North Dakota 0.768
Ohio             0.758
Oklahoma         0.689
Oregon           0.762
Pennsylvania 0.764
Puerto Rico      0.784
Rhode Island 0.818
South Carolina 0.749
South Dakota 0.754
Tennessee        0.743
Texas            0.726
United States     0.76
Utah             0.678
Vermont             0.8
Virgin Islands   0.688
Virginia         0.782
Washington       0.762
West Virginia    0.736
Wisconsin        0.762
Wyoming          0.671


Notes       U.S. total does not include territories. This measure includes women age 40 and older in the non-institutionalized civ
Definitions NA: Data Not Available.
Sources Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey Data. Atlan
Within the Last Two Years, 2008
d older in the non-institutionalized civilian population who report having had a mammogram within the last two years. The U.S. Preventive Se

veillance System Survey Data. Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Preventi
st two years. The U.S. Preventive Services Task Force recommends screening mammography, with or without clinical breast examination (C

ers for Disease Control and Prevention, 2008, available at http://apps.nccd.cdc.gov/brfss/list.asp?cat=WH&yr=2008&qkey=4421&a
without clinical breast examination (CBE), every 1-2 years for women aged 40 and older. For information about the Behavioral Risk Factor S

H&yr=2008&qkey=4421&state=All.
n about the Behavioral Risk Factor Surveillance System (BRFSS) Survey, visit the BRFSS home page available at http://www.cdc.gov/brfss/
available at http://www.cdc.gov/brfss/index.htm.
Category Women's Health
           W
Subcategory omen's Preventive Health
Topic      Mammogram Rate for Women 50 years+
Full Title Percent of Women Age 50 and Older Who Report Having Had a Mammogram Within the Last Two Years, 2008
Data Type Percent


Alabama          0.767
Alaska           0.745
Arizona          0.811
Arkansas         0.742
California        0.83
Colorado         0.759
Connecticut      0.853
Delaware         0.842
                 0.844
District of Columbia
Florida          0.822
Georgia          0.833
Guam             0.699
Hawaii           0.816
Idaho            0.726
Illinois         0.775
Indiana          0.755
Iowa             0.794
Kansas           0.784
Kentucky         0.775
Louisiana        0.796
Maine            0.851
Maryland         0.804
Massachusetts 0.872
Michigan         0.825
Minnesota        0.799
Mississippi      0.713
Missouri         0.771
Montana          0.743
Nebraska         0.749
Nevada           0.715
New Hampshire 0.852
New Jersey       0.778
New Mexico       0.735
New York         0.824
North Carolina 0.82
North Dakota 0.815
Ohio             0.785
Oklahoma          0.72
Oregon           0.805
Pennsylvania      0.79
Puerto Rico      0.804
Rhode Island      0.85
South Carolina 0.794
South Dakota 0.796
Tennessee        0.782
Texas            0.754
United States    0.794
Utah             0.723
Vermont          0.817
Virgin Islands   0.739
Virginia         0.814
Washington       0.806
West Virginia     0.77
Wisconsin        0.786
Wyoming          0.711


Notes       U.S. total does not include territories. This measure includes women age 50 and older in the non-institutionalized civ
Definitions  
Sources Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey Data. Atlan
Within the Last Two Years, 2008
d older in the non-institutionalized civilian population who report having had a mammogram within the last two years. The U.S. Preventive Se

veillance System Survey Data. Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Preventi
st two years. The U.S. Preventive Services Task Force recommends screening mammography, with or without clinical breast examination (C

ers for Disease Control and Prevention, 2008, available at http://apps.nccd.cdc.gov/brfss/list.asp?cat=WH&yr=2008&qkey=4427&a
without clinical breast examination (CBE), every 1-2 years for women aged 40 and older. For information about the Behavioral Risk Factor S

H&yr=2008&qkey=4427&state=All.
n about the Behavioral Risk Factor Surveillance System (BRFSS) Survey, visit the BRFSS home page available at http://www.cdc.gov/brfss/
available at http://www.cdc.gov/brfss/index.htm.
Category Women's Health
           W
Subcategory omen's Preventive Health
Topic      Colorectal Cancer Screening Rate
Full Title Percent of Women Age 50 or Older Who Report Ever Having Had a Colorectal Cancer Screening, 2008
Data Type Percent


Alabama       0.602573
Alaska        0.573395
Arizona       0.612972
Arkansas 0.550459
California 0.556709
Colorado      0.614993
Connecticut 0.67977
Delaware 0.732252
              0.678943
District of Columbia
Florida       0.615674
Georgia        0.62778
Guam         NA
Hawaii        0.575242
Idaho          0.56195
Illinois      0.575063
Indiana       0.596441
Iowa          0.634733
Kansas        0.611509
Kentucky 0.650454
Louisiana 0.533421
Maine         0.718803
Maryland      0.708962
Massachusetts 0.690666
Michigan      0.686982
Minnesota 0.726822
Mississippi 0.55914
Missouri      0.617158
Montana       0.557931
Nebraska 0.593805
Nevada         0.51845
New Hampshire 0.706864
New Jersey 0.582667
New Mexico 0.552189
New York       0.64807
North Carolina0.667917
North Dakota  0.590397
Ohio          0.616815
Oklahoma 0.570539
Oregon        0.658001
Pennsylvania  0.619062
Puerto Rico 0.436757
Rhode Island 0.67085
South Carolina0.655411
              0
South Dakota .626309
Tennessee 0.592507
Texas        0.566299
United States 0.615
Utah         0.675907
Vermont      0.685645
             0.411479
Virgin Islands
Virginia     0.705503
Washington 0.663423
West Virginia0.550198
Wisconsin 0.674113
Wyoming 0.563796


Notes       Includes women age 50 and older. For information about the Behavioral Risk Factor Surveillance System (BRFSS)
Definitions NA: Data Not Available.
Sources Centers for Disease Control and Prevention (CDC). Behavioral Risk Factor Surveillance System Survey Data. Atlan
Cancer Screening, 2008
actor Surveillance System (BRFSS) Survey, visit the BRFSS home page available at http://www.cdc.gov/brfss/index.htm.

veillance System Survey Data. Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Preventi
v/brfss/index.htm.

ers for Disease Control and Prevention, 2008.
Category Women's Health
           A
Subcategory bortion Statistics
Topic      Number of Abortions
Full Title Number of Reported Legal Abortions by State of Occurrence, 2006
Data Type Number


Alabama          11654
Alaska            1923
Arizona          10836
Arkansas          4988
California NA
Colorado         11048
Connecticut      14112
Delaware          3451
                  2692
District of Columbia
Florida      NA
Georgia          30550
Hawaii            3990
Idaho             1249
Illinois         40094
Indiana          10614
Iowa              6722
Kansas           11173
Kentucky          3912
Louisiana NA
Maine             2670
Maryland          8139
Massachusetts 24246
Michigan         25636
Minnesota        14065
Mississippi       2949
Missouri          7556
Montana           2119
Nebraska          2927
Nevada           11471
New HampshireNA
New Jersey       30986
New Mexico        6087
New York        127437
North Carolina 35088
North Dakota      1298
Ohio             32936
Oklahoma          7088
Oregon           11732
Pennsylvania 36731
Rhode Island      4828
South Carolina 7005
South Dakota       748
Tennessee        17883
Texas            81883
United States 741250
Utah               3753
Vermont            1610
Virginia          27349
Washington        24627
West Virginia      2036
Wisconsin          9352
Wyoming               7


Notes         As data are reported voluntarily by providers to state or area health departments, information may be incomplete an
Definitions   NA: Data not available.
Sources       Abortion Surveillance -- United States, 2006. Table 3. Morbidity and Mortality Weekly Report, Vol. 58, No. SS-08. C
Footnote 1    Includes residents only.
Footnote 2    Numbers do not include private physicians' procedures.
 s, information may be incomplete and result in undercounting abortions when calculating rates and ratios in some states.Abortions by state o

Weekly Report, Vol. 58, No. SS-08. Centers for Disease Control and Prevention, November 2009. Available at http://www.cdc.gov/mmwr/prev
s in some states.Abortions by state of occurrence include abortions obtained by non-residents of the state as well as those obtained by resid

ble at http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5808a1.htm?s_cid=ss5808a1_e.
ate as well as those obtained by residents.
Category Women's Health
           A
Subcategory bortion Statistics
Topic      Distribution of Abortions by Age
Full Title Reported Legal Abortions by Age Group Within the State of Occurrence, 2006
Data Type Percent

                        19                            Unknown
             Ages Up to Ages 20-29Ages 30-39Ages 40 and Above     Total
Alabama          0.187       0.59        0.2    0.023 NA                  1
Alaska           0.192      0.579     0.192     0.028     0.008           1
Arizona          0.182      0.549     0.215      0.04     0.014           1
Arkansas         0.191      0.556     0.222 NA        NA                  1
California NA           NA        NA         NA       NA          NA
Colorado         0.181      0.554     0.229     0.033     0.004           1
Connecticut      0.194      0.545     0.211     0.028     0.022           1
Delaware         0.183      0.575     0.208     0.027     0.007           1
                 0.183
District of Columbia        0.553     0.233      0.03 NA                  1
Florida      NA         NA        NA         NA       NA          NA
Georgia          0.148      0.573     0.252     0.028 NA                  1
Hawaii           0.206      0.548     0.209     0.035     0.002           1
Idaho            0.212      0.534      0.22     0.034     0.001           1
Illinois         0.177      0.553      0.24      0.03 NA                  1
Indiana           0.16       0.57     0.227     0.029     0.014           1
Iowa             0.182      0.574     0.211      0.03     0.003           1
Kansas           0.175      0.577     0.223     0.025 NA                  1
Kentucky         0.169      0.559     0.235     0.028     0.009           1
Louisiana NA            NA        NA         NA       NA          NA
Maine            0.181      0.571     0.202     0.029     0.017           1
Maryland         0.148      0.563     0.259     0.029 NA                  1
Massachusetts 0.166         0.553     0.239     0.041     0.002           1
Michigan         0.183      0.553     0.234     0.029     0.001           1
Minnesota        0.152      0.586      0.23     0.031 NA                  1
Mississippi      0.159      0.627     0.194     0.019     0.001           1
Missouri          0.17      0.576     0.221     0.033 NA                  1
Montana          0.195      0.579     0.185     0.041 NA                  1
Nebraska         0.157      0.584     0.227     0.033 NA                  1
Nevada            0.16      0.518     0.245     0.034     0.043           1
New HampshireNA         NA        NA         NA       NA          NA
New Jersey        0.18      0.554      0.23     0.036 NA                  1
New Mexico       0.199      0.577     0.181     0.028     0.015           1
New York         0.182       0.54     0.239     0.034     0.004           1
North Carolina 0.155        0.564     0.217     0.025     0.039           1
North Dakota 0.177          0.616     0.185     0.022 NA                  1
Ohio             0.179      0.572     0.215     0.027     0.007           1
Oklahoma         0.162      0.586     0.215     0.028     0.009           1
Oregon           0.175      0.559     0.227     0.034     0.004           1
Pennsylvania 0.175          0.568     0.225     0.033 NA                  1
Rhode Island 0.179          0.579     0.199     0.034     0.009           1
South Carolina 0.185        0.562     0.224     0.029 NA                  1
South Dakota 0.166          0.598     0.206     0.031 NA                  1
Tennessee        0.162      0.512     0.196     0.017     0.114           1
Texas            0.129      0.598     0.239     0.033 NA                  1
United States     0.17      0.563     0.229     0.031     0.008           1
Utah              0.167        0.572        0.217      0.029    0.015           1
Vermont           0.186        0.572        0.203      0.037 NA                 1
Virginia          0.146        0.584        0.233      0.031    0.007           1
Washington        0.184        0.563        0.219      0.034    0.001           1
West Virginia     0.157         0.58        0.234      0.026    0.002           1
Wisconsin         0.178        0.572         0.22      0.031 NA                 1
Wyoming NA                NA           NA           NA       NA                 1


Notes         As data are reported voluntarily by providers to state or area health departments, information may be incomplete an
Definitions   NA: Data not available.NSD: Not sufficient data.
Sources       Abortion Surveillance -- United States, 2006. Table 3. Morbidity and Mortality Weekly Report, Vol. 58, No. SS-08. C
Footnote 1    Totals do not include small numbers.
Footnote 2    Includes residents only.
Footnote 3    Represents women aged 40-44 years. Women aged 45 and above are included in "Unknown" column.
Footnote 4    Numbers do not include private physicians' procedures.
 s, information may be incomplete and result in undercounting abortions when calculating rates and ratios in some states.Abortions by state o

Weekly Report, Vol. 58, No. SS-08. Centers for Disease Control and Prevention, November 2009. Available at http://www.cdc.gov/mmwr/prev


 d in "Unknown" column.
s in some states.Abortions by state of occurrence include abortions obtained by non-residents of the state as well as those obtained by resid

ble at http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5808a1.htm?s_cid=ss5808a1_e.
ate as well as those obtained by residents.Totals may not sum to 100 due to rounding.
Category Women's Health
           A
Subcategory bortion Statistics
Topic      Abortion Rate
Full Title Rate of Legal Abortions per 1,000 Women Aged 15-44 Years by State of Occurrence, 2006
Data Type Number


Alabama           12.4
Alaska            13.4
Arizona            8.7
Arkansas           8.8
California NA
Colorado            11
Connecticut         20
Delaware          27.1
                  18.4
District of Columbia
Florida           27.3
Georgia             15
Hawaii            15.7
Idaho              4.2
Illinois          17.3
Indiana            8.2
Iowa              11.5
Kansas            20.1
Kentucky           4.5
Louisiana NA
Maine             10.4
Maryland           7.9
Massachusetts 17.7
Michigan          12.4
Minnesota         13.2
Mississippi        4.9
Missouri           6.3
Montana           11.7
Nebraska           8.3
Nevada            22.7
New HampshireNA
New Jersey        17.5
New Mexico        15.3
New York          31.1
North Carolina 18.9
North Dakota      10.2
Ohio              14.2
Oklahoma           9.8
Oregon            15.9
Pennsylvania        15
Rhode Island      21.5
South Carolina     7.8
South Dakota       4.9
Tennessee         14.2
Texas             16.3
United States     15.9
Utah                 6.5
Vermont               13
Virginia            16.8
Washington          18.6
West Virginia        5.8
Wisconsin            8.5
Wyoming              0.1


Notes         Abortion rate is the number of reported legal abortions per 1,000 women ages 15 to 44. As data are reported volunt
Definitions   NA: Data not available.
Sources       Abortion Surveillance -- United States, 2006. Table 2. Morbidity and Mortality Weekly Report, Vol. 58, No. SS-08. C
Footnote 1    Includes residents only.
Footnote 2    Numbers do not include private physicians' procedures.
 15 to 44. As data are reported voluntarily by providers to state or area health departments, information may be incomplete and result in unde

Weekly Report, Vol. 58, No. SS-08. Centers for Disease Control and Prevention, November 2009. Available at http://www.cdc.gov/mmwr/prev
may be incomplete and result in undercounting abortions when calculating rates and ratios in some states.Abortions by state of occurrence in

ble at http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5808a1.htm?s_cid=ss5808a1_e.
s.Abortions by state of occurrence include abortions obtained by non-residents of the state as well as those obtained by residents.
ose obtained by residents.
Category Women's Health
           A
Subcategory bortion Statistics
Topic      Abortions by Out-of-State Residents
Full Title Percentage of Legal Abortions Obtained by Out-of-State Residents, 2006
Data Type Percent


Alabama          0.187
Alaska           0.006
Arizona          0.034
Arkansas          0.14
California NA
Colorado         0.004
Connecticut       0.03
Delaware         0.282
                 0.543
District of Columbia
Florida      NA
Georgia          0.107
Hawaii           0.003
Idaho            0.027
Illinois         0.087
Indiana           0.04
Iowa             0.167
Kansas           0.482
Kentucky NA
Louisiana NA
Maine            0.032
Maryland         0.143
Massachusetts 0.041
Michigan         0.028
Minnesota        0.079
Mississippi      0.025
Missouri         0.075
Montana          0.089
Nebraska         0.124
Nevada           0.057
New HampshireNA
New Jersey       0.052
New Mexico       0.053
New York NA
North Carolina 0.174
North Dakota 0.401
Ohio              0.06
Oklahoma         0.035
Oregon           0.125
Pennsylvania 0.042
Rhode Island 0.236
South Carolina 0.042
South Dakota 0.154
Tennessee        0.222
Texas            0.036
United States 0.084
Utah              0.082
Vermont           0.096
Virginia          0.053
Washington        0.048
West Virginia     0.103
Wisconsin         0.024
Wyoming NA


Notes         As data are reported voluntarily by providers to state or area health departments, information may be incomplete an
Definitions   NA: Data not available.
Sources       Abortion Surveillance -- United States, 2006. Table 2. Morbidity and Mortality Weekly Report, Vol. 58, No. SS-08. C
Footnote 1    Includes residents only.
Footnote 2    Numbers do not include private physicians' procedures.
 s, information may be incomplete and result in undercounting abortions when calculating rates and ratios in some states.Based on number o

Weekly Report, Vol. 58, No. SS-08. Centers for Disease Control and Prevention, November 2009. Available at http://www.cdc.gov/mmwr/prev
s in some states.Based on number of abortions for which residence status was known.

ble at http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5808a1.htm?s_cid=ss5808a1_e.
Category Women's Health
           A
Subcategory bortion Statistics
Topic      Abortions by Race
Full Title Reported Legal Abortions by Race of Woman Who Obtained Abortion by the State of Occurrence, 2006
Data Type Percent

             White        Black        Other        Unknown      Total
Alabama          0.423          0.56       0.017    NA                   1
Alaska           0.578         0.073         0.29       0.059            1
Arizona      NA           NA           NA           NA           NA
Arkansas         0.617         0.306       0.075        0.002            1
California NA             NA           NA           NA           NA
Colorado         0.672         0.062       0.215        0.051            1
Connecticut AN            NA           NA           NA           NA
Delaware         0.538         0.415       0.042        0.005            1
                   0.21
District of Columbia           0.525       0.261        0.004            1
Florida      NA           NA           NA           NA           NA
Georgia          0.379         0.574       0.047    NA                   1
Hawaii           0.241         0.036       0.612        0.112            1
Idaho            0.907         0.011       0.053        0.029            1
Illinois     NA           NA           NA           NA           NA
Indiana          0.641         0.287         0.03       0.042            1
Iowa             0.793         0.099       0.029        0.079            1
Kansas           0.682         0.215       0.103        0.001            1
Kentucky         0.666         0.217       0.074        0.043            1
Louisiana NA              NA           NA           NA           NA
Maine               0.9        0.019       0.072        0.009            1
Maryland         0.205         0.674       0.116        0.005            1
Massachusetts 0.501            0.192       0.163        0.144            1
Michigan         0.535         0.395       0.039         0.03            1
Minnesota        0.629         0.217       0.134         0.02            1
Mississippi      0.226         0.763       0.009        0.002            1
Missouri         0.548         0.401       0.049        0.002            1
Montana          0.802         0.007       0.092           0.1           1
Nebraska NA               NA           NA           NA           NA
Nevada       NA           NA           NA           NA           NA
New HampshireNA           NA           NA           NA           NA
New Jersey       0.318         0.446       0.234        0.002            1
New Mexico   NA           NA           NA           NA           NA
New York           0.47        0.409       0.056        0.065            1
North Carolina 0.411           0.454       0.035           0.1           1
North Dakota 0.817             0.037       0.139        0.006            1
Ohio             0.568         0.355       0.024        0.053            1
Oklahoma           0.72        0.188       0.092    NA                   1
Oregon           0.842         0.057       0.088        0.013            1
Pennsylvania 0.559             0.389       0.052    NA                   1
Rhode Island 0.646             0.152       0.056        0.147            1
South Carolina 0.589           0.385   NA           NA                   1
South Dakota       0.84   NA               0.119    NA                   1
Tennessee          0.49         0.46       0.026        0.024            1
Texas            0.706         0.232       0.057        0.005            1
United States 0.536             0.35       0.075        0.039            1
Utah       NA             NA           NA           NA           NA
Vermont           0.947        0.022        0.025        0.005        1
Virginia          0.445        0.418        0.078        0.059        1
Washington NA             NA       NA       NA       NA
West Virginia     0.851      0.112    0.036 NA                        1
Wisconsin         0.691      0.243 NA          0.066                  1
Wyoming NA                NA       NA       NA       NA


Notes         Percentages may not add to 100 percent because of rounding. "Other" includes Asian, Native Hawaiian or other Pa
Definitions   NA: Data not available.
Sources       Abortion Surveillance -- United States, 2006. Table 10. Morbidity and Mortality Weekly Report, Vol. 58, No. SS-08. C
Footnote 1    Totals do not include small numbers.
Footnote 2    Includes residents only.
Footnote 3    Numbers do not include private physicians' procedures.
Footnote 4    "Other" included in "Unknown."
tate of Occurrence, 2006
s Asian, Native Hawaiian or other Pacific Islander, and American Indian or Alaska Native. As data are reported voluntarily by providers to sta

Weekly Report, Vol. 58, No. SS-08. Centers for Disease Control and Prevention, November 2009. Available at http://www.cdc.gov/mmwr/pre
ported voluntarily by providers to state or area health departments, information may be incomplete and result in undercounting abortions whe

able at http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5808a1.htm?s_cid=ss5808a1_e.
esult in undercounting abortions when calculating rates and ratios in some states.
Category Women's Health
           F
Subcategory amily Planning Under Medicaid
Topic      Emergency Contraceptive Pill
Full Title Over the Counter Emergency Contraceptive Pill Coverage Under Medicaid, 2009
Data Type Text

             Emergency Contraceptive Pill
Alabama No
Alaska       Yes
Arizona      Yes
Arkansas Yes
California Yes
Colorado Yes
             Y
Connecticut es
Delaware NA
             No
District of Columbia
Florida      No
Georgia      NA
Hawaii       NA
Idaho        No
Illinois     Yes
Indiana      No
Iowa         Yes
Kansas       Yes
Kentucky No
Louisiana Yes
Maine        No
Maryland Yes
MassachusettsYes
Michigan Yes
Minnesota Yes
Mississippi No
Missouri Yes
Montana No
Nebraska Yes
Nevada       Yes
New HampshireYes
New JerseyNA
New Mexico   Yes
New York Yes
             No
North Carolina
North Dakota Yes
Ohio         No
Oklahoma No
Oregon       No
Pennsylvania Yes
Rhode Island NA
             No
South Carolina
South Dakota NA
Tennessee NA
Texas        No
             26
United States Yes
Utah       No
Vermont Yes
Virginia   Yes
Washington Yes
           No
West Virginia
Wisconsin Yes
Wyoming NA


Notes         Seven states (Delaware, Georgia, Hawaii, New Jersey, Rhode Island, South Dakota, and Tennessee) did not partic
Definitions   NA: Data are not available.
Sources       State Medicaid Coverage of Family Planning Services: Summary of State Findings, Kaiser Family Foun
Footnote 1    Never considered a family planning service
Footnote 2    Sometimes considered a family planning service, depending on context of visit
akota, and Tennessee) did not participate in the survey.

of State Findings, Kaiser Family Foundation and The George Washington University Medical Center School of Public Health and Health Serv
hool of Public Health and Health Services, November 2009, Table 2. Available at: http://www.kff.org/womenshealth/8015.cfm.
rg/womenshealth/8015.cfm.
Category Women's Health
           F
Subcategory amily Planning Under Medicaid
Topic      Sterilization
Full Title Sterilization Coverage Under Medicaid, 2009
Data Type Text

                         Vasectomy
             Tubal Ligation
Alabama Yes              Yes
Alaska       Yes         Yes
Arizona      Yes         Yes
Arkansas Yes             Yes
California Yes           Yes
Colorado No              No
             Y
Connecticut es           Yes
Delaware NA              NA
             Yes
District of Columbia Yes
Florida      Yes         No
Georgia      NA          NA
Hawaii       NA          NA
Idaho        Yes         Yes
Illinois     Yes         Yes
Indiana      Yes         Yes
Iowa         Yes         Yes
Kansas       Yes         Yes
Kentucky No              No
Louisiana Yes            Yes
Maine        Yes         Yes
Maryland Yes             Yes
MassachusettsNo          Yes
Michigan Yes             Yes
Minnesota Yes            Yes
Mississippi Yes          Yes
Missouri Yes             Yes
Montana Yes              Yes
Nebraska Yes             Yes
Nevada       Yes         Yes
New HampshireYes         Yes
New JerseyNA             NA
New Mexico   Yes         Yes
New York Yes             Yes
             Yes
North Carolina           Yes
North Dakota Yes         Yes
Ohio         Yes         Yes
Oklahoma No              No
Oregon       No          Yes
Pennsylvania Yes         Yes
Rhode Island NA          NA
             Yes
South Carolina           No
South Dakota NA          NA
Tennessee NA             NA
Texas        No          No
United States36+DC Yes36+DC Yes
Utah       Yes          Yes
Vermont Yes             Yes
Virginia   Yes          Yes
Washington Yes          Yes
           No
West Virginia           No
Wisconsin Yes           Yes
Wyoming Yes             Yes


Notes         Seven states (Delaware, Georgia, Hawaii, New Jersey, Rhode Island, South Dakota, and Tennessee) did not partic
Definitions   NA: Data are not available.
Sources       State Medicaid Coverage of Family Planning Services: Summary of State Findings, Kaiser Family Foun
Footnote 1    Sometimes considered a family planning service, depending on context of visit
Footnote 2    Never considered a family planning service
akota, and Tennessee) did not participate in the survey.

of State Findings, Kaiser Family Foundation and The George Washington University Medical Center School of Public Health and Health Serv
hool of Public Health and Health Services, November 2009, Table 3. Available at: http://www.kff.org/womenshealth/8015.cfm.
rg/womenshealth/8015.cfm.
Category Women's Health
           F
Subcategory amily Planning Under Medicaid
Topic      Infertility Care
Full Title Preconception Care Coverage Under Medicaid, 2009
Data Type Text

                           Infertility Treatment
             Infertility Test
Alabama No                 No
Alaska       No            No
Arizona      No            No
Arkansas Yes               No
California No              No
Colorado No                No
Connecticut oN             No
Delaware NA                NA
             No
District of Columbia No
Florida      No            No
Georgia      NA            NA
Hawaii       NA            NA
Idaho        No            No
Illinois     No            No
Indiana      No            No
Iowa         No            No
Kansas       No            No
Kentucky No                No
Louisiana No               No
Maine        No            No
Maryland No                No
MassachusettsNo            No
Michigan No                No
Minnesota Yes              No
Mississippi No             No
Missouri No                No
Montana No                 No
Nebraska No                No
Nevada       No            No
New HampshireNo            No
New JerseyNA               NA
New Mexico   No            No
New York No                No
             No
North Carolina             No
North Dakota Yes           No
Ohio         Yes           No
Oklahoma No                No
Oregon       No            No
Pennsylvania No            No
Rhode Island NA            NA
             No
South Carolina             No
South Dakota NA            NA
Tennessee NA               NA
Texas        No            No
             4
United StatesYes           0 Yes
Utah       No           No
Vermont No              No
Virginia   No           No
Washington No           No
           No
West Virginia           No
Wisconsin No            No
Wyoming No              No


Notes         Seven states (Delaware, Georgia, Hawaii, New Jersey, Rhode Island, South Dakota, and Tennessee) did not partic
Definitions   NA: Data are not available.
Sources       State Medicaid Coverage of Family Planning Services: Summary of State Findings, Kaiser Family Foun
Footnote 1    Never considered a family planning service
Footnote 2    Sometimes considered a family planning service, depending on context of visit
akota, and Tennessee) did not participate in the survey.

of State Findings, Kaiser Family Foundation and The George Washington University Medical Center School of Public Health and Health Serv
hool of Public Health and Health Services, November 2009, Table 4. Available at: http://www.kff.org/womenshealth/8015.cfm.
rg/womenshealth/8015.cfm.
Category Women's Health
           F
Subcategory amily Planning Under Medicaid
Topic      STD Testing and Treatment
Full Title STD Testing and Treatment Coverage Under Medicaid, 2009
Data Type Text

             STD Tests             HIV
                         STD Treatment Test
Alabama No               No        No
Alaska       Yes         Yes       Yes
Arizona      No          No        No
Arkansas Yes             Yes       Yes
California Yes           Yes       Yes
Colorado No              No        No
Connecticut oN           No        No
Delaware NA              NA        NA
             No
District of Columbia     No        No
Florida      No          No        No
Georgia      NA          NA        NA
Hawaii       NA          NA        NA
Idaho        No          No        No
Illinois     No          No        No
Indiana      No          No        No
Iowa         No          No        No
Kansas       No          No        No
Kentucky No              No        No
Louisiana No             No        No
Maine        No          No        No
Maryland No              No        No
MassachusettsNo          No        No
Michigan Yes             Yes       Yes
Minnesota Yes            No        Yes
Mississippi Yes          Yes       Yes
Missouri No              No        No
Montana Yes              Yes       Yes
Nebraska No              No        No
Nevada       No          No        No
New HampshireNo          No        No
New JerseyNA             NA        NA
New Mexico   No          No        No
New York No              No        No
             No
North Carolina           No        No
North Dakota Yes         Yes       Yes
Ohio         No          No        No
Oklahoma No              No        No
Oregon       No          No        No
Pennsylvania No          No        No
Rhode Island NA          NA        NA
             Yes
South Carolina           No        Yes
South Dakota NA          NA        NA
Tennessee NA             NA        NA
Texas        No          No        No
             11
United States Yes        9 Yes     11 Yes
Utah       No           No         No
Vermont No              No         No
Virginia   No           No         No
Washington Yes          Yes        Yes
           No
West Virginia           No         No
Wisconsin No            No         No
Wyoming Yes             Yes        Yes


Notes         Seven states (Delaware, Georgia, Hawaii, New Jersey, Rhode Island, South Dakota, and Tennessee) did not partic
Definitions   NA: Data are not available.
Sources       State Medicaid Coverage of Family Planning Services: Summary of State Findings, Kaiser Family Foun
Footnote 1    Sometimes considered a family planning service, depending on context of visit
Footnote 2    Never considered a family planning service
akota, and Tennessee) did not participate in the survey.

of State Findings, Kaiser Family Foundation and The George Washington University Medical Center School of Public Health and Health Serv
hool of Public Health and Health Services, November 2009, Table 5. Available at: http://www.kff.org/womenshealth/8015.cfm.
rg/womenshealth/8015.cfm.
Category Women's Health
           F
Subcategory amily Planning Under Medicaid
Topic      HPV Vaccine
Full Title Cancer Prevention Coverage Under Medicaid, 2009
Data Type Text

             HPV Vaccine for Adults ages 21-26
Alabama No
Alaska       No
Arizona      Yes
Arkansas No
California Yes
Colorado Yes
             Y
Connecticut es
Delaware NA
             No
District of Columbia
Florida      No
Georgia      NA
Hawaii       NA
Idaho        Yes
Illinois     Yes
Indiana      No
Iowa         Yes
Kansas       Yes
Kentucky Yes
Louisiana Yes
Maine        Yes
Maryland Yes
MassachusettsYes
Michigan Yes
Minnesota Yes
Mississippi Yes
Missouri Yes
Montana Yes
Nebraska Yes
Nevada       Yes
New HampshireNA
New JerseyNA
New Mexico   Yes
New York Yes
             No
North Carolina
North Dakota No
Ohio         No
Oklahoma Yes
Oregon       Yes
Pennsylvania Yes
Rhode Island NA
             No
South Carolina
South Dakota NA
Tennessee NA
Texas        No
             29
United States Yes
Utah       No
Vermont Yes
Virginia   No
Washington No
           Yes
West Virginia
Wisconsin Yes
Wyoming Yes


Notes         Seven states (Delaware, Georgia, Hawaii, New Jersey, Rhode Island, South Dakota, and Tennessee) did not partic
Definitions   NA: Data are not available.
Sources       State Medicaid Coverage of Family Planning Services: Summary of State Findings, Kaiser Family Foun
Footnote 1    Covered by state public health agency
Footnote 2    Considered a family planning service
Footnote 3    Based on medical necessity
akota, and Tennessee) did not participate in the survey.Data are for adults ages 21-26.

of State Findings, Kaiser Family Foundation and The George Washington University Medical Center School of Public Health and Health Serv
hool of Public Health and Health Services, November 2009, Table 6. Available at http://www.kff.org/womenshealth/8015.cfm.
g/womenshealth/8015.cfm.
Category Women's Health
           P
Subcategory erinatal Services Under Medicaid
Topic      Genetic Screening
Full Title Medicaid Coverage of Genetic Screening Services, 2009
Data Type Text

             Genetic Screening
Alabama Yes
Alaska       Yes
Arizona      Yes
Arkansas Yes
California Yes
Colorado Yes
             Y
Connecticut es
Delaware NA
             Yes
District of Columbia
Florida      Yes
Georgia      NA
Hawaii       NA
Idaho        Yes
Illinois     No
Indiana      Yes
Iowa         Yes
Kansas       Yes
Kentucky Yes
Louisiana Yes
Maine        No
Maryland Yes
MassachusettsYes
Michigan Yes
Minnesota Yes
Mississippi Yes
Missouri Yes
Montana Yes
Nebraska Yes
Nevada       Yes
New HampshireYes
New JerseyNA
New Mexico   No
New York Yes
             Yes
North Carolina
North Dakota No
Ohio         Yes
Oklahoma Yes
Oregon       No
Pennsylvania Yes
Rhode Island NA
             Yes
South Carolina
South Dakota NA
Tennessee NA
Texas        Yes
United States36+DC Yes
Utah       No
Vermont Yes
Virginia   Yes
Washington Yes
           No
West Virginia
Wisconsin Yes
Wyoming Yes


Notes         Seven states (Delaware, Georgia, Hawaii, New Jersey, Rhode Island, South Dakota, and Tennessee) did not partic
Definitions   NA: Data are not available.
Sources       State Medicaid Coverage of Perinatal Services: Summary of State Findings, Kaiser Family Foundation and The Geo
Footnote 1    Genetic screening is not available for preconception care.
akota, and Tennessee) did not participate in the survey.

aiser Family Foundation and The George Washington University Medical Center School of Public Health and Health Services, November 200
and Health Services, November 2009, Table 6. Available at: http://www.kff.org/womenshealth/8014.cfm.
Category Women's Health
           P
Subcategory erinatal Services Under Medicaid
Topic      Delivery Care
Full Title Medicaid Coverage of Delivery Care, 2009
Data Type Text

                        Home Births
             Birth Centers
Alabama No              No
Alaska       Yes        No
Arizona      Yes        Yes
Arkansas Yes            Yes
California Yes          Yes
Colorado Yes            No
             Y
Connecticut es          No
Delaware NA             NA
             Yes
District of Columbia No
Florida      Yes        Yes
Georgia      NA         NA
Hawaii       NA         NA
Idaho        Yes        Yes
Illinois     Yes        No
Indiana      No         No
Iowa         Yes        Yes
Kansas       Yes        No
Kentucky No             No
Louisiana No            Yes
Maine        Yes        No
Maryland Yes            Yes
MassachusettsYes        No
Michigan No             No
Minnesota No            Yes
Mississippi No          No
Missouri Yes            Yes
Montana Yes             No
Nebraska No             Yes
Nevada       No         No
New HampshireNo         No
New JerseyNA            NA
New Mexico   Yes        Yes
New York Yes            No
             Yes
North Carolina          No
North Dakota Yes        No
Ohio         No         No
Oklahoma Yes            No
Oregon       Yes        Yes
Pennsylvania Yes        Yes
Rhode Island NA         NA
             Yes
South Carolina          No
South Dakota NA         NA
Tennessee NA            NA
Texas        Yes        No
United States29+DC Yes16 Yes
Utah       Yes          No
Vermont Yes             No
Virginia   No           No
Washington Yes          Yes
           Yes
West Virginia           No
Wisconsin No            Yes
Wyoming No              No


Notes         Seven states (Delaware, Georgia, Hawaii, New Jersey, Rhode Island, South Dakota, and Tennessee) did not partic
Definitions   NA: Data are not available.
Sources       State Medicaid Coverage of Perinatal Services: Summary of State Findings, Kaiser Family Foundation and The Geo
Footnote 1    Via licensed midwife
Footnote 2    Provider paid, but center not covered
akota, and Tennessee) did not participate in the survey.

aiser Family Foundation and The George Washington University Medical Center School of Public Health and Health Services, November 200
and Health Services, November 2009, Table 7. Available at: http://www.kff.org/womenshealth/8014.cfm.
Category Women's Health
           P
Subcategory erinatal Services Under Medicaid
Topic      Genetic Counseling
Full Title Medicaid Coverage of Genetic Counseling Services, 2009
Data Type Text

             Genetic Counseling
Alabama Yes
Alaska       No
Arizona      No
Arkansas No
California Yes
Colorado Yes
             Y
Connecticut es
Delaware NA
             Yes
District of Columbia
Florida      No
Georgia      NA
Hawaii       NA
Idaho        Yes
Illinois     No
Indiana      NA
Iowa         Yes
Kansas       Yes
Kentucky NA
Louisiana Yes
Maine        No
Maryland Yes
MassachusettsYes
Michigan No
Minnesota Yes
Mississippi No
Missouri No
Montana No
Nebraska Yes
Nevada       Yes
New HampshireYes
New JerseyNA
New Mexico   No
New York No
             Yes
North Carolina
North Dakota No
Ohio         No
Oklahoma Yes
Oregon       Yes
Pennsylvania Yes
Rhode Island NA
             No
South Carolina
South Dakota NA
Tennessee NA
Texas        Yes
United States23+DC Yes
Utah       No
Vermont NA
Virginia   Yes
Washington Yes
           Yes
West Virginia
Wisconsin Yes
Wyoming No


Notes         Seven states (Delaware, Georgia, Hawaii, New Jersey, Rhode Island, South Dakota, and Tennessee) did not partic
Definitions   NA: Data are not available.
Sources       State Medicaid Coverage of Perinatal Services: Summary of State Findings, Kaiser Family Foundation and The Geo
Footnote 1    Genetic counseling is not available for preconception care. It is only available once a woman is pregnant.
Footnote 2    Genetic counseling provided as needed.
Footnote 3    If counseling is only service provided by physician and is billed using regular office evaluation and management cod
akota, and Tennessee) did not participate in the survey.

aiser Family Foundation and The George Washington University Medical Center School of Public Health and Health Services, November 200
 nce a woman is pregnant.

ice evaluation and management code, then state would pay claim.
and Health Services, November 2009, Table 8. Available at: http://www.kff.org/womenshealth/8014.cfm.
Category Women's Health
           P
Subcategory erinatal Services Under Medicaid
Topic      Support Services
Full Title Medicaid Coverage of Substance Abuse Treatment and Smoking Cessation, 2009
Data Type Text

                       Smoking Cessation
             Substance Abuse Treatment
Alabama Yes            Yes
Alaska       Yes       Yes
Arizona      Yes       Yes
Arkansas No            Yes
California Yes         Yes
Colorado Yes           Yes
             Y
Connecticut es         No
Delaware NA            NA
             No
District of Columbia No
Florida      No        No
Georgia      NA        NA
Hawaii       NA        NA
Idaho        Yes       Yes
Illinois     Yes       Yes
Indiana      Yes       Yes
Iowa         Yes       Yes
Kansas       Yes       Yes
Kentucky Yes           Yes
Louisiana No           No
Maine        No        No
Maryland Yes           Yes
MassachusettsYes       Yes
Michigan No            Yes
Minnesota Yes          Yes
Mississippi Yes        Yes
Missouri Yes           No
Montana Yes            Yes
Nebraska Yes           No
Nevada       Yes       Yes
New HampshireYes       Yes
New JerseyNA           NA
New Mexico   Yes       Yes
New York No            Yes
             Yes
North Carolina         Yes
North Dakota Yes       No
Ohio         Yes       Yes
Oklahoma No            Yes
Oregon       Yes       Yes
Pennsylvania Yes       Yes
Rhode Island NA        NA
             Yes
South Carolina         No
South Dakota NA        NA
Tennessee NA           NA
Texas        No        No
             33
United States Yes      34 Yes
Utah       No           Yes
Vermont Yes             Yes
Virginia   Yes          Yes
Washington Yes          Yes
           No
West Virginia           Yes
Wisconsin Yes           Yes
Wyoming Yes             Yes


Notes         Seven states (Delaware, Georgia, Hawaii, New Jersey, Rhode Island, South Dakota, and Tennessee) did not partic
Definitions   NA: Data are not available.
Sources       State Medicaid Coverage of Perinatal Services: Summary of State Findings, Kaiser Family Foundation and The Geo
Footnote 1    In Special Connections Program.
Footnote 2    Covers Pediatric Nurse Practitioner and Nurse Home Visitor Program
akota, and Tennessee) did not participate in the survey.

aiser Family Foundation and The George Washington University Medical Center School of Public Health and Health Services, November 200
and Health Services, November 2009, Table 9. Available at: http://www.kff.org/womenshealth/8014.cfm.
Category Women's Health
           P
Subcategory erinatal Services Under Medicaid
Topic      Education Services
Full Title Medicaid Coverage of Childbirth and Infant Care Education Services, 2009
Data Type Text

                         Infant Care
             Childbirth Education Education
Alabama Yes              Yes
Alaska       No          No
Arizona      Yes         Yes
Arkansas Yes             Yes
California Yes           Yes
Colorado No              Yes
Connecticut oN           No
Delaware NA              NA
             No
District of Columbia No
Florida      No          No
Georgia      NA          NA
Hawaii       NA          NA
Idaho        No          No
Illinois     Yes         Yes
Indiana      No          No
Iowa         Yes         Yes
Kansas       No          Yes
Kentucky Yes             Yes
Louisiana No             No
Maine        NA          NA
Maryland Yes             No
MassachusettsYes         Yes
Michigan Yes             Yes
Minnesota Yes            Yes
Mississippi No           Yes
Missouri Yes             Yes
Montana No               No
Nebraska Yes             Yes
Nevada       No          No
New HampshireYes         Yes
New JerseyNA             NA
New Mexico   Yes         Yes
New York Yes             Yes
             Yes
North Carolina           Yes
North Dakota Yes         Yes
Ohio         Yes         Yes
Oklahoma No              Yes
Oregon       Yes         Yes
Pennsylvania Yes         Yes
Rhode Island NA          NA
             No
South Carolina           Yes
South Dakota NA          NA
Tennessee NA             NA
Texas        Yes         Yes
             27
United States Yes        31 Yes
Utah       Yes           Yes
Vermont Yes              Yes
Virginia   Yes           Yes
Washington Yes           Yes
           Yes
West Virginia            Yes
Wisconsin No             No
Wyoming No               No


Notes         Seven states (Delaware, Georgia, Hawaii, New Jersey, Rhode Island, South Dakota, and Tennessee) did not partic
Definitions   NA: Data are not available.
Sources       State Medicaid Coverage of Perinatal Services: Summary of State Findings, Kaiser Family Foundation and The Geo
Footnote 1    Nurse Home Visitor Program
Footnote 2    Part of exam, not separately reimbursed
Footnote 3    All contracted managed care entities are required to implement maternal and child health program and the services
Footnote 4    Services available to those under 21 years of age.
akota, and Tennessee) did not participate in the survey.

aiser Family Foundation and The George Washington University Medical Center School of Public Health and Health Services, November 200


hild health program and the services listed are components of their respective care and case management programs.
and Health Services, November 2009, Table 10. Available at: http://www.kff.org/womenshealth/8014.cfm.


ent programs.
Category Women's Health
           F
Subcategory amily Planning Under Medicaid
Topic      Family Planning Services Waivers
Full Title States That Have Expanded Eligibility for Coverage of Family Planning Services Under Medicaid, as of January 1,
Data Type Text

                        Basis for Waiver Population to Individuals
                                   Eligible      CMS to Cover Services
                                                             Waiver Expiration +
             State Has Secured a Eligibilityfrom Limited Includes Men 19 yearsDate
Alabama Yes                        No            Yes         9/30/2011
                        Based solely on income criteria of 133% FPL.
Alaska       No         NA         NA            NA          NA
Arizona      Yes        For women No             No          9/30/2011
                                    losing Medicaid postpartum; 2-year limit.
Arkansas Yes                       No            No          1/31/2012
                        Based solely on income criteria of 200% FPL.
California Yes                     Yes           No          12/31/2009
                        Based solely on income criteria of 200% FPL.
Colorado No             NA         NA            NA          NA
Connecticut oN          NA         NA            NA          NA
Delaware Yes            For women No             No          12/21/2009
                                    losing Medicaid for any reason; 2-year limit.
             No
District of Columbia NA            NA            NA          NA
Florida      Yes        For women No             No          11/30/2009
                                    losing Medicaid for any reason; 2-year limit.
Georgia      No         NA         NA            NA          NA
Hawaii       No         NA         NA            NA          NA
Idaho        No         NA         NA            NA          NA
Illinois     Yes                   No            Yes         1/31/2010
                        Based solely on income criteria of 200% FPL.
Indiana      No         NA         NA            NA          NA
Iowa         Yes                   No            No          1/31/2011
                        Based solely on income criteria of 200% FPL.
Kansas       No         NA         NA            NA          NA
Kentucky No             NA         NA            NA          NA
Louisiana Yes                      No            Yes         7/1/2011
                        Based solely on income criteria of 200% FPL.
Maine        No         NA         NA            NA          NA
Maryland Yes            For women No             No          6/30/2011
                                    losing Medicaid postpartum; 5-year limit.
MassachusettsNo         NA         NA            NA          NA
Michigan Yes                       No            Yes         3/1/2011
                        Based solely on income criteria of 185% FPL.
Minnesota Yes                      Yes           No          6/30/2011
                        Based solely on income criteria of 200% FPL.
Mississippi Yes                    No            No          9/30/2011
                        Based solely on income criteria of 185%.
Missouri Yes                       No            Yes         9/30/2010
                        Based solely on income criteria of 185%.
Montana No              NA         NA            NA          NA
Nebraska No             NA         NA            NA          NA
Nevada       No         NA         NA            NA          NA
New HampshireNo         NA         NA            NA          NA
New JerseyNo            NA         NA            NA          NA
New Mexico   Yes                   No            Yes         11/30/2009
                        Based solely on income criteria of 185% FPL.
New York Yes                       Yes           No          9/30/2011
                        Based solely on income criteria of 200% FPL.
             Yes
North Carolina                     Yes           Yes         9/30/2010
                        Based solely on income criteria of 185% FPL.
North Dakota No         NA         NA            NA          NA
Ohio         No         NA         NA            NA          NA
Oklahoma Yes                       Yes           Yes         3/31/2010
                        Based solely on income criteria of 185% FPL.
Oregon       Yes                   Yes           No          1/29/2010
                        Based solely on income criteria of 185% FPL.
Pennsylvania Yes                   No            Yes         6/1/2012
                        Based solely on income criteria of 185% FPL.
Rhode Island Yes        For women No             No          9/30/2011
                                    losing Medicaid postpartum; 2-year limit.
             Yes
South Carolina                     No            No          12/31/2010
                        Based solely on income criteria of 185% FPL.
South Dakota No         NA         NA            NA          NA
Tennessee No            NA         NA            NA          NA
Texas        Yes                   No            Yes         12/31/2011
                        Based solely on income criteria of 185% FPL.
             27
United States Yes       NA         8 Yes         11 Yes      NA
Utah       No            NA         NA        NA            NA
Vermont No               NA         NA        NA            NA
Virginia   Yes                      Yes       No            10/30/2010
                         Based solely on income criteria of 133% FPL.
Washington Yes                      Yes       No            11/30/2009
                         Based solely on income criteria of 200% FPL.
           No
West Virginia            NA         NA        NA            NA
Wisconsin Yes                       No        No            12/31/2010
                         Based solely on income criteria of 200% FPL.
Wyoming Yes                         losing Medicaid postpartum; unlimited.
                         For women No         Yes           8/31/2013


Notes         "States must obtain waivers to continue Medicaid coverage of family planning services for women who would otherw
Definitions   CMS: Centers for Medicare and Medicaid Services.Waiver: Approval from the Centers for Medicare and Medicaid S
Sources       State Medicaid Family Planning Eligibility Expansions, State Policies in Brief, as of January 1, 2010, Gu
Footnote 1    State also extends Medicaid eligibility for family planning services to women following a Medicaid-funded delivery.
Footnote 2    Applies to women ages 18-50.
Footnote 3    Expansion includes women who are least 18 years of age.
es Under Medicaid, as of January 1, 2010
 ervices for women who would otherwise lose Medicaid coverage postpartum. All states are required to fund pregnancy-related care, includin
Centers for Medicare and Medicaid Services (CMS) that permits states to receive federal Medicaid financing for coverage that does not mee
s of January 1, 2010, Guttmacher Institute. Available at: http://www.guttmacher.org/statecenter/spibs/spib_SMFPE.pdf.
lowing a Medicaid-funded delivery.
 und pregnancy-related care, including family planning services, for 60 days postpartum to women with incomes up to at least 133% of the fe
 cing for coverage that does not meet federal standards or that extends beyond federal options.NA: Not applicable.
nter/spibs/spib_SMFPE.pdf.
ncomes up to at least 133% of the federal poverty level. Other states have granted coverage solely on the basis of income to individuals not
he basis of income to individuals not previously covered under Medicaid." (Guttmacher Institute)
Category Women's Health
           O
Subcategory ther Services Under Medicaid
Topic      Abortion Under Medicaid
Full Title State Funding of Abortions Under Medicaid, as of January 1, 2010
Data Type Text

                       Funds All or Most Medically Necessary Abortions, Endangerment, Rape and Incest
             Follows Federal Standard, Funding Only Cases Involving Life Exceeding Federal Requirements
Alabama Yes            No
Alaska       No        Yes
Arizona      No        Yes
Arkansas Yes           No
California No          Yes
Colorado Yes           No
Connecticut oN         Yes
Delaware Yes           No
             No
District of Columbia No
Florida      Yes       No
Georgia      Yes       No
Hawaii       No        Yes
Idaho        Yes       No
Illinois     No        Yes
Indiana      Yes       No
Iowa         Yes       No
Kansas       Yes       No
Kentucky Yes           No
Louisiana Yes          No
Maine        Yes       No
Maryland No            Yes
MassachusettsNo        Yes
Michigan Yes           No
Minnesota No           Yes
Mississippi Yes        No
Missouri Yes           No
Montana No             Yes
Nebraska Yes           No
Nevada       Yes       No
New HampshireYes       No
New JerseyNo           Yes
New Mexico   No        Yes
New York No            Yes
             Yes
North Carolina         No
North Dakota Yes       No
Ohio         Yes       No
Oklahoma Yes           No
Oregon       No        Yes
Pennsylvania Yes       No
Rhode Island Yes       No
             Yes
South Carolina         No
South Dakota No        No
Tennessee Yes          No
Texas        Yes       No
             32
United States Yes      17 Yes
Utah       Yes           No
Vermont No               Yes
Virginia   Yes           No
Washington No            Yes
           No
West Virginia            Yes
Wisconsin Yes            No
Wyoming Yes              No


Notes         Data as of January 1, 2010.The federal Hyde Amendment, passed in 1977, bans state use of federal Medica
Definitions
Sources       Alan Guttmacher Institute, State Policies in Brief, "State Funding of Abortion Under Medicaid," January&nbsp
Footnote 1    State provides funds pursuant to a court order.
Footnote 2    State voluntarily provides funding for medically necessary abortions.
Footnote 3    State funds in cases of physical health endangerment.
Footnote 4    State funds in cases of fetal abnormality.
Footnote 5    State only pays for abortions when necessary to protect the woman's life.
al Requirements
77, bans state use of federal Medicaid dollars to pay for abortions unless the pregnancy is the result of rape or incest, or the abortion is "nece

nder Medicaid," January 1, 2010; available at http://www.guttmacher.org/statecenter/spibs/spib_SFAM.pdf.
ape or incest, or the abortion is "necessary to save the life of the woman." States can use their own funds to cover other medically necessary

pib_SFAM.pdf.
ds to cover other medically necessary abortions - usually defined by states as those to protect the physical or mental health of the woman - fo
al or mental health of the woman - for Medicaid recipients. States that fund abortions beyond the federal requirement are shown here.
l requirement are shown here.
Category Women's Health
           A
Subcategory bortion Policy
Topic      Parental Consent/Notification
Full Title Parental Consent/Notification Requirements for Minors Seeking Abortions, as of January 1, 2010
Data Type Text

                          Notes
             Requires Parental Consent/ Notification?
Alabama Consent enforced
Alaska       Consent enjoined or not enforced
Arizona      Consent enforced
Arkansas Consent enforced
California Consent enjoined or not enforced
Colorado Notification enforced
             N
Connecticut o Law
                          enforced
Delaware Notification Allows specified health professionals to waive parental involvement in limited circumstances; applies to
             No Law
District of Columbia
Florida      Notification enforced
Georgia      Notification enforced
Hawaii       No Law
Idaho        Consent enforced
Illinois                  enjoined or alternative to
             Notification Provides an not enforced parental notification, such as a grandparent or a doctor-authorized waiver.
Indiana      Consent enforced
Iowa                      enforced
             Notification Provides an alternative to parental notification, such as a grandparent or a doctor-authorized waiver.
Kansas       Notification enforced
Kentucky Consent enforced
Louisiana Consent enforced
Maine        No Law
Maryland No Law
MassachusettsConsent enforced
Michigan Consent enforced
                          enforced
Minnesota Notification Policy involves both parents.
                          Policy
Mississippi Consent enforced involves both parents.
Missouri Consent enforced
Montana Notification enjoined or not enforced
Nebraska Notification enforced
Nevada       Notification enjoined or not enforced
New HampshireNo Law
New JerseyNotification enjoined or not enforced
New Mexico   Consent enjoined or not enforced
New York No Law
             Consent enforced an alternative to parental consent, such as a grandparent or a doctor-authorized waiver.
North Carolina            Provides
North Dakota              Policy
             Consent enforced involves both parents.
Ohio         Consent enforced
Oklahoma Notification and consent enforced
Oregon       No Law
Pennsylvania Consent enforced
Rhode Island Consent enforced
             Consent enforced an alternative to parental consent, such as a grandparent or a doctor-authorized waiver; applie
South Carolina            Provides
South Dakota Notification enforced
Tennessee Consent enforced
Texas        Notification and consent enforced
             35
United States Yes
Utah       Notification and consent enforced
Vermont No Law
Virginia                Provides
           Consent enforced an alternative to parental consent, such as a grandparent or a doctor-authorized waiver.
           No
Washington Law
           Notification Allows specified health professionals to waive parental involvement in limited circumstances.
West Virginia           enforced
                        Allows
Wisconsin Consent enforced specified health professionals to waive parental involvement in limited circumstances.
Wyoming Notification and consent enforced


Notes       Data as of January 1, 2010.
Definitions Enjoined or not enforced: Enforcement permanently enjoined by court order; policy not in effect. 
Sources Parental Involvement in Minors' Abortions, State Policies in Brief, as of January 1, 2010, Guttmacher Institute
of January 1, 2010




 in limited circumstances; applies to women under age 16; provides an alternative to parental notification, such as a grandparent or a doctor-




 nt or a doctor-authorized waiver.

 nt or a doctor-authorized waiver.




or a doctor-authorized waiver.




or a doctor-authorized waiver; applies to women under age 17.
or a doctor-authorized waiver.

 in limited circumstances.
 in limited circumstances.




olicy not in effect. 
anuary 1, 2010, Guttmacher Institute. Available at: http://www.guttmacher.org/statecenter/spibs/spib_PIMA.pdf
n, such as a grandparent or a doctor-authorized waiver.
Category Women's Health
           A
Subcategory bortion Policy
Topic      Partial Birth Abortion Bans
Full Title State Bans on Partial Birth Abortion as of January 1, 2010
Data Type Text

                        If Yes,       Applies a Health Exception
             State Has Ban on Ban IncludesThroughout Pregnancy or After Viability
                        ThroughoutNone
Alabama Yes Enjoined or not Enforced   pregnancy
Alaska                  ThroughoutNone pregnancy
             Yes Enjoined or not Enforced
Arizona      Yes        ThroughoutNone pregnancy
Arkansas Yes            ThroughoutNone pregnancy
California No           NA            NA
Colorado No             NA            NA
Connecticut oN          NA            NA
Delaware No             NA            NA
             No
District of Columbia NA               NA
Florida                 ThroughoutNone pregnancy
             Yes Enjoined or not Enforced
Georgia      Yes                      B
                        After viability road
Hawaii       No         NA            NA
Idaho                   ThroughoutNone pregnancy
             Yes Enjoined or not Enforced
Illinois                ThroughoutNone pregnancy
             Yes Enjoined or not Enforced
Indiana      Yes        ThroughoutNone pregnancy
Iowa                    ThroughoutNone pregnancy
             Yes Enjoined or not Enforced
Kansas       Yes                      B
                        After viability road
                        ThroughoutNone
Kentucky Yes Enjoined or not Enforced  pregnancy
Louisiana Yes           ThroughoutNone pregnancy
Maine        No         NA            NA
Maryland No             NA            NA
MassachusettsNo         NA            NA
                        ThroughoutNone
Michigan Yes Enjoined or not Enforced  pregnancy
Minnesota No            NA            NA
Mississippi Yes         ThroughoutNone pregnancy
Missouri Yes            ThroughoutNone pregnancy
Montana Yes                           N
                        After viability one
                        ThroughoutNone
Nebraska Yes Enjoined or not Enforced  pregnancy
Nevada       No         NA            NA
New HampshireNo         NA            NA
                        ThroughoutNone
New JerseyYes Enjoined or not Enforced pregnancy
New Mexico   Yes                      N
                        After viability arrow
New York No             NA            NA
             No
North Carolina          NA            NA
North Dakota Yes        ThroughoutNone pregnancy
Ohio         Yes                       pregnancy
                        ThroughoutNarrow
Oklahoma Yes            ThroughoutNone pregnancy
Oregon       No         NA            NA
Pennsylvania No         NA            NA
             Yes        ThroughoutNone
Rhode Island Enjoined or not Enforced  pregnancy
             Yes
South Carolina          ThroughoutNone pregnancy
South Dakota Yes        ThroughoutNone pregnancy
Tennessee Yes           ThroughoutNone pregnancy
Texas        No         NA            NA
             31
United States Yes       NA            4 Yes
Utah       Yes                   pregnancy
                     ThroughoutNone
Vermont No           NA         NA
Virginia   Yes                   pregnancy
                     ThroughoutNone
Washington No        NA         NA
           Yes       ThroughoutNone
                                 pregnancy
West Virginia Enjoined or not Enforced
                     ThroughoutNone
                                 pregnancy
Wisconsin Yes Enjoined or not Enforced
Wyoming No           NA         None


Notes         Data as of January 1, 2010.
Definitions   So-called "partial birth abortion" is not a medical term. These bans may be interpreted to prohibit certain abortion pr
Sources       Alan Guttmacher Institute, State Policies in Brief, "Bans on ''Partial Birth'' Abortion," as of January 1, 2010, av
Footnote 1    This policy is presumably unenforceable under the terms set out in Stenberg v. Carhart; however, it has not been ch
Footnote 2    Policy is currently in effect.
Footnote 3    This law is temporarily enjoined pending a final decision in the courts.
rpreted to prohibit certain abortion procedures including the D&X procedure (dilation and extraction) used in a small share of second trim
 on," as of January 1, 2010, available at http://www.guttmacher.org/statecenter/spibs/spib_BPBA.pdf.
 Carhart; however, it has not been challenged in court.
) used in a small share of second trimester abortions. These bans may also be interpreted to apply to the more common second trimester D
e more common second trimester D&E procedure (dilation and evacuation), which has led to controversy about the bans' scope. A Neb
oversy about the bans' scope. A Nebraska ban, for example, was struck down by the Supreme Court in part because the law could be interp
part because the law could be interpreted to prohibit the pre-viability D&E procedure, therefore imposing an undue burden on a woman
posing an undue burden on a woman''s right to terminate a pregnancy before viability, and because it lacked an exception for cases when the
ked an exception for cases when the woman's health was at risk.Enjoined or not in effect; Enforcement permanently enjoined by court order
permanently enjoined by court order; policy not in effect.
Category Women's Health
           A
Subcategory bortion Policy
Topic      Later-Term Abortions
Full Title State Later-Term Abortion Policies, as of January 1, 2010
Data Type Text

                        Threshold for Later-Term a Certain
                                   Later-Term Abortion Permitted When Threat
             State Prohibits Some Abortions After Abortions Point in Pregnancy to Woman's:
Alabama Yes             Viability  Life and physical health
Alaska       No         No         NA
Arizona      Yes        Viability  Life and health
Arkansas Yes            Viability  Life and health
California Yes          Viability  Life and health
Colorado No             No         NA
             Y
Connecticut es          Viability  Life and health
Delaware No             No         Life
             No
District of Columbia No            NA
Florida      Yes        24 Weeks Life and health
Georgia      Yes                   Life
                        3rd Trimester and health
Hawaii       No         No         NA
Idaho        Yes        Viability  Life
Illinois     Yes        Viability  Life and health
Indiana      Yes        Viability  Life and physical health
Iowa         Yes                   Life
                        3rd Trimester and health
Kansas       Yes        Viability  Life and health
Kentucky Yes            Viability  Life and health
Louisiana Yes           Viability  Life and health
Maine        Yes        Viability  Life and health
Maryland Yes            Viability  Life and health
MassachusettsYes        24 weeks Life and health
Michigan Yes            Viability  Life
Minnesota Yes           24 Weeks Life and Health
Mississippi No          No         NA
Missouri Yes            Viability  Life and health
Montana Yes             Viability  Life and physical health
Nebraska Yes            Viability  Life and health
Nevada       Yes        24 Weeks Life and health
New HampshireNo         No         NA
New JerseyNo            No         NA
New Mexico   No         No         NA
New York Yes            24 Weeks Life
             Yes
North Carolina          20 Weeks Life and health
North Dakota Yes        Viability  Life and health
Ohio         No         No         Life and physical health
Oklahoma Yes            Viability  Life and health
Oregon       No         No         NA
Pennsylvania Yes        24 Weeks Life and physical health
Rhode Island Yes        24 Weeks Life
             Yes
South Carolina                     Life
                        3rd Trimester and health
South Dakota Yes        24 Weeks Life and health
Tennessee Yes           Viability  Life and health
Texas        Yes                   Life
                        3rd Trimester and health
             38
United States Yes       NA         NA
Utah       Yes           Viability  Life and health
Vermont No               No         NA
Virginia   Yes                      Life
                         3rd Trimester and health
Washington Yes           Viability  Life and health
           No
West Virginia            No         NA
Wisconsin Yes            Viability  Life and health
Wyoming Yes              Viability  Life and health


Notes         Data as of January 1, 2010
Definitions   The U.S. Supreme Court has held that states may constitutionally ban or restrict abortions after the point of fetal via
Sources       Alan Guttmacher Institute, State Policies in Brief, "State Policies on Later-Term Abortions," January 1, 2010,
Footnote 1    Enforcement permanently enjoined by a court order; policy not in effect.
Footnote 2    Later-term abortions also permitted in case of fetal abnormality, in Utah the law applies to a lethal abnormality.
Footnote 3    If later-term abortions are done for mental health reasons, patient must have the certification of an independent psy
Footnote 4    Later-term abortions are also permitted in case of rape or incest.
ct abortions after the point of fetal viability except where necessary to preserve a woman''s life or health. Viability is defined by the Supreme C
 Abortions," January 1, 2010, available at http://www.guttmacher.org/statecenter/spibs/spib_PLTA.pdf.

 applies to a lethal abnormality.
e certification of an independent psychiatrist.
Viability is defined by the Supreme Court as "the capacity for meaningful life outside the womb, albeit with artificial aid" and not just moment
ith artificial aid" and not just momentary survival".NA: Not applicable.
Category Women's Health
           E
Subcategory mergency Contraception
Topic      Emergency Room EC Requirements
Full Title Emergency Room Requirements To Offer/Provide Sexual Assault Survivors with Emergency Contraception, as of J
Data Type Text

                        Room Required to Provide to Dispense EC upon
             EmergencyEmergency Room RequiredInformation about EC?request?
Alabama No              No
Alaska       No         No
Arizona      No         No
Arkansas Yes            No
California Yes          Yes
Colorado Yes            No
             Y
Connecticut es          Yes
Delaware No             No
             Yes
District of Columbia Yes
Florida      No         No
Georgia      No         No
Hawaii       No         No
Idaho        No         No
Illinois     Yes        No
Indiana      No         No
Iowa         No         No
Kansas       No         No
Kentucky No             No
Louisiana No            No
Maine        No         No
Maryland No             No
MassachusettsYes        Yes
Michigan No             No
Minnesota Yes           Yes
Mississippi No          No
Missouri No             No
Montana No              No
Nebraska No             No
Nevada       No         No
New HampshireNo         No
New JerseyYes           Yes
New Mexico   Yes        Yes
New York Yes            Yes
             No
North Carolina          No
North Dakota No         No
Ohio                    Not
             Not Enforced Enforced
Oklahoma No             No
Oregon       Yes        Yes
Pennsylvania Yes        Yes
Rhode Island No         No
             No
South Carolina          Yes
South Dakota No         No
Tennessee No            No
Texas        Yes        No
United States16+DC Yes13+DC Yes
Utah       Yes           Yes
Vermont No               No
Virginia   No            No
Washington Yes           Yes
           No
West Virginia            No
Wisconsin Yes            Yes
Wyoming No               No


Notes         Data as of January 1, 2010
Definitions   Emergency Contraception: a concentrated dose of hormone found in many regular birth control pills that can preven
Sources       Access to Emergency Contraception, State Policies in Brief, as of January 1, 2010, Guttmacher Institute. Ava
Footnote 1    A hospital may contract with an independent medical professional in order to provide the emergency contraception s
Footnote 2    A hospital may refuse based on religious or moral beliefs to provide emergency contraception when requested by a
th Emergency Contraception, as of January 1, 2010
 ular birth control pills that can prevent pregnancy when taken shortly after unprotected intercourse (most effectively, within 72 hours).
ry 1, 2010, Guttmacher Institute. Available at: http://www.agi-usa.org/pubs/spib_EC.pdf .
 ovide the emergency contraception services.
y contraception when requested by a woman who has been sexually assaulted. However, a refusing hospital is then required to immediately
t effectively, within 72 hours).


pital is then required to immediately transport the woman to the closest medical facility that will provide her with the medication.
her with the medication.
Category Women's Health
           E
Subcategory mergency Contraception
Topic      Pharmacist Provision of EC
Full Title Pharmacist Provision of Emergency Contraception to Women Without a Doctor's Prescription, as of January 1, 201
Data Type Text

                        May Dispense
             Pharmacist Condition Type EC without a Prescription?
Alabama No
Alaska       Yes        Collaborative Practice Agreement
Arizona      No
Arkansas No
California Yes          Collaborative Practice Agreement and State-Approved Protocol
Colorado No
Connecticut oN
Delaware No
             No
District of Columbia
Florida      No
Georgia      No
Hawaii       Yes        Collaborative Practice Agreement
Idaho        No
Illinois     No
Indiana      No
Iowa         No
Kansas       No
Kentucky No
Louisiana No
Maine        Yes        State-Approved Protocol
Maryland No
MassachusettsYes        Collaborative Practice Agreement
Michigan No
Minnesota No
Mississippi No
Missouri No
Montana No
Nebraska No
Nevada       No
New HampshireYes        Collaborative Practice Agreement
New JerseyNo
New Mexico   Yes        State-Approved Protocol
New York No
             No
North Carolina
North Dakota No
Ohio         No
Oklahoma No
Oregon       No
Pennsylvania No
Rhode Island No
             No
South Carolina
South Dakota No
Tennessee No
Texas        No
             9
United StatesYes        NA
Utah       No
Vermont Yes              Collaborative Practice Agreement
Virginia   No
Washington Yes           Collaborative Practice Agreement
           No
West Virginia
Wisconsin No
Wyoming No


Notes         Data as of January 1, 2010.Adults 18 and older do not need a prescription to obtain emergency contraception
Definitions   Emergency Contraception (EC): a concentrated dose of hormone found in many regular birth control pills that can p
Sources       Access to Emergency Contraception, State Policies in Brief, as of January 1, 2010, Guttmacher Institute. Ava
Footnote 1    Pharmacists may dispense any prescription drug, including Emergency Contraceptives.
r's Prescription, as of January 1, 2010
on to obtain emergency contraception in any state, but women under 18 are still required to obtain a prescription, except in states that allow p
  y regular birth control pills that can prevent pregnancy when taken shortly after unprotected intercourse (most effectively, within 72 hours).Co
 ry 1, 2010, Guttmacher Institute. Available at http://www.agi-usa.org/pubs/spib_EC.pdf .
scription, except in states that allow pharmacy provision. In these states, all women (including teens) can obtain emergency contraception dir
 (most effectively, within 72 hours).Collaborative Practice Agreements: Refers to the practice where prescribers (generally physicians, in som
n obtain emergency contraception directly from a pharmacist under a state-approved protocol, without obtaining a prescription in advance fro
 cribers (generally physicians, in some states includes nurse practitioners) authorize pharmacists to engage in specified activities including a
btaining a prescription in advance from a doctor.
age in specified activities including adjusting and/or initiating drug therapy.State-Approved Protocol: This state permits collaborative practice
s state permits collaborative practice agreements or a similar agreement between physicians and pharmacists. However, some modification
acists. However, some modification of existing statutes and/or regulations is required to allow pharmacists to initiate EC for the general com
sts to initiate EC for the general community.NA:  Not applicable.
Category Women's Health
           R
Subcategory efusal Policies For Health Services
Topic      Individual Provider Refusal Policies
Full Title States That Allow Individual Providers to Refuse Women's Health Services, as of January 1, 2010
Data Type Text

                        Abortion Providers to Refuse Services
                                                Sterilization
             State Allows Individual Contraception
Alabama No              NA           NA         NA
Alaska       Yes        Yes          No         No
Arizona      Yes        Yes          No         No
Arkansas Yes            Yes          Yes        Yes
California Yes          Yes          No         No
Colorado Yes            Yes          Yes        No
             Y
Connecticut es          Yes          No         No
Delaware Yes            Yes          No         No
             No
District of Columbia NA              NA         NA
Florida      Yes        Yes          Yes        No
Georgia      Yes        Yes          No         Yes
Hawaii       Yes        Yes          No         No
Idaho        Yes        Yes          No         Yes
Illinois     Yes        Yes          Yes        Yes
Indiana      Yes        Yes          No         No
Iowa         Yes        Yes          No         No
Kansas       Yes        Yes          No         Yes
Kentucky Yes            Yes          No         Yes
Louisiana Yes           Yes          No         No
Maine        Yes        Yes          Yes        No
Maryland Yes            Yes          No         Yes
MassachusettsYes        Yes          No         Yes
Michigan Yes            Yes          No         No
Minnesota Yes           Yes          No         No
Mississippi Yes         Yes          Yes        Yes
Missouri Yes            Yes          No         No
Montana Yes             Yes          No         Yes
Nebraska Yes            Yes          No         No
Nevada       Yes        Yes          No         No
New HampshireNo         NA           NA         NA
New JerseyYes           Yes          No         Yes
New Mexico   Yes        Yes          No         No
New York Yes            Yes          No         No
             Yes
North Carolina          Yes          No         No
North Dakota Yes        Yes          No         No
Ohio         Yes        Yes          No         No
Oklahoma Yes            Yes          No         No
Oregon       Yes        Yes          No         No
Pennsylvania Yes        Yes          No         Yes
Rhode Island Yes        Yes          No         Yes
             Yes
South Carolina          Yes          No         No
South Dakota Yes        Yes          No         No
Tennessee Yes           Yes          Yes        No
Texas        Yes        Yes          No         No
             47
United States Yes       46 Yes       8 Yes      16 Yes
Utah       Yes           Yes         No          No
Vermont No               NA          NA          NA
Virginia   Yes           Yes         No          No
Washington Yes           Yes         Yes         Yes
           Yes
West Virginia            No          No          Yes
Wisconsin Yes            Yes         No          Yes
Wyoming Yes              Yes         No          No


Notes         Data as of January 1, 2010.Refusal clauses may apply to one or a combination of the following: individual hea
Definitions   NA: Not applicable.
Sources       Refusing to Provide Health Services, State Policies in Brief, as of January 1, 2010, Guttmacher Institute. Ava
Footnote 1    Includes pharmacists.
Footnote 2    Pharmacists have a duty to dispense valid prescriptions and can only refuse to dispense a prescription, including co
Footnote 3    A broadly worded refusal clause may apply to pharmacists.
Footnote 4    An expansion of the state's abortion refusal clause is temporarily enjoined pending the outcome of litigation; the prio
Footnote 5    Temporarily enjoined; law not in effect pending the outcome of litigation.
of January 1, 2010
ination of the following: individual health care providers, pharmacists, health care facilities, and/or insurers, which may potentially include em

y 1, 2010, Guttmacher Institute. Available at http://www.guttmacher.org/statecenter/spibs/spib_RPHS.pdf.

 dispense a prescription, including contraceptives, when their employers approve the refusal and the woman can still access her prescription

ding the outcome of litigation; the prior law is in effect.
rs, which may potentially include employers. For more information about institutions, go to Institutional Refusal Policies.



man can still access her prescription in a timely manner.
Refusal Policies.
Category Women's Health
           R
Subcategory efusal Policies For Health Services
Topic      Institutional Refusal Policies
Full Title States That Allow Institutions to Refuse Women's Health Services, as of January 1, 2010
Data Type Text

                        Abortion Contraception   Services
             State Allows Institutions to Refuse Sterilization
Alabama No              NA           NA          NA
Alaska       Yes        Yes          No          No
Arizona      Yes        Yes          No          No
Arkansas Yes            Yes          Yes         Yes
California Yes          Yes          No          No
Colorado Yes            Yes          Yes         No
Connecticut oN          NA           NA          NA
Delaware Yes            Yes          No          No
             No
District of Columbia NA              NA          NA
Florida      Yes        Yes          No          No
Georgia      Yes        Yes          No          Yes
Hawaii       Yes        Yes          No          No
Idaho        Yes        Yes          No          Yes
Illinois     Yes        Yes          Yes         Yes
Indiana      Yes        Yes          No          No
Iowa         Yes        Yes          No          No
Kansas       Yes        Yes          No          Yes
Kentucky Yes            Yes          No          No
Louisiana Yes           Yes          No          No
Maine        Yes        Yes          Yes         No
Maryland Yes            Yes          No          Yes
MassachusettsYes        Yes          Yes         Yes
Michigan Yes            Yes          No          No
Minnesota Yes           Yes          No          No
Mississippi Yes         Yes          Yes         Yes
Missouri Yes            Yes          No          No
Montana Yes             Yes          No          Yes
Nebraska Yes            Yes          No          No
Nevada       Yes        Yes          No          No
New HampshireNo         NA           NA          NA
New JerseyYes           Yes          Yes         Yes
New Mexico   Yes        Yes          No          Yes
New York No             NA           NA          NA
             Yes
North Carolina          Yes          No          No
North Dakota Yes        Yes          No          No
Ohio         Yes        Yes          No          No
Oklahoma Yes            Yes          No          No
Oregon       Yes        Yes          No          No
Pennsylvania Yes        Yes          No          Yes
Rhode Island No         NA           NA          NA
             Yes
South Carolina          Yes          No          No
South Dakota Yes        Yes          No          No
Tennessee Yes           Yes          Yes         No
Texas        Yes        Yes          No          No
             44
United States Yes       43 Yes       9 Yes       15 Yes
Utah       Yes           Yes         No          No
Vermont No               NA          NA          NA
Virginia   Yes           Yes         No          No
Washington Yes           Yes         Yes         Yes
           Yes
West Virginia            No          No          Yes
Wisconsin Yes            Yes         No          Yes
Wyoming Yes              Yes         No          No


Notes         Data as of January 1, 2010Refusal clauses may apply to one or a combination of the following: individual hea
Definitions   NA: Not applicable.
Sources       Refusing to Provide Health Services, State Policies in Brief, as of January 1, 2010, Guttmacher Institut
Footnote 1    Exemption limited to private entities.
Footnote 2    Exemption limited to religious entities.
Footnote 3    A broadly worded refusal clause may apply to pharmacies.
Footnote 4    State law requires pharmacies to fill valid contraceptive prescriptions.
Footnote 5    The policy in Washington that requires pharmacies dispense valid prescriptions and deliver FDA-approved drugs, s
Footnote 6    Pharmacies have a duty to fill valid prescriptions.
Footnote 7    An expansion of the state's abortion refusal clause is temporarily enjoined pending the outcome of litigation; the prio
Footnote 8    Temporarily enjoined; law not in effect pending the outcome of litigation.
nation of the following: individual health care providers, pharmacists, health care facilities, and/or insurers, which may potentially include emp

y 1, 2010, Guttmacher Institute. Available at http://www.guttmacher.org/statecenter/spibs/spib_RPHS.pdf.




s and deliver FDA-approved drugs, such as Plan B, is not in effect pending the outcome of a court case.

ding the outcome of litigation; the prior law is in effect.
rs, which may potentially include employers.
Category Women's Health
           W
Subcategory omen's Health Status
Topic      Breast Cancer Rate
Full Title Breast Cancer Incidence Rate per 100,000 Women, 2005
Data Type Rate


Alabama          113.8
Alaska           127.1
Arizona           96.4
Arkansas         105.5
California       120.5
Colorado         123.4
Connecticut      133.3
Delaware         132.4
                 118.1
District of Columbia
Florida          109.9
Georgia          113.4
Hawaii           118.1
Idaho            108.6
Illinois         119.5
Indiana          107.5
Iowa             121.8
Kansas           123.7
Kentucky         116.8
Louisiana        118.3
Maine              130
Maryland NA
Massachusetts 130.1
Michigan         120.4
Minnesota        124.5
Mississippi      104.5
Missouri         119.9
Montana          119.7
Nebraska         119.6
Nevada           107.3
New Hampshire 131
New Jersey       125.3
New Mexico       107.8
New York         120.8
North Carolina 118.5
North Dakota 117.9
Ohio             117.6
Oklahoma           123
Oregon           128.7
Pennsylvania 121.6
Rhode Island 119.7
South Carolina 117.3
South Dakota 120.6
Tennessee        120.7
Texas            112.3
United States 117.7
Utah              107.5
Vermont           118.2
Virginia          115.6
Washington        131.7
West Virginia     114.4
Wisconsin NA
Wyoming           105.7


Notes         Data are for 2005. Figures reflect the number of new cases of invasive cancer per 100,000 women per year. These
Definitions    NA: Not Available.
Sources       U.S. Cancer Statistics Working Group. United States Cancer Statistics: 1999-2005 Incidence and Mortality Web-ba
Footnote 1    Data are based on mathematical assumptions due to the impact of Hurricane Katrina and Rita on cancer registry op
per 100,000 women per year. These figures are age-adjusted to the 2000 U.S. standard population.Data are from selected statewide and me

 005 Incidence and Mortality Web-based Report. Atlanta (GA): Department of Health and Human Services, Centers for Disease Control and
Katrina and Rita on cancer registry operations and population. See Technical Notes in the data source for more information.
a are from selected statewide and metropolitan area cancer registries that meet the data quality criteria for all invasive cancer sites combined

es, Centers for Disease Control and Prevention, and National Cancer Institute; 2009. Available at http://apps.nccd.cdc.gov/uscs/.
r more information.
or all invasive cancer sites combined. See registry-specific data quality information. Rates cover approximately 96% of the U.S. population.

apps.nccd.cdc.gov/uscs/.
imately 96% of the U.S. population.
Category Women's Health
           W
Subcategory omen's Health Status
Topic      Breast Cancer Rate by R/E
Full Title Breast Cancer Incidence Rate per 100,000 Women by R/E, 2005
Data Type Rate

             White        Black        Hispanic
Alabama          109.8         120.7   NA
Alaska           132.7    NA           NA
Arizona            98.1         85.7           68
Arkansas         106.4          95.8   NA
California       126.2         117.9        88.2
Colorado            123           85           93
Connecticut      136.7         106.7         135
Delaware         131.6         141.9       151.6
                    1
District of Columbia25         108.8        94.7
Florida          112.4          90.5   NA
Georgia          114.5         113.7        51.1
Hawaii           119.6    NA               157.8
Idaho            109.9    NA                63.5
Illinois         120.5         117.1           88
Indiana          107.6         100.8        61.6
Iowa             122.7          77.5        87.2
Kansas           123.4         119.5       101.4
Kentucky         115.1         121.9   NA
Louisiana        117.9         119.3        61.8
Maine            128.8    NA           NA
Maryland NA               NA           NA
Massachusetts 131.9            118.7        91.2
Michigan         120.8         115.2        91.5
Minnesota        124.3          94.1       105.7
Mississippi      100.9         108.2   NA
Missouri            120        123.2        84.2
Montana          118.6    NA           NA
Nebraska         120.2           110        96.3
Nevada           108.7          96.1        77.8
New Hampshire 130.7       NA               203.3
New Jersey       129.5         108.4        99.6
New Mexico       113.6    NA                94.4
New York         125.4         100.4        93.8
North Carolina      119        115.5       106.9
North Dakota 117.8        NA           NA
Ohio             114.7         120.1        96.9
Oklahoma         123.1         125.9       110.5
Oregon           127.5            87        98.2
Pennsylvania 121.4             116.4   NA
Rhode Island 120.2             120.6       127.6
South Carolina 119.3           108.3   NA
South Dakota 120.6        NA           NA
Tennessee        120.7         114.4        78.8
Texas            111.9         119.2        90.2
United States 119.1            110.2        89.8
Utah                109 NA                85.7
Vermont             118 NA       NA
Virginia          116.1    114.5          81.4
Washington        132.1    121.1           104
West Virginia     115.6     80.7 NA
Wisconsin NA            NA       NA
Wyoming           106.3 NA       NA


Notes         Data are for 2005. Figures reflect the number of new cases of invasive cancer per 100,000 women per year.These
Definitions   NA: Data not available. NSD: Rates are suppressed if fewer than 16 cases were reported.NR: Rates are suppresse
Sources       U.S. Cancer Statistics Working Group. United States Cancer Statistics: 1999-2005 Incidence and Mortality Web-ba
Footnote 1    Data are based on mathematical assumptions due to the impact of Hurricane Katrina and Rita on cancer registry op
 per 100,000 women per year.These figures are age-adjusted to the 2000 U.S. standard population.Data are from selected statewide and me
 e reported.NR: Rates are suppressed at state's request.
 005 Incidence and Mortality Web-based Report. Atlanta (GA): Department of Health and Human Services, Centers for Disease Control and
Katrina and Rita on cancer registry operations and population. See Technical Notes in the data source for more information.
 are from selected statewide and metropolitan area cancer registries that meet the data quality criteria for all invasive cancer sites combined

es, Centers for Disease Control and Prevention, and National Cancer Institute; 2009. Available at http://apps.nccd.cdc.gov/uscs/.
r more information.
or all invasive cancer sites combined. See registry-specific data quality information. Rates cover approximately 96% of the U.S. population. D

apps.nccd.cdc.gov/uscs/.
mately 96% of the U.S. population. Data for specified racial or ethnic populations other than white and black should be interpreted with cautio
lack should be interpreted with caution. See Technical Notes. Hispanic origin is not mutually exclusive from race categories (white, black).
om race categories (white, black).
Category Women's Health
           W
Subcategory omen's Health Status
Topic      Cervical Cancer Rate
Full Title Cervical Cancer Incidence Rate per 100,000 Women, 2005
Data Type Rate


Alabama            8.5
Alaska             8.8
Arizona            6.3
Arkansas           9.8
California         8.4
Colorado           6.3
Connecticut          6
Delaware           8.7
                  12.8
District of Columbia
Florida            9.5
Georgia            8.1
Hawaii             6.2
Idaho              7.5
Illinois           8.4
Indiana              7
Iowa               7.1
Kansas             7.7
Kentucky           9.3
Louisiana            9
Maine              6.3
Maryland NA
Massachusetts        6
Michigan             7
Minnesota          6.3
Mississippi        7.3
Missouri           8.2
Montana            3.5
Nebraska           7.4
Nevada            10.1
New Hampshire 7.4
New Jersey         8.2
New Mexico         8.9
New York           8.9
North Carolina     8.1
North Dakota       5.3
Ohio               7.9
Oklahoma           8.4
Oregon             5.8
Pennsylvania       7.9
Rhode Island       7.9
South Carolina     7.6
South Dakota       8.6
Tennessee          8.9
Texas              9.1
United States      8.1
Utah                 6.3
Vermont              5.9
Virginia             6.8
Washington           6.6
West Virginia       10.5
Wisconsin NA
Wyoming              6.7


Notes         Data are for 2005. Figures reflect the number of new cases of invasive cancer per 100,000 women per year. These
Definitions   Cervical cancer is the uncontrolled growth of abnormal cell changes in the cervix, the lower part of the uterus, which
Sources       U.S. Cancer Statistics Working Group. United States Cancer Statistics: 1999-2005 Incidence and Mortality Web-ba
Footnote 1    Data are based on mathematical assumptions due to the impact of Hurricane Katrina and Rita on cancer registry op
 per 100,000 women per year. These figures are age-adjusted to the 2000 U.S. standard population.Data are from selected statewide and me
 ix, the lower part of the uterus, which opens into the vagina. Nearly all cervical cancer is caused by 10 to 15 high-risk types of a common sex
 005 Incidence and Mortality Web-based Report. Atlanta (GA): Department of Health and Human Services, Centers for Disease Control and
Katrina and Rita on cancer registry operations and population. See Technical Notes in the data source for more information.
a are from selected statewide and metropolitan area cancer registries that meet the data quality criteria for all invasive cancer sites combined
o 15 high-risk types of a common sexually transmitted virus called the human papillomavirus (HPV). In most cases, the virus disappears with
es, Centers for Disease Control and Prevention, and National Cancer Institute; 2009. Available at http://apps.nccd.cdc.gov/uscs/.
 r more information.
 or all invasive cancer sites combined. See registry-specific data quality information. Rates cover approximately 93% of the U.S. population.
most cases, the virus disappears within two years without symptoms or treatment. In a small percentage of women, however, the virus persis
apps.nccd.cdc.gov/uscs/.
imately 93% of the U.S. population.
of women, however, the virus persists and normal cervical cells gradually change into abnormal, precancerous cells (also called cervical les
ncerous cells (also called cervical lesions).NA: Not Available.
Category Women's Health
           W
Subcategory omen's Health Status
Topic      Cervical Cancer Rate by R/E
Full Title Cervical Cancer Incidence Rate per 100,000 Women by R/E, 2005
Data Type Rate

             White        Black        Hispanic
Alabama               8           11.1 NA
Alaska              8.3   NA           NA
Arizona             5.9   NA                10.4
Arkansas            9.5           13.1 NA
California          8.6            7.3      13.1
Colorado            6.2   NA                   11
Connecticut         5.9   NA                  8.8
Delaware            8.4   NA           NA
             NA
District of Columbia              13.3 NA
Florida             9.1           11.8 NA
Georgia             7.4           10.8        8.2
Hawaii       NA           NA           NA
Idaho               7.4   NA           NA
Illinois            7.8             13         11
Indiana               7            6.1 NA
Iowa                  7   NA           NA
Kansas              7.2   NA           NA
Kentucky              9           11.3 NA
Louisiana           8.5           10.3 NA
Maine               6.1   NA           NA
Maryland NA               NA           NA
Massachusetts       5.8            8.5      13.2
Michigan            6.8            8.7      14.2
Minnesota           5.7   NA           NA
Mississippi         6.4            9.4 NA
Missouri              8           11.7 NA
Montana             3.6   NA           NA
Nebraska            7.4   NA           NA
Nevada             10.2   NA                12.5
New Hampshire 7.5         NA           NA
New Jersey          7.9           11.8      14.2
New Mexico          8.7   NA                  8.8
New York            7.9           12.8      13.1
North Carolina      7.7            9.2      16.2
North Dakota NA           NA           NA
Ohio                7.9            8.2 NA
Oklahoma            7.9   NA           NA
Oregon              5.5   NA           NA
Pennsylvania        7.5            9.3 NA
Rhode Island        6.4   NA           NA
South Carolina      6.9            9.3 NA
South Dakota        8.1   NA           NA
Tennessee           8.5           10.7 NA
Texas               9.2           10.2      13.5
United States       7.7           10.3      12.4
Utah                 5.9   NA          NA
Vermont                6   NA          NA
Virginia             6.7         6.7         9.9
Washington           6.6 NA                 15.9
West Virginia       10.6 NA            NA
Wisconsin NA             NA            NA
Wyoming              6.6 NA            NA


Notes         Data are for 2005. Figures reflect the number of new cases of invasive cancer per 100,000 women per year.These
Definitions   Cervical cancer is the uncontrolled growth of abnormal cell changes in the cervix, the lower part of the uterus, which
Sources       U.S. Cancer Statistics Working Group. United States Cancer Statistics: 1999-2005 Incidence and Mortality Web-ba
Footnote 1    Data are based on mathematical assumptions due to the impact of Hurricane Katrina and Rita on cancer registry op
 per 100,000 women per year.These figures are age-adjusted to the 2000 U.S. standard population.Data are from selected statewide and me
 ix, the lower part of the uterus, which opens into the vagina. Nearly all cervical cancer is caused by 10 to 15 high-risk types of a common sex
 005 Incidence and Mortality Web-based Report. Atlanta (GA): Department of Health and Human Services, Centers for Disease Control and
Katrina and Rita on cancer registry operations and population. See Technical Notes in the data source for more information.
  are from selected statewide and metropolitan area cancer registries that meet the data quality criteria for all invasive cancer sites combined
o 15 high-risk types of a common sexually transmitted virus called the human papillomavirus (HPV). In most cases, the virus disappears with
es, Centers for Disease Control and Prevention, and National Cancer Institute; 2009. Available at http://apps.nccd.cdc.gov/uscs/.
 r more information.
or all invasive cancer sites combined. See registry-specific data quality information. Rates cover approximately 96% of the U.S. population. D
most cases, the virus disappears within two years without symptoms or treatment. In a small percentage of women, however, the virus persis
apps.nccd.cdc.gov/uscs/.
mately 96% of the U.S. population. Data for specified racial or ethnic populations other than white and black should be interpreted with cautio
of women, however, the virus persists and normal cervical cells gradually change into abnormal, precancerous cells (also called cervical les
 lack should be interpreted with caution. See Technical Notes. Hispanic origin is not mutually exclusive from race categories (white, black).
ncerous cells (also called cervical lesions).NA: Data not available. NSD: Rates are suppressed if fewer than 16 cases were reported.NR: Rat
 om race categories (white, black).
han 16 cases were reported.NR: Rates are suppressed at state's request.

				
DOCUMENT INFO