Skip to main content

The context you need, when you need it

When news breaks, you need to understand what actually matters — and what to do about it. At Vox, our mission to help you make sense of the world has never been more vital. But we can’t do it on our own.

We rely on readers like you to fund our journalism. Will you support our work and become a Vox Member today?

Join now

The Trump administration is weakening birth control access. One state is pushing back.

A new Massachusetts law will protect residents’ contraceptive access, no matter what the federal government does.

Supporters of contraceptive access rally outside the Supreme Court in Washington, DC, March 23, 2016
Supporters of contraceptive access rally outside the Supreme Court in Washington, DC, March 23, 2016
Supporters of contraceptive access rally outside the Supreme Court in Washington, DC, on March 23, 2016.
Saul Loeb/AFP/Getty Images
Anna North
Anna North is a senior correspondent for Vox, where she covers American family life, work, and education. Previously, she was an editor and writer at the New York Times. She is also the author of four novels, including the forthcoming Bog Queen, which you can preorder here.

Last month, the Trump administration weakened an Obama-era mandate requiring most employers to offer copay-free insurance coverage for birth control. Now Massachusetts has become the first state to respond by safeguarding contraceptive access for its residents.

Regulations issued by the Trump administration in October allow any employer to request an exemption from the contraceptive mandate for religious or moral reasons. But a new Massachusetts law requires that insurers in the state continue providing coverage for contraception without a copay, Shira Schoenberg reported for the Springfield Republican. That means that in most cases, even if a Massachusetts employer qualified for an exemption under the federal rules, it would still be required to offer its employees contraceptive coverage. The Massachusetts law, signed on Monday by the state’s Republican governor, Charlie Baker, allows exemptions only for churches and church-controlled organizations.

In addition to insulating residents from the impact of the new Trump administration regulations, the law also protects birth control access in Massachusetts in the event of a repeal or major change to the Affordable Care Act, which could also affect the contraceptive mandate. In essence, most Massachusetts residents will be covered no matter what the federal government does.

Other states have taken action recently to shore up protections for residents’ reproductive health. A law passed in Oregon this year requires insurers to cover birth control, abortion, and a variety of other reproductive health services without a copay. A law signed in September by Illinois Gov. Bruce Rauner expands that state’s Medicaid coverage for abortion.

Meanwhile, the University of Notre Dame became one of the first major employers to take advantage of the Trump administration’s new regulations, announcing in October that it would drop birth control coverage for faculty, staff, and students on its plan. However, the university soon reversed its decision, and it appears that employees and students will retain coverage.

The Massachusetts law passed both houses of the state legislature by wide margins and, according to the Republican, was supported by insurers as well as reproductive health advocates.

“The federal administration seems set on taking women backwards,” Massachusetts Attorney General Maura Healey told the newspaper. “It’s wonderful to see Massachusetts make a statement that we’re not going to stand for it.”

More in Health Care

Health
Hantavirus will test if the world learned anything from CovidHantavirus will test if the world learned anything from Covid
Health

The hantavirus outbreak is still small. But it’s a huge test for a battered public health sector.

By Dylan Scott
Health
How worried should I be about hantavirus?How worried should I be about hantavirus?
Health

5 questions about the hantavirus cruise ship outbreak, answered.

By Dylan Scott
Good Medicine
Do health influencers actually know what they’re talking about?Do health influencers actually know what they’re talking about?
Good Medicine

Most health influencers don’t have real credentials — but they are more influential than ever.

By Dylan Scott
Health
A major new study found AI outperformed doctors in ER diagnosis — but there’s a catchA major new study found AI outperformed doctors in ER diagnosis — but there’s a catch
Health

An Open AI model posted impressive results in emergency care. But we still need human doctors.

By Dylan Scott
Health
Please don’t inject yourself with bootleg peptidesPlease don’t inject yourself with bootleg peptides
Health

Why Americans have gone wild self-experimenting with the hottest thing in wellness: Peptides.

By Dylan Scott
Health
RFK Jr. is in his influencer eraRFK Jr. is in his influencer era
Health

The real reason Trump’s health secretary is launching a podcast.

By Dylan Scott