Objective: We examine the association of the Hyde Amendment with obstetrical outcomes in a national Medicaid population.
Study Design: We conducted a national study of Medicaid-funded abortions to determine the association of restrictions on adolescent, preterm, low-birth weight, and short interpregnancy interval births using administrative data.
Results: States that restricted coverage for abortion had a higher median rate of adolescent (10.2%; vs 7.4%; p-value < 0.001), preterm (11.4%; vs 10.1%; p < 0.001), short interpregnancy interval, (13.0% vs 9.6%; p < 0.001), and low birth weight births (10.2% vs 8.7%; p = 0.003) than states where Medicaid provided comprehensive coverage.
Conclusions: Restricting federal funds for abortion is associated with adverse outcomes.
Implications: When Medicaid does not provide comprehensive coverage for abortion care, few abortions are provided and higher rates of adverse obstetrical outcomes are noted.
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| http://dx.doi.org/10.1016/j.contraception.2023.110116 | DOI Listing |
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