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One state, Maryland, has a Medicaid program that has long covered the cost of abortion care. The other five states, Alabama, Delaware, Iowa, Ohio, and South Carolina, have Medicaid programs that do not cover the cost of abortion care. Our sample includes 8972 women residing in the study states.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Our outcome, cumulative lifetime abortion incidence, is identified using an indirect survey method, the double list experiment. We use a multivariate regression of cumulative lifetime abortion on variables including whether women were Medicaid\u2010insured and whether they were residing in Maryland versus in one of the other five states.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Collection\/Extraction Methods<\/jats:title><jats:p>This study used secondary survey data.<\/jats:p><\/jats:sec><jats:sec><jats:title>Principal Findings<\/jats:title><jats:p>We estimate that Medicaid coverage of abortion care in Maryland is associated with a 37.0 percentage\u2010point (95% CI: 12.3\u201361.4) higher cumulative lifetime abortion incidence among Medicaid\u2010insured women relative to women not insured by Medicaid compared with those differences by insurance status in states whose Medicaid programs do not cover the cost of abortion care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>We found that Medicaid coverage of abortion care is associated with a much higher lifetime incidence of abortion among individuals insured by Medicaid. We infer that Medicaid coverage of abortion care costs may have a very large impact on the accessibility of abortion care for low\u2010income women.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1475-6773.14358","type":"journal-article","created":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T23:45:42Z","timestamp":1721087142000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Lifetime abortion incidence when abortion care is covered by Medicaid: Maryland versus five comparison states"],"prefix":"10.1111","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0228-3855","authenticated-orcid":false,"given":"Heide M.","family":"Jackson","sequence":"first","affiliation":[{"name":"Maryland Population Research Center University of Maryland at College Park  College Park Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael S.","family":"Rendall","sequence":"additional","affiliation":[{"name":"Maryland Population Research Center and Department of Sociology University of Maryland at College Park  College Park Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,7,15]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2022.12397"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.2742"},{"volume-title":"State Funding of Abortions Under Medicaid","year":"2022","key":"e_1_2_7_4_1"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2020.03.004"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475\u20106773.2012.01443.x"},{"volume-title":"The Hyde Amendment and Coverage for Abortion Services","year":"2021","author":"Salganicoff A","key":"e_1_2_7_7_1"},{"key":"e_1_2_7_8_1","unstructured":"Chapter 138 Appropriations \u2013 Health and Human Services S.F. 446.2013.https:\/\/www.legis.iowa.gov\/docs\/publications\/iactc\/85.1\/CH0138.pdf"},{"volume-title":"The Turnaway Study: Ten Years, a Thousand Women, and the Consequences of Having\u2014Or Being Denied\u2014An Abortion","year":"2021","author":"Foster DG","key":"e_1_2_7_9_1"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2014.01.003"},{"key":"e_1_2_7_11_1","unstructured":"How much does an abortion cost?2022.https:\/\/www.plannedparenthood.org\/blog\/how-much-does-an-abortion-cost"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2020.07.001"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0167-6296(98)00048-4"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.2307\/146045"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.84.9.1468"},{"key":"e_1_2_7_16_1","unstructured":"PhilbinJ FuentesL KirsteinM.Estimating the effect of Medicaid coverage on abortion occurrence: an application of synthetic difference\u2010in\u2010differences. 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