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Pennsylvania

Josh Shapiro
Governor Josh Shapiro has taken direct action to defend and expand reproductive freedom in Pennsylvania, focusing on improving access to reproductive healthcare and safeguarding women’s rights to make their own healthcare decisions.

Josh Shapiro

Governor
Access to Over-The-Counter Contraceptives
Governor Josh Shapiro urged health insurers to cover over-the-counter contraceptives, including the newly approved birth control pill Opill. This initiative significantly enhances access to contraception by removing financial barriers and simplifying the process for obtaining birth control, which can save women up to $250 annually.

Access to Over-The-Counter Contraceptives

Featured Action
When Pennsylvanians chose me as their Governor, they made clear that they support a woman’s freedom to choose. Since taking office, I’ve unequivocally supported that freedom and the right to access a full scope of reproductive health care, including over-the-counter birth control.

Governor Josh Shapiro, Pennsylvania

KEY ACTIONS

  • Challenging Mifepristone Restrictions
  • Pennsylvania
  • Pennsylvania
  • August 20, 2025

    Challenging Mifepristone Restrictions

    In August 2025, Pennsylvania joined a multi-state coalition in filing a petition to the U.S. Food and Drug Administration to remove medically unnecessary, burdensome restrictions on mifepristone, a safe and effective abortion medication. The petition states that “given mifepristone’s well-established safety record in the United States over the last 25 years, its critical importance for abortion care and miscarriage management in Petitioner States, and the undue burdens the Mifepristone REMS Program places on patient access and the health care delivery system, the Mifepristone REMS Program should be removed in its entirety, or alternatively, FDA should exercise its discretion not to enforce the Mifepristone REMS Program (or elements thereof) in Petitioner States.”

    Lawsuit Protecting Planned Parenthood Funding
  • Pennsylvania
  • Pennsylvania
  • July 25, 2025

    Lawsuit Protecting Planned Parenthood Funding

    Pennsylvania joined 22 other states and the District of Columbia in filing a lawsuit against the Trump administration, challenging the 2025 budget reconciliation provision that prohibits Planned Parenthood health centers and a small number of other reproductive health care providers from receiving Medicaid reimbursements for one year if they meet certain qualifications. In the lawsuit, the States have argued that that the defunding provision violates a number of constitutional requirements, including the Spending Clause of the Constitution, will have a harmful impact on their states’ residents, and violates Planned Parenthood’s First Amendment rights.  This lawsuit aims to protect Medicaid patients’ access to reproductive health care by keeping long-standing, essential Medicaid health care providers in the program.

    Allegheny Reproductive Health Center v. Pennsylvania Department of Human Services
  • Pennsylvania
  • Pennsylvania
  • July 16, 2025

    Allegheny Reproductive Health Center v. Pennsylvania Department of Human Services

    In both 2024 and 2025, Governor Shapiro and the Pennsylvania Department of Human Services did not defend the state’s Medicaid coverage exclusion on abortion, amidst legal challenges to its constitutionality. The Pennsylvania Supreme Court ultimately overturned its precedent upholding a prohibition on public funding for abortion, allowing challenges to the state’s Medicaid coverage exclusion on abortion based on the Equal Rights Amendment and equal protection provisions of the Pennsylvania Constitution.

    Amicus Brief in Food and Drug Administration, et al., v. Alliance for Hippocratic Medicine
  • Pennsylvania
  • Pennsylvania
  • Amicus Brief in Food and Drug Administration, et al., v. Alliance for Hippocratic Medicine

    Governor Shapiro and 21 other governors filed an amicus brief with the U.S. Supreme Court in support of abortion rights in Food and Drug Administration, et al., v. Alliance for Hippocratic Medicine. In this brief, the Reproductive Freedom Alliance governors argued that if the Court reverses FDA approval of Mifepristone and limits access to the vital medicine, it could undermine Governors’ ability to provide adequate healthcare services and would have far-reaching implications beyond reproductive healthcare.

    Coverage For OTC Contraception
  • Pennsylvania
  • Pennsylvania
  • July 19, 2024

    Coverage For OTC Contraception

    In April 2024, Governor Shapiro announced new guidelines requiring insurers to cover OTC birth control, potentially saving women up to $250 annually. The new guidelines also allow for the Pennsylvania Insurance Department to hold insurers accountable by asking for explanations if they fail to comply with these requirements​.

    Blocked an Extremist Amendment to the Pennsylvania Constitution that Would Have Made Clear that Pennsylvania Women Have No Right to an Abortion
  • Pennsylvania
  • Pennsylvania
  • July 19, 2024

    Blocked an Extremist Amendment to the Pennsylvania Constitution that Would Have Made Clear that Pennsylvania Women Have No Right to an Abortion

    In 2023, House Democrats were able to prevent this anti-abortion constitutional amendment from passing, thanks in part to Shapiro’s advocacy​. If passed for a second time, this bill would have put forth a ballot measure, which, if passed, would have amended the Pennsylvania Constitution to say that the constitution grants no abortion rights.

    Ended State Funding For Crisis Pregnancy Centers
  • Pennsylvania
  • Pennsylvania
  • July 19, 2024

    Ended State Funding For Crisis Pregnancy Centers

    Governor Shapiro’s administration terminated state funding for Real Alternatives, a long standing supporter of and partner with fake clinics, also known as crisis pregnancy centers, effective at the end of 2023.

    Authored Letter To The Biden Administration To Ensure Over the Counter Contraception Insurance Coverage
  • Pennsylvania
  • Pennsylvania
  • July 19, 2024

    Authored Letter To The Biden Administration To Ensure Over the Counter Contraception Insurance Coverage

    In December 2023, Governor Shapiro, along with five other governors in the Reproductive Freedom Alliance, sent a letter to the Department of Health and Human Services urging them to ensure that over the counter (OTC) contraception is covered by insurance without requiring a prescription.

    Senate Bill 739
  • Pennsylvania
  • Pennsylvania
  • July 1, 2024

    Senate Bill 739

    In July 2024, Governor Shapiro signed Senate Bill 739 into law, requiring most health insurance plans to cover health care services provided through telemedicine, and in turn, expanding access to telemedicine services for residents across the Commonwealth.

    IN THE NEWS

  • See More
  • Shapiro asks Biden Administration to have over-the-counter birth control pill covered by insurers
  • The Keystone
  • Pennsylvania
  • The Keystone
  • Pennsylvania
  • December 6, 2023 • Sean Kitchen

    Shapiro asks Biden Administration to have over-the-counter birth control pill covered by insurers

    Sean Kitchen

    Shapiro and five governors from the Reproductive Freedom Alliance sent a letter to the Biden Administration to make sure the first ever approved over-the-counter birth control pill is fully covered by the Affordable Care Act.

    After nearly 30 years, Pennsylvania will end state funding for anti-abortion counseling centers
  • Associated Press
  • Pennsylvania
  • Associated Press
  • Pennsylvania
  • September 1, 2023 • Brooke Schultz & Kimberlee Kruesi

    After nearly 30 years, Pennsylvania will end state funding for anti-abortion counseling centers

    Brooke Schultz & Kimberlee Kruesi

    For nearly 30 years, Democratic and Republican lawmakers in Pennsylvania have approved millions of taxpayer dollars for an anti-abortion program.

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