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Project 2025 Would Take Away Access to Free Emergency Contraception for 48 Million Women [1]

['Nicole Rapfogel', 'Kierra B. Jones', 'Associate Director', 'Media Relations', 'Director', 'Federal Affairs']

Date: 2024-08

Project 2025: Exposing the Far-Right Assault on America

Project 2025: Exposing the Far-Right Assault on America

Project 2025: Exposing the Far-Right Assault on America

This article is part of a series of work from the Center for American Progress exposing how the sweeping, far-right Project 2025 policy agenda would harm all Americans. This new authoritarian playbook published by the Heritage Foundation would destroy the 250-year-old system of checks and balances upon which U.S. democracy has relied and give politicians, judges, and corporations more control over Americans’ lives.

For more than a decade, most people have been able to access contraception and other preventive health services at no cost. This guaranteed coverage has been a lifeline for millions of women. But extremists want to restrict women’s access to contraception—limiting their right to control their own futures. In “Project 2025: A Presidential Transition Project,” far-right extremists outline their intent to exclude some forms of emergency contraception from no-cost coverage. The Affordable Care Act (ACA) requires most private health insurance plans to provide no-cost coverage—without copayment, coinsurance, or deductible—for recommended preventive services. This benefit includes the full range of U.S. Food and Drug Administration-approved birth control methods and counseling, including emergency contraception. Rescinding no-cost coverage could have lifelong consequences for women nationwide. A new Center for American Progress analysis estimates that if Project 2025 were enacted, nearly 48 million women of reproductive age would lose their guaranteed no-cost access to emergency contraception.

It is unlikely that restrictions on contraception would end here.

Without guaranteed no-cost coverage, millions of women may not have access to emergency contraception when they need it. According to a national survey, nearly one-quarter of reproductive-age women who have ever had sex with a man report having used emergency contraception at some point. In other words, nearly 10 million women with guaranteed free contraception coverage today have used emergency contraception at some point in the past.

Under Project 2025, millions of women would lose emergency contraception (EC) coverage United States (choose a state) United States Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

75.42M Number of women aged 15–49 47.8M Number of reproductive-age women who could lose guaranteed no-cost EC coverage 63% Proportion of reproductive-age women who could lose EC coverage 9.72M Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 1.15M Number of women aged 15–49 754K Number of reproductive-age women who could lose guaranteed no-cost EC coverage 65% Proportion of reproductive-age women who could lose EC coverage 153K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 162K Number of women aged 15–49 95K Number of reproductive-age women who could lose guaranteed no-cost EC coverage 59% Proportion of reproductive-age women who could lose EC coverage 19K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 1.64M Number of women aged 15–49 981K Number of reproductive-age women who could lose guaranteed no-cost EC coverage 60% Proportion of reproductive-age women who could lose EC coverage 199K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 672K Number of women aged 15–49 378K Number of reproductive-age women who could lose guaranteed no-cost EC coverage 56% Proportion of reproductive-age women who could lose EC coverage 77K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 9.13M Number of women aged 15–49 5.56M Number of reproductive-age women who could lose guaranteed no-cost EC coverage 61% Proportion of reproductive-age women who could lose EC coverage 1.13M Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 1.38M Number of women aged 15–49 910K Number of reproductive-age women who could lose guaranteed no-cost EC coverage 66% Proportion of reproductive-age women who could lose EC coverage 185K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 807K Number of women aged 15–49 518K Number of reproductive-age women who could lose guaranteed no-cost EC coverage 64% Proportion of reproductive-age women who could lose EC coverage 105K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 216K Number of women aged 15–49 138K Number of reproductive-age women who could lose guaranteed no-cost EC coverage 64% Proportion of reproductive-age women who could lose EC coverage 28K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 199K Number of women aged 15–49 140K Number of reproductive-age women who could lose guaranteed no-cost EC coverage 70% Proportion of reproductive-age women who could lose EC coverage 28K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 4.69M Number of women aged 15–49 2.99M Number of reproductive-age women who could lose guaranteed no-cost EC coverage 64% Proportion of reproductive-age women who could lose EC coverage 607K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 2.61M Number of women aged 15–49 1.66M Number of reproductive-age women who could lose guaranteed no-cost EC coverage 63% Proportion of reproductive-age women who could lose EC coverage 336K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 299K Number of women aged 15–49 193K Number of reproductive-age women who could lose guaranteed no-cost EC coverage 65% Proportion of reproductive-age women who could lose EC coverage 39K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 434K Number of women aged 15–49 290K Number of reproductive-age women who could lose guaranteed no-cost EC coverage 67% Proportion of reproductive-age women who could lose EC coverage 59K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 2.86M Number of women aged 15–49 1.85M Number of reproductive-age women who could lose guaranteed no-cost EC coverage 65% Proportion of reproductive-age women who could lose EC coverage 375K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 1.53M Number of women aged 15–49 990K Number of reproductive-age women who could lose guaranteed no-cost EC coverage 65% Proportion of reproductive-age women who could lose EC coverage 201K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 700K Number of women aged 15–49 478K Number of reproductive-age women who could lose guaranteed no-cost EC coverage 68% Proportion of reproductive-age women who could lose EC coverage 97K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 653K Number of women aged 15–49 449K Number of reproductive-age women who could lose guaranteed no-cost EC coverage 69% Proportion of reproductive-age women who could lose EC coverage 91K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 998K Number of women aged 15–49 582K Number of reproductive-age women who could lose guaranteed no-cost EC coverage 58% Proportion of reproductive-age women who could lose EC coverage 118K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 1.04M Number of women aged 15–49 555K Number of reproductive-age women who could lose guaranteed no-cost EC coverage 53% Proportion of reproductive-age women who could lose EC coverage 113K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 280K Number of women aged 15–49 181K Number of reproductive-age women who could lose guaranteed no-cost EC coverage 65% Proportion of reproductive-age women who could lose EC coverage 37K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 1.39M Number of women aged 15–49 930K Number of reproductive-age women who could lose guaranteed no-cost EC coverage 67% Proportion of reproductive-age women who could lose EC coverage 189K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 1.61M Number of women aged 15–49 1.12M Number of reproductive-age women who could lose guaranteed no-cost EC coverage 70% Proportion of reproductive-age women who could lose EC coverage 228K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 2.19M Number of women aged 15–49 1.38M Number of reproductive-age women who could lose guaranteed no-cost EC coverage 63% Proportion of reproductive-age women who could lose EC coverage 280K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 1.25M Number of women aged 15–49 861K Number of reproductive-age women who could lose guaranteed no-cost EC coverage 69% Proportion of reproductive-age women who could lose EC coverage 175K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 675K Number of women aged 15–49 410K Number of reproductive-age women who could lose guaranteed no-cost EC coverage 61% Proportion of reproductive-age women who could lose EC coverage 83K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 1.37M Number of women aged 15–49 928K Number of reproductive-age women who could lose guaranteed no-cost EC coverage 68% Proportion of reproductive-age women who could lose EC coverage 189K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 240K Number of women aged 15–49 151K Number of reproductive-age women who could lose guaranteed no-cost EC coverage 63% Proportion of reproductive-age women who could lose EC coverage 31K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 442K Number of women aged 15–49 308K Number of reproductive-age women who could lose guaranteed no-cost EC coverage 70% Proportion of reproductive-age women who could lose EC coverage 63K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 722K Number of women aged 15–49 426K Number of reproductive-age women who could lose guaranteed no-cost EC coverage 59% Proportion of reproductive-age women who could lose EC coverage 87K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 291K Number of women aged 15–49 211K Number of reproductive-age women who could lose guaranteed no-cost EC coverage 72% Proportion of reproductive-age women who could lose EC coverage 43K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 2.05M Number of women aged 15–49 1.36M Number of reproductive-age women who could lose guaranteed no-cost EC coverage 67% Proportion of reproductive-age women who could lose EC coverage 277K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 465K Number of women aged 15–49 221K Number of reproductive-age women who could lose guaranteed no-cost EC coverage 47% Proportion of reproductive-age women who could lose EC coverage 45K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 4.46M Number of women aged 15–49 2.78M Number of reproductive-age women who could lose guaranteed no-cost EC coverage 62% Proportion of reproductive-age women who could lose EC coverage 566K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 2.45M Number of women aged 15–49 1.56M Number of reproductive-age women who could lose guaranteed no-cost EC coverage 64% Proportion of reproductive-age women who could lose EC coverage 318K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 174K Number of women aged 15–49 126K Number of reproductive-age women who could lose guaranteed no-cost EC coverage 72% Proportion of reproductive-age women who could lose EC coverage 26K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 2.57M Number of women aged 15–49 1.62M Number of reproductive-age women who could lose guaranteed no-cost EC coverage 63% Proportion of reproductive-age women who could lose EC coverage 330K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 918K Number of women aged 15–49 529K Number of reproductive-age women who could lose guaranteed no-cost EC coverage 58% Proportion of reproductive-age women who could lose EC coverage 108K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 958K Number of women aged 15–49 614K Number of reproductive-age women who could lose guaranteed no-cost EC coverage 64% Proportion of reproductive-age women who could lose EC coverage 125K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 2.81M Number of women aged 15–49 1.89M Number of reproductive-age women who could lose guaranteed no-cost EC coverage 67% Proportion of reproductive-age women who could lose EC coverage 385K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 247K Number of women aged 15–49 165K Number of reproductive-age women who could lose guaranteed no-cost EC coverage 67% Proportion of reproductive-age women who could lose EC coverage 34K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 1.17M Number of women aged 15–49 733K Number of reproductive-age women who could lose guaranteed no-cost EC coverage 63% Proportion of reproductive-age women who could lose EC coverage 149K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 188K Number of women aged 15–49 132K Number of reproductive-age women who could lose guaranteed no-cost EC coverage 70% Proportion of reproductive-age women who could lose EC coverage 27K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 1.6M Number of women aged 15–49 1.01M Number of reproductive-age women who could lose guaranteed no-cost EC coverage 63% Proportion of reproductive-age women who could lose EC coverage 205K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 7.22M Number of women aged 15–49 4.29M Number of reproductive-age women who could lose guaranteed no-cost EC coverage 59% Proportion of reproductive-age women who could lose EC coverage 872K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 845K Number of women aged 15–49 623K Number of reproductive-age women who could lose guaranteed no-cost EC coverage 74% Proportion of reproductive-age women who could lose EC coverage 127K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 139K Number of women aged 15–49 89K Number of reproductive-age women who could lose guaranteed no-cost EC coverage 64% Proportion of reproductive-age women who could lose EC coverage 18K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 1.99M Number of women aged 15–49 1.29M Number of reproductive-age women who could lose guaranteed no-cost EC coverage 65% Proportion of reproductive-age women who could lose EC coverage 262K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 1.8M Number of women aged 15–49 1.18M Number of reproductive-age women who could lose guaranteed no-cost EC coverage 66% Proportion of reproductive-age women who could lose EC coverage 240K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 367K Number of women aged 15–49 212K Number of reproductive-age women who could lose guaranteed no-cost EC coverage 58% Proportion of reproductive-age women who could lose EC coverage 43K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 1.27M Number of women aged 15–49 874K Number of reproductive-age women who could lose guaranteed no-cost EC coverage 69% Proportion of reproductive-age women who could lose EC coverage 178K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it 124K Number of women aged 15–49 85K Number of reproductive-age women who could lose guaranteed no-cost EC coverage 68% Proportion of reproductive-age women who could lose EC coverage 17K Number of reproductive-age women who wouldn't have been guaranteed no-cost EC when they needed it Note: The U.S. totals may not sum due to rounding.



Sources: U.S. Census Bureau, "American Community Survey (ACS)," available at https://www.census.gov/programs-surveys/acs (last accessed June 2024); Kimberly Daniels and Joyce C. Abma, "Contraceptive Methods Women Have Ever Used: United States, 2015-2019," National Health Statistics Report 195 (2023), available at https://www.cdc.gov/nchs/data/nhsr/nhsr195.pdf; Gary Claxton and others, "Employer Health Benefits 2020 Annual Survey" (San Francisco: KFF, 2020), available at https://files.kff.org/attachment/Report-Employer-Health-Benefits-2020-Annual-Survey.pdf.

Make no mistake: Project 2025 isn’t just about preventive care coverage. It is another attempt by right-wing extremists to undermine women’s bodily autonomy. Emergency contraception is completely safe and effective at preventing a pregnancy before it occurs, and extremists want to take this option away. It is unlikely that restrictions on contraception would end here: Bills introduced in the past two years in Louisiana and Oklahoma would restrict access to several types of emergency contraception, including some intrauterine devices (IUDs).

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[1] Url: https://www.americanprogress.org/article/project-2025-would-take-away-access-to-free-emergency-contraception-for-48-million-women/

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