Medicaid policy change and the association between insurance and postpartum permanent contraception fulfillment in West Virginia.

ABSTRACT:

Background

The federal 30-day waiting period for Medicaid-covered female permanent contraception (PC) is a known barrier to timely fulfillment. In July 2020, West Virginia became the first state to bypass this waiting period by using state funds to support procedures that do not meet the waiting period for federal funding.

Objectives

To assess changes in postpartum fulfillment of PC requests following West Virginia's 2020 Medicaid policy change.

Design

We conducted a retrospective cohort analysis of patients who delivered at ⩾20 weeks of gestation at West Virginia University Hospital in 2019 and 2021, excluding 2020 due to the COVID-19 pandemic and implementation of the policy change.

Methods

We used multivariable logistic regression to assess the association b

SUBMITTER: Dotson S 

PROVIDER: S-EPMC12553925 | biostudies-literature | 2025 Jan-Dec

REPOSITORIES: biostudies-literature