2023: Equality in Abortion Coverage Act

Work Began: 2020 | Signed Into Law: May 18, 2023

Equitable Reproductive Care

TWP dreamt up the Equality in Abortion Coverage Act as a solution to end decades-old financial barriers to abortion access in RI. 

This act ensures Rhode Island's Medicaid and state employee insurance plans cover reproductive healthcare services. TWP worked hard for three years - all the while COVID shutdowns disrupted normal daily activities, and as Roe was overturned - to find bill sponsors and supporters. Despite these barriers, TWP created the "Campaign for Equality in Abortion Access" which was powered by 42 nonprofits across RI, who worked together to pass the legislation.

Goals of This Bill

  • Eliminate the policy that withholds health coverage for abortion in the state Medicaid program and associated plans
  • Stop the denial of coverage for abortion from the health plan used by state employees

  • RI's state employee health plans cover about 32,000 Rhode Islanders, including health professionals, college professors, and students
  • Over 25% of Rhode Islanders are covered by Medicaid, including 77,000 women of child-bearing age
  • Medicaid serves our lowest wage earners, leaving those covered by the plan to face financial burdens to obtain abortion services, including medically necessary abortions to save the life of the mother
  • All Rhode Islanders deserve equal access to health care, but by leaving people on Medicaid out of the Reproductive Privacy Act’s protections, RI created an unequal system

From 1981 to 1983, Rhode Island passed several laws to take away health coverage for abortion in the state Medicaid program, for state employees, within private insurance, and through coverage provided by municipal policies.

A court ruling determined the ban on these benefits for municipal employees was valid, but was unconstitutional and unenforceable for private health insurance contracts, plans, or policies.
From 1981 to 1983, Rhode Island passed several laws to take away health coverage for abortion in the state Medicaid program, for state employees, within private insurance, and through coverage provided by municipal policies.

A court ruling determined the ban on these benefits for municipal employees was valid, but was unconstitutional and unenforceable for private health insurance contracts, plans, or policies.

While TWP was working on the bill, independent polling showed that more than three-quarters of voters (78%) supported statefunding for reproductive health services for lower-income women. In fact, there is broad consensus on support for abortion coverage across party lines and faith traditions.

Women of color are overrepresented in low-wage jobs and are more likely to use the state Medicaid program, meaning that the state ban on Medicaid abortion coverage disproportionately affected them.

Black women have the highest unintended pregnancy rate of any racial or ethnic group, more than double that of non-Hispanic white women, due to barriers to contraception, preventative health care, and lack of access to timely and affordable reproductive healthcare services.

As of 2023, more than half of women of childbearing age enrolled in Medicaid have family incomes below the poverty level, with one-quarter having incomes below 50% of the poverty level. When insurance coverage is denied, low-income people are likely to spend a third, or more, of their monthly income on a healthcare procedure – or are forced to not pursue the procedure. 

Shield Act young man with pro repro sign

The Women’s Health and Education Fund (WHEF) has stated that the average cost of an abortion in RI is $600. There are many individuals and families who simply do not have any extra money available to cover unplanned medical procedures.

Research has shown that for a person struggling to get by, taking away benefits for abortion means they may have to forego paying for things like rent or groceries to afford the procedure. This choice put people’s health and well-being at risk, and pushes them further into poverty as they scramble to find the money for an abortion.

View the full press release from TWP for full details on the "Campaign for Equality in Abortion Access" group

  • ACLU of Rhode Island
  • Alpert Medical School Medical Students For Choice
  • American Academy of Pediatrics, Rhode Island Chapter
  • Amnesty International, RI Chapter
  • Black Lives Matter, PAC
  • Brown College Democrats
  • Brown University’s Department of Family Medicine
  • The College Dems of Rhode Island
  • The College Democrats at Roger Williams
  • Coyote RI
  • Economic Progress Institute
  • GLBTQ Legal Advocates & Defenders
  • Haus of Codec
  • House of Hope CDC
  • Latino Policy Institute
  • LBGTQ Action RI
  • League of Women Voters, RI Chapter
  • OLOC-RI- Old Lesbians Organizing for Change
  • Party for Socialism and Liberation
  • Physicians for a National Health Program – RI Chapter
  • Pride in Aging, Rhode Island
  • Providence Democratic Socialists of America
  • Reclaim RI
  • Reproductive Health Access Project RI
  • Rhode Island Academy of Family Physicians
  • Rhode Island American College of Physicians
  • Rhode Island Atheists
  • Rhode Island Coalition Against Domestic Violence
  • Rhode Island Democratic Women’s Caucus
  • Rhode Island Medical Society
  • Rhode Island National Organization for Women (RI NOW)
  • Rhode Island Queer Political Action Committee
  • Rhode Island Working Families Party
  • RIOT RI (Formerly Girls Rock! RI)
  • SHIP
  • SISTA Fire
  • Sojourner House
  • South County Huddle
  • SURJ-RI
  • The Womxn Project
  • Unitarian Universalist Church of South County- Social Justice Team
  • Women’s Fund of Rhode Island
  • Women and Infants Hospital
  • Youth Pride, Rhode Island

We don’t want to live in a community where the money you have in the bank determines if you get to have an abortion when you need one."

Jocelyn Foye, Executive Director of The Womxn Project

Advancing Health Equity

Official Statement from TWP:

Everyone should have access to the health services we need–regardless of our income or type of medical insurance we have–including affordable coverage for abortion. Public or private, health insurance should cover services that ensure health and care for our families. 

In 2019, the Rhode Island General Assembly passed legislation to protect the right to abortion, via a bill called the Reproductive Privacy Act, or the RPA. While the RPA is essential for protecting abortion rights in our state, it did not ensure that every Rhode Islander has access to this procedure. Thanks to the passage of the Equality in Abortion Coverage Act, Rhode Island is one big step closer to ensuring every Rhode Islander has access to an abortion - an essential part of healthcare!

RI Senators Sheldon Whitehouse and Jack Reed pose with lobbyists and supporters of the Shield Act
Shield Act advocates pose for a group photo, wearing matching shirts
TWP orchestrated the creation of the "Campaign for Equality in Abortion Access" group, a multi-org coalition that utilized creative lobbying and community engagement to ensure the passage of the EACA.

The Power of Community Engagement

TWP orchestrated the creation of the "Campaign for Equality in Abortion Access" group, a multi-org coalition that utilized creative lobbying and community engagement to ensure the passage of the EACA. We engaged Rhode Islanders through informative Artivism projections, rallies and community events that increased public awareness, and support of, the EACA. 

Shield Act advocates pose for a group photo, wearing matching shirts
RI Senators Sheldon Whitehouse and Jack Reed pose with lobbyists and supporters of the Shield Act
The creation of the "Campaign for Equality in Abortion Access" coalition was crucial in the passage of the EACA.

Join Our Lobbying Efforts!

Lobbying means working directly with members of the legislature and government to effect change on laws and policies. TWP will trian you to be part of the fight: speak out, show up, and help shape the laws that protect our rights.
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