This report examines the Medicaid telehealth medication abortion (TMAB) coverage policies in six key states (Alaska, Connecticut, Hawaii, Maine, Montana, Oregon) as case studies for understanding how the Medicaid telehealth coverage landscape has changed in the wake of the COVID-19 pandemic. Overall, the results of our comprehensive survey of the TMAB coverage and reimbursement policies in the six target states revealed a lot of positive changes that improved Medicaid coverage of telehealth service delivery. However, there still exists substantial room for improvement in ensuring equitable access to TMAB through comprehensive Medicaid coverage, but the dimensions of improvement varied between states.