Sexual & Reproductive Health

The Sexual & Reproductive Health team at the National Health Law Program is committed to building a future where everyone in the United States has equitable access to all sexual and reproductive health services, free from discrimination, delivered with dignity, and where cost is never a barrier.

We affirm that all people—not just those who are wealthy, cisgender, heterosexual, without disabilities, born in the U.S., and white—are entitled to comprehensive and quality sexual and reproductive health care. Yet many people continue to face systemic obstacles created by harmful legislation and policies, health care refusals, complex managed care systems, racism, ableism, ageism, homophobia, xenophobia, and stigma.

The National Health Law Program approaches its sexual and reproductive health work through the lens of reproductive justice: the right to bodily autonomy, have a child, not have a child, and parent the children we have in safe and healthy communities. Through this lens, we examine how sustained imbalances in power and resources, including inequitable access to truly comprehensive health insurance coverage, operate as tools of sexual and reproductive oppression. While not a reproductive justice organization, NHeLP’s Sexual & Reproductive Health team strives to incorporate lessons of the reproductive justice movement in our work to center the concerns of those most harmed by reproductive oppression and work toward a country in which everyone has meaningful access to the health care they need to support self-determination over their bodies, sexuality, health, families, and reproduction.


 

Note on language: On this page and throughout our work, NHeLP strives to use gender inclusive language to accurately reflect the scope of people with various reproductive and sexual health care needs and related experiences. We employ “women” in limited instances when necessary to accurately reference legal terms or cisgender women-centered research and to honor how advocates or groups self-identify. More inclusive policy language and research is needed to better serve, understand, and illuminate the needs of all people who need equitable access to health care, including sexual and reproductive care.

Sexual & Reproductive Health Priorities and Resources

Our Sexual & Reproductive Health team works with staff across the National Health Law Program to advance more expansive and accessible sexual and reproductive health care. Follow the links below to learn more.

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Abortion

Abortion is health care. We advocate for comprehensive insurance coverage to ensure everyone has equitable access. We work with state and federal partners to expand coverage and end barriers like the Hyde Amendment, which functions as a de facto abortion ban for most Medicaid enrollees.

Contraception / Family Planning

We’re working to ensure the implementation of family planning services in Medicaid by advancing Contraceptive Equity legislation. Everyone deserves accessible, no-cost contraceptive care and to make informed decisions.

Pregnancy

We push for prompt, high-quality reproductive care to ensure healthy outcomes for birthing people and babies. We collaborate with state and federal advocates to enhance prenatal, postpartum care, and support health equity, addressing racial inequities. Our Doula Medicaid Project exemplifies this commitment.

Assisted Reproduction

We champion access to assisted reproduction, which intersects with our work on reproductive health and rights, disability rights, LGBTQ+ issues, and health equity. Assisted reproduction includes treatments and procedures that help achieve pregnancy outside of sexual intercourse.

Sexual Health

We fight for comprehensive sexual health, defined by the World Health Organization as a state of physical, emotional, mental and social well-being in relation to sexuality. Despite Medicaid and ACA coverage, barriers persist, particularly for people with low incomes. We work to enhance access to STI prevention and treatment as well as gender-affirming care

SRH Equity & Nondiscrimination

We fight to end sexual and reproductive health inequities that harm underserved populations by fighting the discriminatory health care laws, policies, and practices at their root. This work addresses both population-specific advocacy and nondiscrimination.


An Advocate’s Guide to Reproductive and Sexual Health in the Medicaid Program

The 2nd Edition of An Advocate’s Guide to Reproductive and Sexual Health in the Medicaid Program familiarizes readers with the Medicaid program and its support for sexual and reproductive  health. Since our publication of the 1st Edition in 2010, significant changes have occurred, notably the Affordable Care Act (ACA), which transformed Medicaid and the broader health care system, affecting access to coverage and required benefits.

The Guide offers an overview of Medicaid, focusing on eligibility categories relevant to sexual and reproductive health care. It details available services, barriers to access, and protections within Medicaid and other publicly funded programs. Additionally, it covers the Medicaid program’s administrative structure and application process, highlighting best practices, policy recommendations, advocacy tips, and legal strategies to strengthen programs and address health inequities.

Sexual & Reproductive Health News

NHeLP’s Sexual & Reproductive Health team collaborates with our Communications team to effectively message and promote sexual and reproductive health policies and issues to the media, ensuring broader awareness and support for these critical matters. Journalists looking to connect with our SRH team should contact [email protected].

Meet the Sexual & Reproductive Health Team

Fabiola De Liban
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Fabiola De Liban

Director, Sexual & Reproductive Health

Area(s) of Expertise: Sexual and Reproductive Health; Abortion Coverage; Reproductive Justice; Telehealth and Medicaid; ACA Marketplaces; Diversity, Equity, and…

Amy Chen
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Amy Chen

Senior Attorney

Area(s) of Expertise: Sexual and reproductive health, pregnancy coverage, maternal health, expanding access to doula care, Medicaid coverage for doula…

Cat Duffy
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Cat Duffy

Policy Analyst

Cat Duffy, PhD, is a Policy Analyst in the National Health Law Program's Washington, DC office. She works on…

Madeline Morcelle
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Madeline Morcelle

Senior Attorney - Pronouns: she/her/hers

Madeline T. Morcelle, J.D., M.P.H., is a Senior Attorney in the National Health Law Program's (NHeLP) Washington, D.C. office. In this…

Christina Piecora
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Christina Piecora

Senior Policy Analyst

Before joining the National Health Law Program as our new Senior Policy Analyst, Christina worked as a consultant helping…

Alexis Robles-Fradet
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Alexis Robles-Fradet

Policy Analyst

Area(s) of Expertise: Medi-Cal, Medicaid, Reproductive and Sexual Health, Behavioral Health, Health Equity, EHBsAlexis Robles-Fradet is a Health Policy…

Rachel Utz
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Rachel Utz

Staff Attorney

Rachel Utz is a staff attorney at NHeLP. Before joining NHeLP, Rachel was an If/When/How Policy Fellow at SPARK…

Sarah Somers
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Sarah Somers

Legal Director

Sarah Somers is the Legal Director at the National Health Law Program. In this role, Sarah leads NHeLP’s legal…

Mara Youdelman
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Mara Youdelman

Managing Director, Federal Advocacy

Areas of Expertise: legislative and administrative advocacy, nondiscrimination protections (including Section 1557 of the ACA & Title VI of…