Go to Content Go to Navigation Go to Navigation Go to Site Search Homepage

Framework includes key health care provisions, including a plan to close the Medicaid coverage gap — which would expand health care to 800,000 women of reproductive age 

WASHINGTON — Today, the Biden-Harris administration released the framework for the Build Back Better budget reconciliation package. The framework outlines several advancements for health equity and sexual and reproductive health care, including closing the Medicaid coverage gap. 

Statement from Alexis McGill Johnson, president and CEO, Planned Parenthood Federation of America: 

“Today’s announcement is welcome news for people in this country who struggle to access sexual and reproductive health care. The policies laid out by the White House would make a difference in the lives of millions of Americans and expand health access and equity. In particular, the framework’s proposal to close the Medicaid coverage gap could ensure that at least 4 million people nationally gain access to affordable health insurance, including more than 800,000 women of reproductive age. Additionally, we are pleased the framework includes critical investments in maternal health. However, this is just the start: As strong as this framework is, we will continue fighting for policies that are even bolder and more inclusive, including a long overdue investment in paid leave. There is still more work to be done to support immigrants, working families, and people of color who face additional barriers due to systemic racism and discrimination. We are committed to seeing this through and advocating for reproductive health, rights, and freedom for all.”  

Despite generous financial incentives from the federal government, 12 states have consistently refused to expand Medicaid coverage. Closing the Medicaid coverage gap in these states is a necessary step to narrow health disparities experienced by communities of color and people with low incomes. It would provide coverage to 2.2 million additional people with low incomes who are currently uninsured, as well as an additional 1.8 million uninsured adults who are currently eligible for private health insurance plans through the Affordable Care Act but cannot afford them. 

Medicaid is the largest payer of reproductive health care in the nation. Last month, Planned Parenthood Federation of America published new state-focused fact sheets in the 12 states that have not expanded Medicaid to highlight why expanding Medicaid coverage is critical to expanding access to sexual and reproductive health care. 


Planned Parenthood is the nation’s leading provider and advocate of high-quality, affordable sexual and reproductive health care for all people, as well as the nation’s largest provider of sex education. With more than 600 health centers across the country, Planned Parenthood organizations serve all patients with care and compassion, with respect, and without judgment, striving to create equitable access to health care. Through health centers, programs in schools and communities, and online resources, Planned Parenthood is a trusted source of reliable education and information that allows people to make informed health decisions. We do all this because we care passionately about helping people lead healthier lives. Planned Parenthood Federation of America (PPFA) is a 501(c)(3) charitable organization that supports the independently incorporated Planned Parenthood affiliates operating health centers across the U.S.