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Contraceptive Access Reform and Fertility

Author

Listed:
  • Daniel Marthey
  • Liyang Xie
  • Constanza Hurtado-Acuna
  • Michel Boudreaux

Abstract

We investigated the impact of a comprehensive state-based contraceptive access program on fertility. The multimillion-dollar program reformed Medicaid payment, stocked reproductive health clinics with contraceptive supplies, trained providers across the state, and fielded a public awareness campaign. Despite modest changes to contraceptive use, synthetic control method estimates suggest no evidence that the program affected fertility in the general population. Null results are consistent by age, parity, and educational attainment. However, we observed suggestive evidence of delayed reductions in non-Hispanic Black and non-Hispanic White births. Our findings have implications for the many US states engaged in or considering similar programs.

Suggested Citation

  • Daniel Marthey & Liyang Xie & Constanza Hurtado-Acuna & Michel Boudreaux, 2026. "Contraceptive Access Reform and Fertility," American Journal of Health Economics, University of Chicago Press, vol. 12(4), pages 695-721.
    • Handle: RePEc:ucp:amjhec:doi:10.1086/738887
    DOI: 10.1086/738887
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