Research on COVID-19 and Sexual and Reproductive Health

Please see attached a compilation of research and resources related to COVID and Repro Health. This is a non-exhaustive compilation of current, ongoing, and past research related to COVID and reproductive health, rights, and justice. We hope that it can offer a broad landscape of research and resources related to the impact of COVID on individuals, their families, and our communities. We aimed to pull research that relates and includes a diversity of populations and topic areas, while also keeping it manageable for review. 

COVID-19 Resources

We hope you’re staying healthy and safe during our pandemic. Resources around us are limited, but we know sexual and reproductive health remains essential. Here is an ongoing list of resources compiled from our coalition members. We will continue to update this document as new resources become available.

To add to our list of resources, please send them to

The Administration’s Attempt to Punish CA over Abortion Access

The Trump Administration is trying to bully California into decimating abortion access in the state. California has long required insurers to cover basic health care services, and in 2014 the state clarified that reproductive health care — including abortion care — is basic health care. With exceptions for some religiously-affiliated insurance companies, health plans in the state cannot treat abortion differently than other pregnancy-related care.

The Administration is now claiming that California’s policy violates the Weldon Amendment – a federal rule prohibiting local, state, and federal governments from requiring health care entities to cover, provide, or refer to abortion services. It doesn’t make sense. The Administration is singling out California – one of six states with this abortion coverage requirement. What’s more, this issue has already been decided! The Obama Administration rejected a similar challenge to California’s policy in 2016.

This is a pathetic attempt to punish the state of California for respecting the human right to health care. In the process, the Administration is threatening health care access for millions. Californians will not be bullied. We will not accept subpar plans denying people the full range of reproductive health care options. We will not accept insurance companies interfering in medical decision-making and reproductive freedom. Learn more from the resources below.

Factsheets and Resources

California Sets Example for Comprehensive Women’s Health Care Coverage

Notice of Violation from HHS and CA Response Letter (PDF)

Weldon Amendment, Consolidated Appropriations Act. HHS

Opinions, Blog, Commentary

HHS Issues Notice of Violation to California for its Abortion Coverage Mandate. HHS Press Release

Abortion is Basic Health Care. Phyllida Burlingame, ACLU NorCal

Trump’s Attack on Abortion Coverage in California Puts Politics Over Health. Dr. Jessica Beaman

Attorney General Becerra Issues Response to Trump Administration’s Baseless Allegations of Weldon Violation. Press Release.

From 2004: Attorney General Lockyer Readies Court Challenge to Fight Federal Attack on Women’s Right to Choose. Press Release. (with Pelosi and Boxer quotes)

News Articles

Trump administration threatens funds to California over the requirement that health plans cover abortion.

Trump administration threatens to cut health funding for California over abortion insurance law

The battle over abortion rights: Here’s what’s at stake in 2020

Editorial: Trump seeks a new fight with California on abortion

Trump threatens to cut California funding over abortion coverage

Separation of Abortion Payments in the Marketplaces

The Trump Administration is trying to make it more complicated and burdensome for health plans to cover abortion care. The rule impacts qualified health plans – health plans that are on the Affordable Care Act (ACA) Marketplace and include ACA protections, such as the essential health benefits and potential subsidies.

Federal policies, such as the Hyde Amendment, prohibit federal funds from covering abortion except in the limited circumstances. States, however, can allow or require health plans to cover the abortion care that pregnant people need.  When that happens, insurers have to collect at least $1 per month as a premium covering abortion services. They then keep that $1 separate from the rest of the premium to ensure no federal funds are used for abortion services.

This rule takes that separation requirement to the point of absurdity. It requires insurers to send enrollees two separate bills – one for the abortion part of the premium and another for the rest of the coverage. Apparently it’s not enough for the insurer to separate the funds, now the enrollee must send two checks.The rule is dangerous. It stigmatizes abortion care, making it seem separate from other basic health care services. It could lead to confusion and people losing health care coverage. Additionally, the administrative and reporting burden will likely raise costs, leading to higher premiums or encouraging health insurance plans to drop abortion coverage all together. The rule goes into effect June 27, 2020 unless it is stopped in the courts first.

No Cost-Sharing for Abortions

The Trump administration is trying to chip away our access to basic health care — across the U.S. and in California specifically. Advocates and lawmakers in the state are not having it. Instead we have been working hard to enact progressive policies that advance reproductive freedom. One specific bill in the 2020 legislative session would eliminate insurance and deductibles for abortion services across the state. The bill would remove a significant barrier to care for people in California, ensuring that access to abortion services will not depend on how much money you have.


The ACA And Abortion Coverage

Title X

Domestic Gag Rule

Strategies for Action

Resources and Information in support of mobilization efforts to protect Title X. Compiled by CCRF HealthCare Coverage Cmte. 


Constituent Engagement

  • Planned Parenthood. Take a minute to submit a comment to stop Trump-Pence from demolishing access to preventive and reproductive care.
  • National Partnership for Women & Families. Submit a comment
  • Stop Trump’s Gag Rule. Generation Progress and Center for American Progress. Target audience: Young People. Factsheets, social media tools, and a comment submission portal.   

Published Rules   

  • Federal Registry. Statutory Requirements of Title X of the Public Health Service Act and the Title X Appropriations Acts. Agency: Office of the Assistant Secretary for Health, Office of the Secretary, HHS. Comments Close 07/31/2018.

The Basics

Title X in CA 

The Impact  

  • Impact of Family Planning Legislation. The University of Texas at Austin Texas Policy Evaluation Project. TxPEP link to their research on the impact of Family Planning legislation (includes all articles/press releases/briefs)

Specific articles and press releases that provide evidence of the impact of restricting Title X funding:  

Press Releases / Statements 

Federal Funding / Appropriations

The Impact of Public Charge

The NEW Proposed Public Charge Rules
  • The Trump Administration published a Notice of Proposed Rule Making for the “public charge” immigration rule.  
  • Under the current public charge rule, immigrants who are in need of long-term care or cash assistance can be denied visas or legal permanent residency. 
  • The new rule proposes to extend denials to immigrants for a wide range of programs and services including Medicaid, food aid, and public housing. 
  • If approved, the rule could deter millions of low-income immigrant individuals and families from applying for and accessing critical services, including sexual and reproductive health care. 
  • Public comments on the proposed rule can be submitted through December 10th.
CCRF Nov 19  Presentation:  Priscilla Huang, Senior Attorney, National Health Law Program – Los Angeles and Sylvia Castillo, Senior Manager of Government + Community Affairs, Essential Access Health 
Sample talking points 

National Asian Pacific American Women’s Forum (NAPAWF), National Latina Institute for Reproductive Health (NLIRH), In Our Own Voice: National Black Women’s Reproductive Agenda and National Women Law Center (NWLC)

Writing Comments: Tips and Best Practices
  • Make 30 percent of your comments unique.
  • Don’t mention programs that are not included in the NPRM.
  • Don’t suggest fixes.
  • Attach/upload the research, data, etc. you cite.
  • Comments must be submitted in English or accompanied by an English translation.
  • Commenting is not a lobbying activity.
  • You are an expert!
Citing your Research

It has been brought to our attention that any cited research should now be attached to your comments. In addition to the inserting links, you should have as an appendix digital copies of the actual reserach papers, reports, etc. (Yes, that means that your comments can be dozens of pages long).