Given its role as a critical source of health care coverage for low-income individuals in the United States, including 13 million women of reproductive age, Medicaid is the primary source of family planning coverage in the nation. In 2015, Medicaid accounted for 75% of public expenditures for family planning services in the United States. Family planning services enable individuals to choose and control contraceptive use, plan for and space births, and contributes to improved health outcomes for individuals, children and families. For many individuals, a family planning provider is also their entry point into the health care system and their usual source of care. Despite the importance of Medicaid coverage for family planning services, access to these services continues to be a lottery of geography determined by the state in which an individual lives.