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Trump’s Potential Policies Could Limit Contraception Access Without an Outright Ban

Donald Trump’s policies could severely restrict access to contraception without a total ban. Learn about the potential impacts of the proposed Project 2025 blueprint and how it contrasts with the Biden administration's efforts to increase accessibility.

As president, Donald Trump enacted several policies that made it more difficult for people, particularly the working class and the poor, to obtain contraception. | Jamie Kelter Davis for POLITICO

Trump’s Historical Actions on Contraception

Former President Donald Trump has stated he won’t ban birth control if he returns to the White House. However, his administration previously enacted policies that made it more challenging for people, especially those from working-class and low-income backgrounds, to access contraception. These policies included allowing more employers to opt out of birth control coverage in their workers’ health insurance and imposing restrictions on the Title X family planning program, leading to a significant reduction in clinic participation.

Conservative Plans for Future Policies

Conservative allies are prepared to reimpose and expand these policies if Trump wins in November. Their “Project 2025” blueprint includes proposals such as requiring coverage for natural family planning methods and removing insurance requirements for certain emergency contraceptives. These proposals, if implemented, could significantly restrict access to contraception, particularly in states where nearly all abortions are now prohibited following the Dobbs decision.

Comparing Administrations on Contraception Policies

In contrast to Trump’s restrictive measures, the Biden administration has worked to increase contraception accessibility. This includes approving the first over-the-counter birth control pill and requiring insurance to cover more types of contraception. Emma Waters, a senior research associate at The Heritage Foundation, criticized these efforts, arguing for what she termed “medical safeguards” for women.

Trump’s Ambiguous Stance and Conservative Agenda

Earlier this month, Trump sparked controversy by suggesting he was “looking at” restrictions on contraception, though he quickly walked back this statement, promising not to “ban” contraceptives. His campaign distanced itself from the Project 2025 blueprint, stating that no policies are official unless directly announced by the campaign.

Impact of Project 2025

The Project 2025 blueprint seeks to overhaul which forms of birth control insurance companies must cover. It proposes allowing insurers to exclude emergency contraceptives like the Ella pill, which some conservatives consider an abortifacient. Instead, they advocate for covering “fertility awareness-based methods” and have suggested further studies on the long-term effects of birth control.

Revisiting Trump’s Previous Policies

During Trump’s presidency, his administration made significant cuts to the Teen Pregnancy Prevention Program and attempted to repeal the Affordable Care Act, which facilitated access to birth control for millions of women. Rules were also issued allowing employers to refuse contraception coverage in health plans, and significant changes were made to the Title X program, causing a mass exodus of clinics that provide essential reproductive health services.

Potential Future Actions

The Project 2025 blueprint urges a quick reinstatement of restrictions on the Title X program and calls for participating clinics to promote marriage and fertility awareness education. Trump allies also advocate for defining life as beginning at fertilization, which could lead to restrictions on contraception methods that prevent implantation.

Conclusion

While Trump claims he will not ban contraception, the policies proposed and previously enacted by his administration could make access significantly more difficult. The combined impact of these measures could be substantial, especially in the current political climate where abortion access is already heavily restricted.

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