Advocacy and Policy

The following resources and tools are intended to help you advocate for improved access to all contraceptive methods, including LARC.

ACOG Resources (developed by the LARC Program and ACOG's Advocacy Division):

ACOG Statement of Policy: Global Women's Health and Rights

Message Box: Contraception is Essential (ACOG members only)

Talking Points: Personhood Measures (ACOG members only)

Talking Points: Ultrasound Mandates (ACOG members only)

Other Resources:

CMS: State Medicaid Payment Approaches to Improve Access to Long-Acting Reversible Contraception

The Center for Medicaid and CHIP Services (CMCS) issued this informational bulletin to describe payment approaches used by several state Medicaid agencies intended to optimize access and use of long-acting reversible contraception (LARC).  This document outlines the state Medicaid payment strategies, including policy descriptions and implementation approaches, used in 14 states to optimize LARC utilization.  In addition, the document details LARC optimization strategies, including summaries of the payment and policy approaches, in three selected states (Illinois, Louisiana, and South Carolina).

CMS: Medicaid Family Planning Services and Supplies

The Center for Medicaid and CHIP Services (CMCS) issued this guidance to states on the provision of family planning services under both fee-for-service and managed care delivery systems.  This letter focuses on clarifying the purpose of family planning visits, presents strategies to reduce barriers to family planning services and supplies, and suggests ways to increase access to contraceptive methods.

Jacobs Institute of Women’s Health: Long-Acting Reversible Contraception

This white paper, part of the Bridging the Divide project from the Jacobs Institute of Women’s Health, provides an extensive summary of current knowledge on LARC research and policy.  LARC topics addressed in this document include:
- current methods available      - clinical guidelines
- a history overview                  - factors affecting use
- mechanisms of action            - barriers to access
- safety and efficacy                 - current policy concerns in the US.

NICHQ: Strategies to Increase Access to Long-Acting Reversible Contraception (LARC) in Medicaid

The National Institute of Children’s Health Quality (NICHQ) created this brief to provide an introduction to LARC, including the history of LARC use, a list of currently available LARC methods, and LARC safety and effectiveness.  Concerning the access and use of LARC by low-income women, this document also addresses barriers to wider adoption and highlights how access can be improved through state Medicaid policy and reimbursement strategies.

Bellagio Group: 2013 Statement on Access to LARCs

Meeting at the International Conference on Family Planning in late 2013, the Bellagio Group, a think-tank composed of family planning experts from a broad range of backgrounds including service providers, manufacturers, and public health specialists, reaffirmed their commitment to expand global contraceptive choice and access to long-acting, reversible contraception (LARC). The group affirmed this commitment on the basis that “…access to high-quality, effective, and voluntary contraceptive information services, and supplies improves health, expands opportunities, and improves family and community welfare.”

The resources listed above are for information purposes only. Referral to these sources and sites does not imply the endorsement of ACOG. Further, ACOG does not endorse any commercial products that may be advertised or available from these organizations or on these web sites. These lists are not meant to be comprehensive. The exclusion of a source or site does not reflect the quality of that source or site. Please note that sites and URLs are subject to change without notice.


Mica Bumpus
Manager, LARC Program

For media inquiries about LARC, please contact:

American Congress of Obstetricians and Gynecologists
409 12th Street SW, Washington, DC  20024-2188 | Mailing Address: PO Box 70620, Washington, DC 20024-9998