Advocacy and Policy

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

ACOG Statement of Policy: Access to Women's Health Care

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

ACOG Message Box: Contraception is Essential (ACOG members only)

ACOG Talking Points: Personhood Measures (ACOG members only)

ACOG Talking Points: Ultrasound Mandates (ACOG members only)

Other Resources

CDC: The 6|18 Initiative - Accelerating Evidence into Action

The Centers for Disease Control and Prevention (CDC) is partnering with health care purchasers, payers, and providers through the 6|18 Initiative to improve health and control health care costs. CDC provides these partners with rigorous evidence about high-burden health conditions and associated interventions to inform their decisions to have the greatest health and cost impact. This initiative aligns evidence-based preventive practices with emerging value-based payment and delivery models. 

The 6|18 Initiative identifies unintended pregnancy as a key priority and outlines evidence-based interventions to reduce unintended pregnancy. Review the 6|18 Initiative: Prevent Unintended Pregnancy Evidence Summary for more information.

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: Bridging the Divide

The Jacobs Institute of Women's Health was founded in 1990 with a mission to identify and study aspects of healthcare and public health, including legal and policy issues, that affect women's health; foster awareness and dialogue around these issues; and promote research in these areas.  The Bridging the Divide project within the Institute works to connect the women's health research and policy advocacy communities, which both share a commitment to women's health but are divided by their different methods and language and by the lack of a connector that facilitates translation and communication between the two in a timely manner.

The Long-Acting Reversible Contraception: Overview of Research & Policy in the United States white paper by the Institute provides an extensive summary of current knowledge on LARC research and policy. LARC topics addressed in this document include:

  • factors affecting use
  • mechanisms of action 
  • clinical guidelines
  • barriers to access 
  • a history overview
  • safety and efficacy 
  • current methods available
  • current policy concerns in the US 

The Jacobs Institute also created short topical papers addressing individual LARC issues, many of which are also covered within the white paper linked above.  Topics covered by these documents include:

National Women's Law Center: Issue - Birth Control

The National Women's Law Center (NWLC) began in 1972 and works to promote and protect opportunity and equality for women and their families within the United States. The laws and policies promoted by the NWLC help women at all stages of life reach their full potential, including working to protect access to the full range of contraceptive methods.

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.

NIRH: Enhancing Long-Acting Reversible Contraception (LARC) Uptake and Reimbursement at Federally Qualified Health Centers - A Toolkit for States

The National Institute for Reproductive Health (NIRH) produced this toolkit to act as a resource for states seeking to enhance LARC access in Federally Qualified Health Centers (FQHCs). The guide highlights some of the reimbursement and policy options they can leverage, in addition to covering advantages, disadvantages, and implementation considerations.

SisterSong and the National Women's Health Network: Long-Acting Reversible Contraception Statement of Principles

SisterSong and the National Women's Health Network (NWHN) released a LARC statement of principles to highlight the necessity of a balanced approach regarding LARC use. Women's reproductive autonomy should always be paramount in contraceptive choice. The potential benefits of LARC methods should never override women's independent sexual and reproductive health needs, desires, or family planning practices. Women should not be directed towards any particular contraceptive method based on pregnancy prevention effectiveness alone, and assumptions should not be made based on race, age, ethnicity, or ability. This statement is supported by ACOG, and more information about the statement can be found on the NWHN's page about LARCs.


Mica Bumpus
LARC Program Director

For media inquiries about LARC, please contact:


American College of Obstetricians and Gynecologists
409 12th Street SW, Washington, DC  20024-2188
Mailing Address: PO Box 96920, Washington, DC 20024-9998