Oregon Reduces Barriers To Birth Control For Medicaid Members - 12/16/25

December 16, 2025

Media Inquiries: Amy Bacher, amy.bacher2@oha.oregon.gov  

Oregon reduces barriers to birth control for Medicaid members

Oregon Health Plan members will be able to obtain birth control and emergency contraception without a prescription and at no cost starting Dec. 16

SALEM, Ore. – Starting today, Oregon Health Plan (OHP / Medicaid) members will be able to get over-the-counter birth control pills, including Opill, and emergency contraception at no cost at pharmacies in the state. Oregon Health Authority (OHA), in collaboration with the Oregon Board of Pharmacy, made this possible through a standing order, which allows pharmacists to provide these medications to OHP members and bill OHP.

“Access to reproductive health care should not depend on how much money you make or what kind of insurance you have,” Governor Tina Kotek said. “This step ensures that Oregon Health Plan families can get timely, affordable birth control. I will keep working to make sure every Oregonian can access the care they need to make the decisions that are right for them.”

In Oregon, these medications are already covered without a prescription for people with private insurance. Federal law, however, requires that all medications for Medicaid enrollees be prescribed by a licensed practitioner who is enrolled in the state’s Medicaid program. Oregon’s new standing order means that OHP members will no longer have to get a prescription to access these contraceptives at no cost.

“This change removes a real and unnecessary barrier to care,” said OHA Director, Dr. Sejal Hathi. “By allowing Oregon Health Plan members to get safe, effective contraception directly from pharmacies – without a prescription and at no cost to themselves – we are closing a longstanding gap between private insurance and Medicaid and ensuring all people in Oregon have greater control over their own reproductive health.”

Over-the-counter emergency contraception has been widely available for several years, and the FDA approved Opill as the first birth control pill for over-the-counter use in 2023. Previously, however, OHP members were required to pay out of pocket or else seek out a doctor’s appointment for a prescription to get these medicines covered.

Oregon’s Reproductive Health Equity Act (RHEA) requires that many health plans offered in Oregon, including all plans offered through the Marketplace, cover over-the-counter contraceptives at no cost. Some private insurance plans that are not subject to Oregon insurance laws may not include this coverage, so people with private insurance should contact their insurance company for more information about their coverage. Additional information can be found on the Department of Consumer and Business Services (DCBS) web page.  

How OHP members can get access:

• OHP members can go to their approved pharmacy and request emergency contraception or Opill, and for it to be covered by OHP.
• Most OHP members get their benefits through a local Coordinated Care Organization (CCO); OHP members can call their CCO and ask which pharmacy to go to.
• OHP members not in a CCO (known as OHP Open Card), or who do not know which CCO they’re in, can call OHP Client Services for help at 800-273-0557. 
• OHP members will need to provide their OHP ID number, which is on their OHP ID card or CCO ID card, or by providing personal information that enables the pharmacy staff to search for and confirm enrollment in OHP. 

Additional information is available on the OHP member webpage.