Access to reproductive health care is critical for preventing and treating medical conditions and supporting family planning. Yet nearly one-third of women in the US reported in 2024 and 2025 that their reproductive health care needs were not being met, according to the Reproductive Health Experiences and Access (RHEA) survey. 

Sixteen percent of respondents said they did not get needed preventive gynecologic care, and 10 percent said they did not get needed care for irregular or painful periods. 

Additionally, 7 percent of survey respondents reported delays or trouble getting the birth control they wanted in the past year. These respondents commonly cited factors such as cost, insurance challenges, and difficulty securing an appointment as barriers to getting the birth control care they want and need.

Barriers to reproductive health care were not spread evenly across the population. Young people, people with disabilities, and those who identify as LGBTQIA+ were more likely to report challenges to accessing reproductive health care.

In recent years, changes in federal and state policies have reshaped the reproductive health landscape, affecting where people can get care, what services are available, and how easy it is to find accurate information. This survey is the first of its kind since the Supreme Court’s decision in Dobbs v. Jackson Women’s Health Organization.

Understanding whether and how people are facing challenges to accessing reproductive health care in the context of these changes will be key to mitigating health inequities and ensuring people get the care they want and need.

Local policy and context matter, meaning findings vary by state. The following fact sheets provide state-level findings on challenges to accessing reproductive health care in 13 states, using new data from the 2024–25 RHEA survey.