The Affordable Care Act included several provisions to increase birth control access for women, including expanding insurance coverage and reducing financial barriers for reproductive health services. But, birth control access may be limited by other factors such as distance to a provider, difficulty getting an appointment, inconvenient provider or pharmacy hours, limited access to preferred methods, or lack of transportation or child care. In this brief, we use data from the 2018 Survey of Family Planning and Women's Lives to analyze women's perceptions of their birth control access, focusing on distance to a provider and same-day birth control availability.