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The CAI began as a pilot in 2018 and initially covered hormonal intrauterine devices (IUDs) and implants, known as long-acting reversible contraceptives (LARCs). The 2020 General Assembly extended the program for another two years and expanded it to include all FDA-approved contraceptive methods. The purpose of the CAI is to expand access to all FDA-approved methods of contraception in order to decrease unintended pregnancies and improve maternal and birth outcomes. Under this program, qualified health providers offer free contraception to patients whose incomes are below 250 percent of the federal poverty level (FPL). Patients must also be uninsured or unable to use their insurance for contraception in order to qualify.

This program experienced a 260% increase in patient encounters and expenditures during state fiscal year 2021 compared to the previous biennial budget period, and will likely experience an increase in encounters and expenditures during state fiscal year 2022 as well.

Graph 3. Number of Encounters by Income

Resource Mothers In FY 23, the General Assembly has appropriated $1,000,000 to the Resource Mothers program. The Virginia Department of Health administers this program and it meets the TANF program purpose to “prevent and reduce out-of-wedlock pregnancies.” Studies have found that siblings of pregnant and parenting teens are at higher risk for early premarital sexual activity, out-of-wedlock births, and school dropout than siblings of non- pregnant/non-parenting teens. Adult mentoring relationships, involvement in community activities, and establishment of future goals have been found to counterbalance the pressure toward risky sexual behaviors and other negative behaviors. The Virginia Resource Mothers’ 428 588 1348 3212 0 500 1000 1500 2000 2500 3000 3500 201% to 249% FPL 151% to 200% FPL 101% to 150% FPL 100% or Below FPL