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About a quarter of large U.S. employers heavily restrict coverage of legal abortions or dont cover them at all under health plans for their workers, according to the latest employer health benefits survey by KFF. Use Our Content

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The findings demonstrate another realm, beyond state laws, in which access to abortion care varies widely across America since the Supreme Court overturned the constitutional right to abortion last year in Dobbs v. Jackson Womens Health Organization.

More than ever, where someone works and the constraints of their health insurance can determine whether an abortion is possible. Workers without coverage are left to pay out-of-pocket for abortion care and related costs.

In 2021, the median costs for people paying out-of-pocket in the first trimester were $568 for a medication abortion and $625 for an abortion procedure, according to a report from Advancing New Standards in Reproductive Health at the University of California-San Francisco. By the second trimester, the cost increased to $775 for abortion procedures.

KFFs 2023 annual survey found that 10% of large employers defined as those with at least 200 workers dont cover legal abortion care under their largest job-based health plan. An additional 18% said legal abortions are covered only in limited circumstances, such as when a pregnancy is the result of rape or incest, or endangers a persons life or health.

The share of employers that said they dont cover abortion under any circumstances is bigger than I would have expected, said Matthew Rae, an associate director at KFF who helped conduct the survey.

So far, 14 states, mostly in the South and Midwest, have enacted near-total abortion bans, and an additional seven states have instituted gestational limits between six and 18 weeks. Abortion is legal in 24 states and the District of Columbia. Email Sign-Up

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Sharply divergent state abortion laws solidified in the aftermath of the Dobbs decision compound the complexity for employers with workers across multiple states, Rae said. Many large companies employ people in places with vastly different abortion policies, and their health benefits are more likely to cover dependents who may live elsewhere.

Those dependents can be college kids and college kids can be anywhere or any other type of dependent who could just spread out over an area much larger than where you just have actual physical establishments, Rae said.

The KFF survey found that about a third of large companies said they cover legal abortions in most or all circumstances; the largest companies, with at least 5,000 employees, were more likely to offer the benefit compared with smaller firms. An additional 40% said they were unsure of their coverage perhaps because employer policies are in flux, Rae said.

Employer health plans treatment of abortion has changed little since the Dobbs decision, the survey found. Among companies that said they did not cover legally provided abortion services or covered them in limited circumstances, 3% reduced or eliminated abortion coverage. By contrast, of the large companies that generally covered abortion, 12% added or significantly expanded coverage.

Thats in sharp contrast to the rapidly changing laws governing abortion access in the states. Its unclear whether workers at companies that dont cover abortion or heavily restrict coverage are located primarily in states that have outlawed the procedure.

The KFF survey includes information from more than 2,100 large and small companies on their health benefits and the related costs for workers. Annual premiums for family coverage rose 7% on average this year, to $23,968, with employees on average contributing $6,575 toward that cost. The jump in premiums represents a notable increase compared with that of the previous year, when there was virtually no growth in those costs. Average yearly deductibles for workers were $1,735 for single coverage, a cost that was relatively unchanged.

One tactic employers use is to provide separate benefits for abortion-related expenses. In response to increasingly restrictive state abortion laws and the Supreme Courts decision, large companies such as Amazon, Starbucks, Disney, Meta, and JPMorgan Chase, among others announced they would pay for employees abortion-related travel expenses.

However, the KFF survey found that a small share of large employers said they provide or plan to provide workers with financial help to cover abortion-related travel expenses. Companies with at least 5,000 workers are the most likely to provide that assistance. Overall, 7% of large employers said they provide or plan to provide financial assistance to employees who must travel out of state for abortion care.

According to the Brigid Alliance, a New York-based nonprofit that helps people with logistics and defrays abortion-related costs, average travel costs now exceed $2,300. As restrictive laws proliferate, distances traveled have also increased since the Dobbs ruling, with each person on average traveling roughly 1,300 miles round trip in the first half of 2023.

Recent research published by job-search firm Indeed, the Institute of Labor Economics, and academics from the University of Southern California and the University of Maryland found that employers that announced abortion-related travel benefits saw an 8% increase in clicks on their job postings compared with similar jobs at comparable employers that did not announce such a policy.

However, job satisfaction among existing employees also dropped at those companies, with ratings of senior management dropping 8%, driven by workers in typically male-dominated jobs, they wrote, illustrating both the potential perks and pitfalls for companies that choose to wade into contentious political waters.

Rachana Pradhan: rpradhan@kff.org, @rachanadpradhan Related Topics Insurance States Abortion KFF Polls Women's Health Contact Us Submit a Story Tip

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Hold that, Tiger: Kelly asks if Dabo saw 2nd half

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Hold that, Tiger: Kelly asks if Dabo saw 2nd half

While Dabo Swinney isn’t inflating LSU‘s grade for beating his team in Saturday’s season opener, Brian Kelly is ready to give the Clemson coach an incomplete for his evaluation.

Both coaches weighed in Tuesday on how LSU’s 17-10 win at Clemson should be viewed. After trailing 10-3 at halftime, LSU outscored Clemson 14-0 in the second half and finished with significant edges in both total yards (354-261) and first downs (25-13).

LSU rose six spots to No. 3 in the AP Top 25 poll Tuesday, while Clemson dropped four spots to No. 8.

“It was a helluva game, down to the last play,” Swinney said in his weekly news conference. “Right out of the gate. It’s like getting the final exam [on] Day 1 of class. They made a 65; we made a 58. Neither one of us were great.”

Kelly had not won a season opener at LSU before Saturday, and the victory was his first with the Tigers against an AP top-5 opponent.

“I thought we dominated them in the second half, so he’s really a really good grader for giving himself a 58, or he’s a really hard grader on us,” Kelly said in his news conference when told about Swinney’s comment.

“Or he didn’t see the second half, which, that might be the case. He might not have wanted to see the second half.”

Kelly added that LSU is moving on to this week’s game against Louisiana Tech.

“Clemson is a darn good football team,” Kelly said. “That’s a top-notch team, and they’re going to be a team in the hunt for [the] playoff picture. We hope we are, too. But it was only one game. So I don’t know if he’s a hard grader or an easy grader, but I like the way that we played in the second half.”

Clemson visits LSU to open the 2026 season.

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Buckeyes seize No. 1; LSU, Canes rise as Tide fall

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Buckeyes seize No. 1; LSU, Canes rise as Tide fall

Ohio State climbed to No. 1 in the Associated Press Top 25 college football poll on Tuesday, LSU and Miami moved into the top five, and Florida State jumped back into the rankings at the expense of Alabama, which plummeted to its lowest spot in 17 seasons.

The defending national champion Buckeyes received 55 of 66 first-place votes to move up two spots after their win over preseason No. 1 Texas. Ohio State is at the top of a regular-season poll for the first time since November 2015.

The Longhorns dropped to No. 7 as the media voters shuffled the rankings following a topsy-turvy Labor Day weekend. It was only the second time — and first since 1972 — that two top-five teams lost in Week 1 and the first time that four top-10 teams lost.

Only three teams in the Top 25 are in the same spot they were in the preseason poll.

Penn State got seven first-place votes and remained No. 2. LSU, which received three first first-place votes, was followed by Georgia and Miami to round out the top five.

Oregon got the other first-place vote and was followed by Texas, the Clemson Tigers, Notre Dame and South Carolina.

LSU jumped six spots after winning at Clemson and Miami got a five-rung promotion for its victory over Notre Dame.

The biggest movers in the poll were Florida State and Alabama after the Seminoles’ 31-17 victory in their head-to-head matchup.

The Seminoles, who were 15 spots outside the Top 25 in the preseason, are now No. 14. The Crimson Tide fell all the way from No. 8 to No. 21 — their lowest ranking since Bama was No. 24 in the 2008 preseason poll. That was the second of Nick Saban’s 17 teams in Tuscaloosa.

It’s been quite a turnabout for Florida State. The Seminoles were No. 10 in the 2024 preseason, lost their first two games, finished 2-10 and weren’t ranked again until now.

Utah, at No. 25, joins Florida State as the only newcomers to this week’s poll. The Utes are ranked for the first time since last October, when they were at the front end of a seven-game losing streak.

Utah had received the second-most points, behind BYU, among teams outside the preseason Top 25, but the Utes got more credit for beating UCLA on the road than the Cougars received for hammering FCS foe Portland State.

Boise State, which had been No. 25, received no votes following its 34-7 loss at South Florida. The Broncos had appeared in 14 straight polls.

The other team to drop out of the poll was No. 17 Kansas State, which followed up its season-opening loss to Iowa State with a last-minute home win over FCS team North Dakota.

Ohio State is the first team to take over the top spot in the first regular-season poll since Alabama in 2012. It was the biggest jump to No. 1 in the first regular-season poll since USC was promoted from No. 3 in 2008.

Texas’ fall was the biggest for a preseason No. 1 since Auburn dropped to No. 8 in the first regular-season poll of 1984.

LSU has its highest ranking after Week 1 since it was No. 3 in 2012, and Miami has its highest ranking after Week 1 since it was No. 5 in 2004.

South Carolina is in the top 10 in the regular season for the first time since it was No. 8 in December 2013.

CONFERENCE CALL

SEC: 10 (Nos. 3, 4, 7, 10, 13, 18, 19, 20, 21, 22)

Big Ten: 6 (Nos. 1, 2, 6, 11, 15, 23)

ACC: 4 (Nos. 5, 8, 14, 17)

Big 12: 4 (Nos. 12, 16, 24, 25)

Independent: 1 (No. 9)

RANKED VS. RANKED

No. 15 Michigan at No. 18 Oklahoma: This weekend’s game will be the first meeting since Oklahoma beat the Wolverines in the Orange Bowl to win the 1975 national championship. Wolverines freshman QB Bryce Underwood gets put to the test in his second start.

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Venables: Michigan’s Underwood ‘a little different’

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Venables: Michigan's Underwood 'a little different'

Oklahoma coach Brent Venables said Bryce Underwood “looks to be wise beyond his years” and compared Michigan‘s freshman quarterback to former Clemson national championship QB Trevor Lawrence on Tuesday ahead of the No. 18 Sooners’ Week 2 visit from the No. 15 Wolverines.

Underwood, ESPN’s No. 1 overall recruit in the 2025 class, will make his second career start at Oklahoma on Saturday (7:30 p.m. ET, ABC).

The coveted freshman earned Michigan’s starting job at the end of fall camp, beating out a collection of experienced passers on the depth chart including offseason portal additions Mikey Keene (Fresno State) and Jake Garcia (East Carolina). Underwood delivered a smooth college debut against New Mexico in Week 1, completing 21 of 31 passes for 251 yards and a touchdown in Michigan’s 34-17 win.

At Oklahoma, Underwood is set to face a much stiffer challenge against Venables, who resumed control of the Sooners’ defensive playcalling ahead of the 2024 season, and an experienced defense that held Illinois State to 151 yards of total offense in Week 1.

The former Clemson defensive coordinator compared Underwood to Lawrence, the five-star quarterback prospect who started as a freshman in 2018 and led the Tigers to a national championship win over Alabama.

“He’s a little different,” Venables said of Underwood. “It reminds me a lot of a Trevor Lawrence. Quick. Decisive. Accurate. Poised. Tough. Consistent. There’s a reason he was the No. 1 player in America. And he’s got a maturity and a work ethic and leadership agility to go along with that.”

As Oklahoma seeks to rebound from a 6-7 finish last fall, a new-look Sooners offense will get a test of its own Saturday.

Behind transfer QB John Mateer and first-year offensive coordinator Ben Arbuckle, Oklahoma gained 495 yards of offense in its 35-3, season-opening win over Illinois State. Mateer, who arrived in the offseason from Washington State alongside Arbuckle, passed Baker Mayfield for the most passing yards by an Oklahoma QB in a debut with 392 yards.

On Tuesday, Venables highlighted the Wolverines’ experience on defense, particularly in the front seven, as a defining challenge for the Sooners in an intriguing Week 2 matchup between two of college football’s most storied brands.

“[It’s] a defense that for the last several years has been one of the gold standards of college football when it comes to playing good defense,” Venables said. “It’s going to be a great physical matchup, and for us, a great litmus test to where we’re at.”

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