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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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Kemi Badenoch does not rule out local coalitions with Reform after next week’s council elections

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Kemi Badenoch does not rule out local coalitions with Reform after next week's council elections

Kemi Badenoch has not ruled out forming coalitions at a local level with Reform after the council elections next week.

Speaking to Sunday Morning with Trevor Phillips, the Conservative leader did however categorically rule out a pact with Nigel Farage’s party on a national level.

“I am not going into any coalition with Nigel Farage… read my lips,” she said.

However, she did not deny that deals could be struck with Reform at a local level, arguing that some councils might be under no overall control and in that case, “you have to do what is right for your local area”.

“You look at the moment, we are in coalition with Liberal Democrats, with independents,” she said. “We’ve been in coalition with Labour before at local government level.

“They [councillors] have to look at who the people are that they’re going into coalition with and see how they can deliver for local people.”

She added: “What I don’t want to hear is talks of stitch-ups or people planning things before the results are out. They have to do what is right for their communities.”

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A total of 23 councils are up for grabs when voters go to the polls on Thursday 1 May – mostly in places that were once deemed Tory shires, until last year’s general election.

It includes 14 county councils, all but two of which have been Conservative-controlled, as well as eight unitary authorities, all but one of which are Tory.

Ms Badenoch has set expectations low for the Tories, suggesting they could lose all the councils they are contesting.

The last time this set of councils were up for election was in 2021, when the Conservative Party was led by Boris Johnson who was riding high from the COVID vaccine bounce.

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Landeskog scores 1st NHL goal in nearly 3 years

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Landeskog scores 1st NHL goal in nearly 3 years

Perhaps the only detail more emphatic than the goals in the Colorado Avalanche‘s 4-0 win over the Dallas Stars Saturday night, was the impact provided by their captain, Gabriel Landeskog.

Landeskog, who returned in Game 3 of this Western Conference first-round series after missing nearly three seasons while recovering from a knee injury, scored his first goal since June 20, 2022, in a multi-point performance that saw the Avalanche tie the series at 2-2 in Game 4 at Ball Arena. Game 5 is Monday in Dallas.

“It means a lot,” Landeskog told reporters after the win. “Obviously, I’ve envisioned scoring again for a long time. There obviously days when I didn’t know if I was ever going to score again. It obviously feels good. It’s a tight playoff series in a big game here at home. To get to do it here at home in front of our fans obviously means a means a lot. Super exciting. Hopefully more to come.”

A short-handed goal from Logan O’Connor midway through the first period followed by a late power-play goal from Nathan MacKinnon staked the Avalanche to a 2-0 lead entering the second period.

That set the stage for Landeskog, who was in the slot when Brock Nelson fed a pass that the 32-year-old winger launched for a one-timer that beat Stars goaltender Jake Oettinger for a 3-0 lead.

Landeskog, who was playing on the second line, was instantly mobbed by his teammates on the nice such as Samuel Girard, Valeri Nichushkin, Devon Toews and Nelson, who joined the Avalanche at the NHL trade deadline.

As Landeskog returned to the bench, he was congratulated by the entire team which also included a hug from a smiling MacKinnon, who along with Landeskog, have been with the franchise for more than a decade.

“I was just proud of him again,” Avalanche coach Jared Bednar told reporters after the game. “I was proud of him regardless of if he scores or not because I know what he’s gone through, and I know how difficult that was. I think that takes it to another level. You know he wants to come back and contribute like he did in the past and he’s off to a great start.”

Landeskog’s goal was the latest milestone in what’s been a lengthy recovery from a chronically injured right knee. He missed what amounted to 1,032 days since his last NHL game.

In that time, the Avalanche have remained in a championship window but have dramatically altered their roster. The Avs have nine players from that championship team who have remained with the franchise and have since reshuffled a roster that led to them re-acquiring defenseman Erik Johnson, one of Landeskog’s closest friends, in their bid for the fourth title in franchise history.

Even with all the changes, there were still questions about when they could see Landeskog return to the lineup. And if Landeskog did return, what he could look like?

His first professional game in three years came April 11 with the Avalanche’s AHL affiliate where he logged 15 minutes. Landeskog would then score a goal and get an assist in his second and final game.

And much like his AHL stint, all it took was two games for Landeskog to score and have another two-point performance.

While Landeskog’s goal became the most celebrated moment of the evening, what he did to help create the Avalanche’s fourth goal was an example of why he’s so crucial to their title aspirations.

Landeskog played a pass to Nelson who then found a Girard for a shot from the point that gave the Avs a 4-0 lead in the fourth. In the time Landeskog passed the puck, he anchored himself at the net front to gain position on 6-foot-7 Stars defensemen Lian Bichsel to screen goaltender Casey DeSmith, who replaced Oettinger for the third period.

Jockeying with Bichsel, who is six inches taller and 16 pounds heavier, allowed Landeskog to test both his strength and that right knee to gain leverage.

The result? Girard’s shot found space in traffic with Landeskog making it hard for DeSmith to see the puck.

“He’s a big boy,” Landeskog said with a smile. “He’s a big strong guy, a physical player and hard to play against. I was trying to get in front of their goal, and he was trying to get me out of there. It was a good battle.”

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Several killed after vehicle drives into crowd at street festival, police in Vancouver say

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Several killed after vehicle drives into crowd at street festival, police in Vancouver say

A number of people have been killed and multiple others injured after a driver drove into a crowd at a street festival in Vancouver, police have said.

The driver has been taken into custody after the incident shortly after 8pm local time on Saturday, police added.

People were in the area near 41st Avenue and Fraser Street for the Lapu Lapu Day Block Party, named after a national hero of the Philippines.

Vancouver’s mayor Ken Sim said in a post on X: “I am shocked and deeply saddened by the horrific incident at today’s Lapu Lapu Day event.”

He added: “Our thoughts are with all those affected and with Vancouver’s Filipino community during this incredibly difficult time.”

Video posted on social media showed victims and debris strewn across a long stretch of road, with at least seven people lying immobile on the ground.

A black SUV with a crumpled front section could be seen in photos from the scene.

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