In 2021 and beyond, policymakers must prioritize fact-based findings and the needs of the marginalized communities who bore the brunt of the Trump administration’s attacks in order to ensure sexual and reproductive autonomy and access for all people. The goal cannot simply be to restore the health care system to its 2016 state, but rather to make real and sustained progress in redressing long-standing injustices.

To help inform and guide these efforts, we highlight Guttmacher experts’ analyses and evidence-based recommendations for the Biden administration, as well as for federal and state lawmakers.

A Time for Change: Advancing Sexual and Reproductive Health and Rights in a New Global Era

The global health landscape has been fundamentally changed by the COVID-19 pandemic and the devastating policies of the Trump-Pence administration. Now, the Biden-Harris administration must step up in partnership with the global community to address health inequities and disparities—moving beyond previous structures to achieve true progress on global sexual and reproductive health and rights.
Read the analysis (February 2021)

Just the Start: How the Biden-Harris Administration Must Build on Its Early Actions for Lasting Change

The Biden-Harris administration has shown a commitment to evidence-based policymaking in its early actions to rectify the former administration’s policy attacks on health care. This analysis outlines actions to date and recommendations on next steps to ensure sexual and reproductive health and rights for all.
Read the analysis (February 2021)

Adolescents Deserve Better: What the Biden-Harris Administration and Congress Can Do to Bolster Young People’s Sexual and Reproductive Health

The Biden-Harris administration and Congress should prioritize ensuring that all adolescents receive high-quality sex education, removing financial and logistic obstacles to care, and guaranteeing confidential care. This policy analysis details legislative, regulatory and governing tools that the administration and Congress can utilize to achieve this vision.
Read the analysis (February 2021)

A Fragmented System: Ensuring Comprehensive Contraceptive Coverage in All U.S. Health Insurance Plans

Despite federal law requiring insurance to cover contraception, gaps remain, resulting in inconsistent and incomplete contraceptive coverage for many people in the United States. This policy analysis lays out the current landscape of public and private insurance coverage of contraception and details recommendations for the Biden-Harris administration and Congress on how to bolster coverage across federal programs to help ensure reproductive autonomy.
Read the analysis (February 2021)

How the Biden administration should stand up for abortion rights

In a joint Washington Post op-ed, Guttmacher President and CEO Dr. Herminia Palacio and ANSIRH Director Dr. Daniel Grossman applaud crucial first steps by the Biden-Harris administration to restore reproductive health and rights. They urge the administration to follow the evidence and expand access to abortion, including by lifting restrictions on medication abortion and repealing the Hyde and Helms Amendments.
Read the op-ed (January 2021)

Biden-Harris Administration Must Address Trump’s Last-Minute Attempts to Damage Health Care

The Trump-Pence administration continued to attack sexual and reproductive health and rights to the very end of their term through regulatory and administrative processes. This analysis outlines the damage that has already been done and what the Biden-Harris administration can do to stop or otherwise unwind these last-minute attacks.
Read the analysis (January 2021)

Medicaid Work Requirements at the U.S. Supreme Court: A Potentially Devastating Blow to Health Coverage for Millions

An upcoming U.S. Supreme Court case on the legality of Medicaid work requirements could determine Medicaid eligibility for millions of people. Medicaid is a critical program insuring one in five low-income people in the United States. The analysis details immediate actions that the Biden-Harris administration should take to protect Medicaid.
Read the analysis (January 2021)

The First 100 Days: Biden-Harris Administration Must Use Electoral Mandate to Advance Sexual and Reproductive Health and Rights

As the United States looks toward a new federal administration, it continues to be gripped by overlapping crises: the COVID-19 pandemic, an economic recession, and deep-seated racial and social inequities. This analysis lays out priorities for the first 100 days of the Biden-Harris administration to center sexual and reproductive health and rights as part of a necessary response to these crises and as a way to help as many people as possible achieve reproductive autonomy.
Read the analysis (December 2020)

Reviving Sexual and Reproductive Health and Rights in the Biden-Harris Era

New leadership in the White House does not guarantee that sexual and reproductive health care and rights will be fully available to all. This new resource lays out recommendations for Congress and the executive branch to meet the needs of communities and populations that will be most affected by sexual and reproductive health policy decisions that lie ahead.
Read the analysis (November 2020)

President-Elect Biden’s Health Insurance Plan and Its Potential Impact on Sexual and Reproductive Health and Rights

Guttmacher experts evaluated proposed changes to the U.S. health insurance system under President-Elect Biden’s health care plan. This assessment outlines the plan’s strength and weaknesses on sexual and reproductive health and rights policy issues.
Read the analysis (November 2020)

An Even-More-Conservative U.S. Supreme Court Could Be Devastating for Sexual and Reproductive Health and Rights

The confirmation of Justice Amy Coney Barrett solidifies the anti-reproductive health majority on the U.S. Supreme Court. This analysis explores how the new Supreme Court threatens to roll back decades of progress that have been made for basic human rights and especially for sexual and reproductive rights.
Read the analysis (October 2020)