By state · Medicaid · Reproductive care · Gender-affirming care
Healthcare Access.
What healthcare you can access depends heavily on where you live. Select your state to see Medicaid expansion status, abortion access, gender-affirming care availability, and where to find free or low-cost care near you.
Actively Being CutMedicaid cuts in active legislation
Medicaid cuts — what's happening right now
The 2025 reconciliation package proposes over $800 billion in Medicaid cuts over 10 years — the largest in the program's history. Proposed changes include work requirements for adults 19–55, more frequent eligibility re-verification, and per-capita caps shifting costs to states. If you have Medicaid, re-verify your eligibility and respond to any notices immediately.
Select your state
Select a state above
Choose your state to see Medicaid enrollment status, abortion access, and gender-affirming care availability — with direct links to apply or find local resources.
Free and low-cost healthcare — no matter your state
These resources work regardless of insurance, income, or immigration status.
Federally Qualified Health Centers (FQHCs)
Over 1,400 FQHC organizations operate more than 14,000 sites nationwide. They provide primary care, dental, mental health, and pharmacy services on a sliding-fee scale — you pay based on your income. No one is turned away for inability to pay.
The National Association of Free & Charitable Clinics represents over 1,400 free clinics providing medical, dental, mental health, and pharmacy services at no cost to uninsured patients.
If you don't qualify for Medicaid, you may qualify for subsidized marketplace insurance. Subsidies are available for incomes up to 400% of the federal poverty level. Low-income enrollees often pay $0/month after subsidies.
988 Suicide & Crisis Lifeline: Call or text 988 — available 24/7, free, confidential. Crisis Text Line: Text HOME to 741741. SAMHSA National Helpline: 1-800-662-4357 — substance use and mental health referrals.
Prescription drug costs
If you cannot afford prescriptions, these programs can help regardless of insurance.
NeedyMeds.org
Database of patient assistance programs from drug manufacturers. Many offer free or reduced-cost medications to qualifying patients.
GoodRx / Mark Cuban Cost Plus
GoodRx coupons can reduce prices 80%+. Cost Plus Drugs (costplusdrugs.com) offers generic medications at cost + 15%.
Extra Help (LIS) — Medicare
Medicare beneficiaries with limited income may qualify for Extra Help, reducing Part D drug costs to near $0. Apply through SSA.gov.
State Pharmaceutical Assistance Programs
Many states run their own drug assistance programs for seniors and people with disabilities. Check with your State Health Insurance Assistance Program (SHIP).
Stay informed
Get updates when healthcare access and Medicaid policy changes.
We'll alert you when this program is cut, enrollment opens or closes, or new rules take effect in your state.
Not legal advice. Program rules, income limits, and eligibility requirements change frequently — always verify current rules at the official program website or with a licensed attorney or benefits counselor before making decisions. State programs may differ from federal guidelines. Links to external resources are provided for informational purposes only and do not constitute endorsement.