District of Columbia

The District of Columbia protects abortion access without gestational limits and maintains a legally supportive care environment. Maternal mortality rates are lower than national averages overall, but stark racial disparities persist, particularly for Black birthing people. Medicaid expansion and generous eligibility thresholds support prenatal and postpartum coverage, including extended postpartum care. While provider density is high compared to most states, access gaps remain for residents facing housing instability, transportation barriers, or fragmented continuity of care. Strong legal protections coexist with persistent equity challenges tied to systemic factors rather than statutory restriction.

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