These findings highlight the need to pursue strategies to increase the number and geographic distribution of providers who accept Medi-Cal. Integrating early abortion into primary care settings has been shown to increase access without reducing safety or efficacy, [49, 50] and studies of women’s preferences suggest the majority of women would prefer to obtain an abortion at their primary care provider [51–54]. Increasing the types of providers who are qualified to provide abortion to include those more likely to work in rural and community-health settings than physicians can also increases access . In California, legislation was passed in 2002 allowing nurse practitioners and nurse midwives to administer medication abortion without physician supervision  and in 2013 allowing them to conduct first trimester aspiration abortions without physician supervision . Telemedicine programs, where a physician provides medication abortion by providing counseling via videoconference and then releases the medication via remote control, can also be a useful strategy to improve access where abortion providers are scarce .