Finally, efforts to increase the number of providers accepting Medi-Cal as payment for abortion suggest that reimbursement rates for abortion must be reevaluated. National studies have found that Medicaid abortion reimbursement levels are lower than insurance payments and also lower than what women paying out of pocket are charged . In California, the second trimester abortion reimbursement rate by Medi-Cal FFS was substantially lower than private insurance when examined in 2006, less than half that of private insurance in some cases . Reimbursement rates have not changed substantially since then (personal communication, Janley Hsiao, Billing Manager, Women’s Options Center). Increasing the rate of reimbursement, as well as making abortion coverage information clear and available and training Medi-Cal staff on abortion coverage, could potentially increase the number and distribution of providers accepting Medi-Cal.