Despite living in California, a state with liberal abortion laws and relatively good access to abortion , many low-income women with Medicaid travel long distances for publicly funded abortion care. In this study, 12% of women traveled 50 miles or more to obtain a publicly funded abortion. Distances were highest among rural women, about half of whom traveled 50 miles or more. Less than a quarter of the abortion providers in the state provided significant numbers of abortions for the Medicaid program . Only about half of California’s counties had facilities that regularly provided abortion care and accepted Medi-Cal as a form of payment.