Contraceptive access is influenced by policy decisions, which can expand and constrict the contraceptive options available. This study explored the impact of recent US federal policies on contraceptive access by identifying and reviewing empirical literature, which is then presented and discussed using Levesque et al.’s (2013) healthcare access framework. A scoping review was conducted to identify empirical studies (N = 96) examining the impact of recent federal policy (passed from 2009 to 2019) on contraceptive access. Most identified studies examined the role of the Affordable Care Act (n = 53) and Title X of the Public Health Service Act (n = 25), showing many benefits of both policies for contraceptive access, particularly through improved affordability, availability, and appropriateness of contraceptive care. Other identified studies examined the impact of policies funding abstinence-only sex education (n = 2) and the Teen Pregnancy Prevention Program (n = 3), military policies related to the availability of contraception (n = 1), guidelines for quality contraceptive care (n = 3), Title IX of the Education Amendments (n = 4), the Violence Against Women Act (n = 1), and the Veterans Access, Choice, and Accountability Act (n = 4). Through increased outreach efforts, normalising of care, availability of services, cost subsidies, and provider competencies, recent federal policy has, overall, enhanced contraceptive access across the dimensions of healthcare access. Numerous policy and practice gaps and needs are identified, and future directions for research, policy, and practice are suggested.

避孕药具的获取受政策决定的影响，政策决定可以扩大和限制可用的避孕药具选择。本研究通过识别和回顾实证文献探讨了近期美国联邦政策对避孕药具获取的影响，然后使用 Levesque 等人 (2013) 的医疗保健获取框架对其进行了介绍和讨论。进行了范围界定审查以确定实证研究 ( N  = 96)，以检验近期联邦政策（2009 年至 2019 年通过）对避孕药具获取的影响。大多数确定的研究检查了平价医疗法案 ( n  = 53) 和公共卫生服务法案的标题 X ( n = 25)，显示了这两种政策对避孕药具获取的许多好处，特别是通过提高避孕药具护理的可负担性、可用性和适当性。其他确定的研究审查了资助纯禁欲性教育（n  = 2）和青少年怀孕预防计划（n  = 3）的政策的影响，与避孕可用性相关的军事政策（n  = 1），优质避孕护理指南( n  = 3)、教育修正案第九条 ( n  = 4)、《暴力侵害妇女法》 ( n  = 1) 和《退伍军人获取、选择和责任法案》 ( n = 4). 通过加大外展力度、护理常态化、服务可用性、成本补贴和供应商能力，最近的联邦政策总体上在医疗服务各个方面提高了避孕药具的可及性。确定了许多政策和实践差距和需求，并提出了未来的研究、政策和实践方向。