How Employers Can Reduce Risk and Support Workers

RMH Compass Trend Reports deliver timely insights drawn from our proprietary dataset on reproductive and maternal health benefits—helping employers understand where they stand, how they compare, and what steps to take to better support their workforce.

Employer-sponsored health insurance covers over half the U.S. population — and with 1 in 4 women expected to have an abortion in their lifetime, employers have become critical gatekeepers to reproductive and maternal health care. But our proprietary data shows many companies are still behind — not out of negligence, but due to lack of clarity, operational barriers, or assumptions about employee needs.

Since the Dobbs decision in 2022, many companies have responded by expanding benefits: clarifying abortion-related coverage, adding abortion travel reimbursement, and reaffirming support for employee well-being. These changes don’t just meet a moral moment — they strengthen workforce retention, reduce absenteeism, and build loyalty and trust.

But even the most well-intentioned efforts can create blind spots — and serious risk.

This report highlights what leading employers are doing right, where gaps remain, and how small changes can lead to better care, stronger workforce engagement, and reduced legal risk. With data-driven insights and actionable next steps, RMH Compass offers HR and benefits leaders a path to smarter, safer policies.

New proprietary data from RMH Compass reveals that:

Nearly all companies surveyed (92%) cover both elective and non-elective abortion, demonstrating leadership in supporting comprehensive reproductive health benefits
85% of employers offer abortion travel reimbursement...
…but only 22% use a third-party vendor — a best practice that protects employee privacy and limits employer liability. By skipping this critical safeguard, companies may be exposing both employee data and their own legal liability.

This report is designed to give HR and benefits leaders the data, examples, and tools needed to move from uncertainty to action — and build workplaces where compliance and care go hand in hand.