Access to contraceptive services for low-income and other marginalized identities is central to reducing inequities in access to care. Telemedicine (TM) has the potential to expand access to care, but widespread use of TM for contraceptive care was limited prior to the COVID19 pandemic. The publicly funded family planning “safety net” system of Community Health Centers (CHCs) is a critical provider of family planning services to historically marginalized populations; however, existing evidence about use of TM for contraceptive services in the US safety net system is limited. This proposal directly addresses this gap and will complete parts of cancelled grant 5R01MD019269 (Darney, PI). We leverage individual-level clinical data from a common electronic health record (EHR) across a national network of CHCs and rigorous multilevel analytic methods to document use of TM compared with face-to-face visits for contraceptive services. Under this bridge funding we will complete Aim 1 of the cancelled R01, focusing on describing use of TM by modality (audio only, video, patient portal), and by key patient characteristics (e.g. age, preferred language) and individual and community structural factors (e.g. insurance, community level broadband access). We will also investigate state- and clinic-level differences in provision of contraceptive services using TM. Results can be used to advocate for increased access for key subpopulations (e.g. adolescents, non-English speakers) or specific policies (e.g. TM reimbursement, Medicaid coverage, adolescent access to contraceptive services). This proposal will generate key scientific evidence about emerging modalities of accessing contraceptive care across fragmented policy and service delivery contexts.