Arthritis Foundation Statement on Methotrexate Access

As a result of the Supreme Court’s decision overturning Roe v. Wade, arthritis patients have reported difficulty accessing methotrexate, a drug commonly used for inflammatory autoimmune arthritis. Read what the Arthritis Foundation is doing to protect arthritis patients.

On June 24, 2022 the U.S. Supreme Court issued a historic decision overturning Roe v. Wade, declaring that the right to an abortion is no longer federally protected by the right to privacy. This ruling returned the decision to regulate abortion, including many fundamental reproductive health-care decisions, back to the states, and without any federal constitutional standards.

As an organization committed to improving the lives of people with arthritis and their families, the Arthritis Foundation recognizes that this decision will significantly impact the arthritis community and is likely to disproportionately affect the uninsured, under-insured and communities of color.

In anticipation of such a ruling, more than 20 states passed laws (also known as “trigger laws”) intended to criminalize abortions, with at least six additional states’ laws going into effect since the decision. Many of these state laws specifically list certain medications as “abortion-inducing drugs,” which bans their use without necessarily distinguishing by condition or diagnosis. One of these drugs is methotrexate, a well-established FDA-approved therapy with a long track record of safety and effectiveness often used to treat inflammatory arthritis and other autoimmune conditions and, at much higher doses, cancer. Methotrexate is also medically indicated for treating a patient after an early pregnancy loss, including ectopic pregnancy and miscarriage.

Most commonly, methotrexate is prescribed to treat rheumatoid arthritis (RA) but may also be prescribed for axial spondyloarthritis, ankylosing spondylitis, psoriatic arthritis, lupus, Sjogren’s vasculitis, juvenile idiopathic arthritis (JIA), and other related conditions. In some states where laws banning or severely restricting abortion have already taken effect, some arthritis patients are reporting difficulty filling their methotrexate prescriptions.

The Arthritis Foundation has a long history of advocating for comprehensive access to high-quality health care services and medications. We believe health care should be individualized and patient-centered, and we advocate for joint medical decision-making in the provider-patient relationship. As such, the Arthritis Foundation supports unencumbered access to and coverage of FDA-approved drugs for managing arthritis in alignment with scientific and clinical guidelines, as well as evidence-based medical recommendations.

We are committed to fighting for all people who live with arthritis while championing the fight to conquer arthritis with life-changing science, resources, advocacy, and community connections. We are quickly and actively engaging with many of our partner organizations, patient advocates, pharmaceutical industry and pharmacy partners, as well as federal and state governments to determine the best next steps to take to address this issue.

We Want to Hear from You

If you’re having trouble getting your medication, we want to know. We offer one-on-one support through our toll-free Helpline staffed by a licensed clinical social worker and trained staff, including a Spanish-speaking expert. You may remain anonymous. We fully respect your right to privacy. And if you have experienced trouble getting your methotrexate prescription filled, please contact us at 1-800-283-7800.

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Every gift to the Arthritis Foundation will help people with arthritis across the U.S. live their best life. Whether it is supporting cutting-edge research, 24/7 access to one-on-one support, resources and tools for daily living, and more, your gift will be life-changing.

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Help millions of people live with less pain and fund groundbreaking research to discover a cure for this devastating disease. Please, make your urgently-needed donation to the Arthritis Foundation now!

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Become an Arthritis Foundation member today for just $20 and you'll receive access to helpful tools..... and more. 

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Honor a loved one with a meaningful donation to the Arthritis Foundation. We'll send a handwritten card to the honoree or their family notifying them of your thoughtful gift.

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I want information on ways to remember the AF in my will, trust or other financial planning vehicles.


Volunteer Opportunities

The Arthritis Foundation is focused on finding a cure and championing the fight against arthritis with life-changing information, advocacy, science and community. We can only achieve these goals with your help. Strong, outspoken and engaged volunteers will help us conquer arthritis. By getting involved, you become a leader in our organization and help make a difference in the lives of millions. Join us and become a Champion of Yes.

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More About Volunteering


Give Just 10 Minutes.

Tell us what matters most to you. Change the future of arthritis.

By taking part in the Live Yes! INSIGHTS assessment, you’ll be among those changing lives today and changing the future of arthritis, for yourself and for 54 million others. And all it takes is just 10 minutes.

Your shared experiences will help:

- Lead to more effective treatments and outcomes
- Develop programs to meet the needs of you and your community
- Shape a powerful agenda that fights for you

Now is the time to make your voice count, for yourself and the entire arthritis community. 

Currently this program is for the adult arthritis community.  Since the needs of the juvenile arthritis (JA) community are unique, we are currently working with experts to develop a customized experience for JA families. 

How are you changing the future?

By sharing your experience, you’re showing decision-makers the realities of living with arthritis, paving the way for change. You’re helping break down barriers to care, inform research and create resources that make a difference in people’s lives, including your own.

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Meet Our Partners

As a partner, you will help the Arthritis Foundation provide life-changing resources, science, advocacy and community connections for people with arthritis, the nations leading cause of disability. Join us today and help lead the way as a Champion of Yes.


Our Trailblazers are committed partners ready to lead the way, take action and fight for everyday victories. They contribute $2,000,000 to $2,749,000


Our Visionary partners help us plan for a future that includes a cure for arthritis. These inspired and inventive champions have contributed $1,500,00 to $1,999,999.


Our Pioneers are always ready to explore and find new weapons in the fight against arthritis. They contribute $1,000,000 to $1,499,999.


Our Pacesetters ensure that we can chart the course for a cure for those who live with arthritis. They contribute $500,000 to $999,000.


Our Signature partners make their mark by helping us identify new and meaningful resources for people with arthritis. They contribute $250,000 to $499,999.


Our Supporting partners are active champions who provide encouragement and assistance to the arthritis community. They contribute $100,000 to $249,999.