If you’re in a state that doesn’t respect reproductive rights and you’re confident you don’t want children in the future, https://childfreefriendlydoctors.com/ is an available resource.

Medicaid covers permanent birth control if you’re 21 and older with a 30 day waiting period. Any ACA compliant private health insurance plan will cover a tubal or bisalp (their pick) at 100% as preventative care as young as 18.