I am also in the Bible belt, and the condoms are out there for anyone to pick up. I believe the biggest issue with contraception is people are embarrassed to buy it because they don't want people to know about their sex life. This leads to either theft, no sex, or pregnancy depending on the individual.
But that's not the same as the OP and other posters saying that contraception isnt' available unless ACA or the like is in place.
It's out there always has been, just a matter of people getting it. I think they mean to say, it only matters if someone else is PAYING for it.
Conflating availability with who is footing the bill.