Laws and policies created in response to the COVID-19 pandemic ameliorated some long-standing barriers to reproductive justice. By granting access to paid family leave and telemedicine reproductive services, federal and state governments gave individuals greater responsibility for and autonomy over their reproductive and family lives, removing barriers to reproductive well-being. However, this devolution of personal responsibility back to individuals has occurred predominantly for people who already have means. Thus, COVID-19-stimulated policy changes have not only been ineffectual for marginalized individuals (for whom policy changes are most needed), but have in practice further entrenched harms to them: requiring them alone to continue to work when they or their family members are sick, and to overcome numerous barriers to seek reproductive care in person. This bifurcation is deliberate. American policy has long ascribed a kind of “personal responsibility” to Black and Brown people (who were disproportionately designated “essential” during this pandemic) that requires responsibility without providing a means to effect it, and punishes when prescriptive benchmarks are not met. It pretextually responsiblizes marginalized people, especially Black women and other women of color, for their health outcomes, instead of creating the conditions for reproductive and health justice. This chapter argues for laws and policies that enable a kind of responsibility that is consistent with reproductive justice. This responsibility sees people as worthy of making decisions about their and their family’s health, removes barriers to them doing so, and provides the underlying support to make such personal reproductive health decisions possible.