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Affordable Care Act (ACA)

Can The Supreme Court Take Away Maternity Coverage?

Imagine an insurance market where only 12% of health insurance plans include maternity coverage. Imagine further that if a woman wanted to add maternity coverage, she would have to pay thousands of additional dollars each year and, even then, the insurance would not cover her pregnancy until she passed a one or two year waiting period. If a woman was pregnant when she applied for coverage or had a previous caesarian delivery, she could be denied health insurance.

It shouldn’t be too difficult to imagine, since this was the individual health insurance market in the United States just fifteen months ago.

When LaDonna Appelbaum became pregnant in 2010, she discovered that her health insurance did not cover maternity care — it did not cover any costs related to prenatal care, nor any related to her eventual miscarriage. When she searched for a new policy that would provide these benefits, she was told that she would have to endure a one-year waiting period for pregnancy coverage — and then her premiums would quadruple.

The individual health insurance market failed women like LaDonna before the passage of the Affordable Care Act. On Wednesday, March 4, the Supreme Court will hear a case that could bring those failures back. Read more »

What Are They Thinking? Six States Argue Against Financial Assistance in King v. Burwell—Threatening Nearly 1 Million Women

On March 4th, the U.S. Supreme Court will hear arguments in King v. Burwell, a case challenging a core provision of the Affordable Care Act (ACA). The Court will decide whether individuals and families will continue to receive tax credits to help purchase insurance on the federally-facilitated health insurance marketplaces. There are currently 37 states that utilize this kind of marketplace.

The loss of tax credits would have dire consequences in these states — we estimate that nearly 7 million women would lose access to affordable coverage. Last year, 86 percent of people who sought coverage in the federally-facilitated marketplaces used tax credits to lower their premiums [PDF], and this year’s enrollees similarly rely on this help. If such a high proportion of Marketplace enrollees lose coverage following the Court’s decision, premiums for remaining enrollees would skyrocket, further destabilizing the market. Read more »

Starve American Workers Act Is More Like It

Yesterday the House of Representatives passed H.R. 30, a bill to chip away at the Affordable Care Act’s requirement that employers provide health coverage for employees who work at least 30 hours a week, amending it so that employers would only be required to provide health insurance coverage to those who work 40 hours per week. Read more »

Save American Workers from H.R. 30

Tomorrow, the House of Representatives will be voting on H.R. 30, a bill that would change the Affordable Care Act’s definition of full-time work so that employers only have to offer health insurance to employees who regularly work 40 or more hours a week. Without this change, employers must offer coverage to employees who regularly work 30 or more hours a week.

These are four reasons H.R. 30 is bad for American women, American workers and American families. Read more »

Five Things to Remember During Open Enrollment this Year

Open enrollment for health coverage on the Health Insurance Marketplaces begins this weekend. Open enrollment is an annual opportunity for women to compare their insurance options and, depending on their circumstances, renew with their current plan, enroll in a new plan, or apply for Marketplace coverage for the first time. In 2014, more than 4 million women enrolled in coverage through the Health Insurance Marketplaces. This year, many more women and their families are likely to shop for coverage and select a new health plan.

As women consider their options during open enrollment, here are five things to keep in mind: Read more »

Unexpected News from the Supreme Court Won’t Stop Health Care Enrollment

With eight days to go before health plan enrollment begins for 2015, the Supreme Court of the United States announced today that it will hear King v. Burwell in the Court’s next term. This case challenges the availability of premium tax credits and cost-sharing reductions for people who sign up for health insurance through the federal Marketplace. Thirty-four states rely on the federal government to manage the health insurance marketplaces for their residents. This means that if the Court were to overturn the King decision from the Fourth Circuit Court of Appeals, millions of women and their families would lose premium subsidies, and therefore access to affordable health insurance. Read more »

New Health Insurance Data: A Revealing Look at Coverage Before The ACA

Today, the Census Bureau released new data about the number of Americans with health insurance. The Current Population Survey (CPS) offers a revealing look at Americans’ health coverage in 2013. The data does not yet reflect the full implementation of the Affordable Care Act (ACA), but provides a baseline to understand who had coverage and from where prior to full ACA implementation, setting us up for some interesting analysis next year.

In brief, too many women remained uninsured in 2013. Overall, 14 percent of women and girls lack health insurance coverage. For adult women 18 to 64 the proportion is even higher; 17 percent of women went without health insurance in 2013. Read more »

Unaffordable Health Care By Any Other Name

Women make up a large majority of the low wage workforce — many without access to affordable health insurance . The Affordable Care Act was supposed to change that. However, for millions of women and their families, something called the “family glitch” puts help with insurance premiums out of reach. But it really isn’t a glitch  because the IRS could have interpreted the law differently.

If you have access to health insurance coverage outside the health insurance marketplace (if you have coverage through your employer or a public insurance program such as Medicaid), then you are not eligible for the health insurance tax credits. But there is a special rule for employment based coverage – if your employer offers coverage that is unaffordable or doesn’t provide enough coverage, then you can say no to your employer coverage and enroll in the marketplace with a health insurance tax credit (if you’re otherwise eligible for the tax credit). Read more »

A Big Week for Breastfeeding

You may already know that one of the Affordable Care Act’s great new preventive benefits for women is coverage of breastfeeding supports and supplies. Women with health coverage through the new Marketplaces, and many who have coverage through an employer, are now able to get breast pumps and help from a lactation consultant as they learn to breastfeed, deal with breastfeeding problems and, if they choose, return to work – without any out-of-pocket expense! Breastfeeding benefits both moms and babies, and this coverage helps women overcome some of the problems they often encounter as they start breastfeeding or if they go back to work as nursing mothers.

What you may not know is that women in the military and women in military families, who have health coverage through TRICARE, have not been eligible for this new preventive benefit. But this week, just in time for Memorial Day, both houses of Congress have taken big steps towards fixing this problem. Read more »

It Works! New Data on Health Insurance and the New Health Care Law

If you had any doubt that the new health care law is helping women and their families get health insurance – and given the Chicken Little-level hysteria that seems to still affect critics of the new law, you can be forgiven for harboring a few doubts – a new survey released yesterday should calm those fears. According to Gallup, the uninsured rate for adults in states that have implemented both major coverage components of the Affordable Care Act has fallen, on average, 2.5 percentage points in the first three months of full implementation. These 21 states and the District of Columbia, which expanded coverage through Medicaid and established their own health insurance marketplaces (including those running “partnership” marketplaces), have widened the gap in average rates of uninsurance between themselves and states that have not taken both of these steps. Read more »