The law directly conflicted with the federal health care law’s contraceptive coverage requirement, which requires all new health insurance plans to cover contraceptives with no co-pay. In his announcement, the Attorney General aptly stated, “the attempt to deny contraceptive coverage to women in Missouri is just plain foolishness” and “cannot be supported by case law or sound policy.” Read more »
The new health care law known as the Affordable Care Act (ACA) allocates money for each state to cover more uninsured people through Medicaid. It’s a great deal for states, since these federal dollars will cover 100% of costs in the first few years and will ultimately pay for 90% of the yearly costs of this coverage. But because last year’s Supreme Court decision made accepting these funds optional, in states that choose to turn down the money, some people will earn too little to qualify for tax credits to purchase coverage in the new health insurance marketplace, yet won’t be able to obtain coverage through Medicaid. In other words, these people will fall into a “coverage gap” and will get no help toward affording health coverage, while some people who make more money will still get help.
A study published in the journal Women’s Health Issues last week highlighted a problem many women have confronted over the years when getting their birth control: even when you have insurance, the costs for contraception can be unaffordable. The study showed that, in 2010, on average women with private insurance paid $10 for a one-month supply of generic pills, $112 for an IUD, and $116 for an implant. The study also found that costs varied depending on your insurer, with some women having to pay more than $17 a month for generic pills, $305 for an IUD, or $308 for an implant. On top of these high costs, the study found that between 2007 and 2010, insurance companies shifted to women costs for long-acting contraceptives, like IUDs and implants. In 2007, a woman paid 13.8% of the cost of an IUD, whereas in 2010 she paid 17.5%.
If these price tags have you confused, there is hope. As I’ve mentioned on this blog before, the Affordable Care Act, often referred to as “Obamacare,” contains a provision that requires health insurers to provide coverage of the full-range of FDA-approved contraceptives without cost sharing. Read more »
It’s been an exciting few weeks for advocates who are urging Governors and state legislators to say yes! Last June, the Supreme Court upheld the health care law but let states choose whether or not to take the Affordable Care Act’s funding for covering more people through the Medicaid program. Ever since then, Virginia advocates have had their work cut out for them—making phone calls, knocking on doors, and educating anyone who will listen about the important benefits to the state of Virginia, hospitals and health systems, and to the women and families who will gain the most.
Last weekend, Virginia took a big step forward. The two-year state budget includes a compromise proposal that could lead to Virginia extending coverage to approximately 350,000 Virginians who currently lack health insurance. Under this proposal, a legislative committee will ultimately determine whether the expansion will move forward. Governor McDonnell is currently reviewing this legislation.
The CDC published new data today showing that the teen birth rate in the U.S. dropped to a historic low in 2011. The CDC attributes this in part to teens using contraception more regularly and more effectively. This is great news for a number of obvious reasons. But what it makes me really excited about is how the Affordable Care Act’s contraceptive coverage provision could help reduce these rates even more in the coming years.
Yes, I recognize how wonky my excitement is, but think about it: these new statistics are from a period of time before the ACA’s contraceptive coverage requirement went into effect. Imagine what might be coming down the road for us as more and more women have access to contraceptive coverage without worrying that they won’t be able to afford the co-pay at the pharmacy. Read more »
A recent study by the North Carolina Institute of Medicine confirmed what many Governors, state legislators, advocates, and the public already know: covering more hardworking people through the Medicaid program is not only the right thing to do, it’s a good deal that makes a lot of sense.
In summary, a decision to participate in Medicaid expansion, as put forth in the [health care] law, would provide insurance coverage to approximately 500,000 North Carolinians; most of whom would remain uninsured without the expansion. Providing health insurance coverage will help people gain access to the care they need, which can help improve health outcomes. Because of the high federal match rate, the offsets, and the new tax revenues, the state would likely experience a net savings of $65.4 million from the Medicaid expansion over the eight-year time period.
This weekend, the Washington Post published an article describing how the breast pump industry is faring now that the health care law requires health insurance coverage of such pumps. The article quoted our very own Judy Waxman and yours truly. As expected, there were many comments from readers vehemently disagreeing with the premise of covering breast pumps. The gist of the complaint is: “why should I pay for other peoples’ breast pumps. Why do women get these things for free?”
My initial response to these complaints is – as I have explained time and again – women are not getting their birth control or pumps for “free.” They are paying for it when they pay for health insurance, either by working for it and having it included as part of the employee’s benefit package (and likely still paying part of the premium) or by paying for it directly on the individual market. So this stuff isn’t “free,” the woman IS paying for it. Do you call the preventive care visits that now don’t have a no co-pay as “free?” No, it is not free. You pay premiums to your health insurance company so that they cover these medical care costs when you need such care. Read more »
Last week at a lunch with African advocates for women’s rights, we discussed pregnancy rates in Africa and the United States. Across the continents one thing remained constant—women have better outcomes when they are able to control their fertility. They enjoy greater freedom to pursue academic studies or careers, and to plan their lives as they see fit.
Opponents to birth control have made speeches decrying the rule, hosted conferences and brought lawsuit, after lawsuit, after lawsuit... Since the lawsuits have proved to be a publicity-gaining tool, we can anticipate many more. Read more »
Halloween is just around the corner and I’m pretty psyched about the arrival of haunted houses and scary movie marathons. I’m not easily scared. I will watch The Shining without flinching; I was thrilled about the new season of American Horror Story starting, and one of the first things I do when visiting a new city is look for a good ghost tour. One thing that does have me frightened though (other than the ridiculous lines at Party City the weekend before Halloween) is the prospect that some States may not expand Medicaid eligibility in 2014.
The Affordable Care Act extends health coverage to 30 million currently uninsured Americans through tax credits to purchase private insurance and a major expansion of Medicaid eligibility to all qualified individuals under age 65 who have incomes below 133 percent of the federal poverty line (FPL) (about $30,000 for a family of four). The Medicaid eligibility expansion accounts for approximately half of the coverage gains under the new healthcare law.Read more »
October is National Breast Cancer Awareness Month – a fitting time for women to think about how aware we are of our health, the choices and challenges we face, and the options out there that help keep us healthy.
With medical advancements and increasing public awareness, we’ve come a long way in preventing and treating breast cancer, but it remains a devastating disease – breast cancer is still the second leading cause of cancer death for women in this country.
Changes to our health care system are making it easier for women to access important preventive services and treatment for serious health issues like breast cancer. The new health care law, the Affordable Care Act, removes financial barriers to screening mammograms in both Medicare and new health insurance plans, making them available to millions of women with no cost-sharing requirement.
Last year, more than 6 million women got mammograms without co-pays through Medicare.
The Affordable Care Act makes other critical preventive services available to many women with no out-of-pocket costs. As of August 1, 2012, new plans are required to provide certain women’s preventive services without cost sharing as they enter their next coverage year. Read more »