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The Influence Of The Affordable Care Act

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Under the Affordable Care Act’s (ACA) birth control benefit, all health plans must cover contraceptive methods and counseling for all women, as prescribed by a healthcare provider (The National Women’s Law Center, 2017). These services must be provided with no cost-sharing, such as out-of-pocket costs like deductibles, co-payments, and co-insurance provider (The National Women’s Law Center, 2017). The article, “Did Contraceptive Use Patterns Change After the Affordable Care Act?” presents interesting insight on the ACA’s effect on females’ contraceptive utilization (Bearak & Jones, 2017).
Performing a descriptive analysis, Bearak and Jones (2017) examined data from two cross-sectional, national surveys of women ranging from 18 to 39 years …show more content…

Women who had engaged in intercourse with a man in the last 30 days were asked if they or their partner had used any of five barrier or coital-dependent methods (withdrawal, condoms, natural family planning, spermicide or some other barrier) (Bearak & Jones, 2017). In the 2015 survey, questions were asked intended to examine the potential impact of health insurance coverage and contraceptive copays (Bearak & Jones, 2017). Women without health insurance were asked, “If I had health insurance it would be easier for me to a) afford and use birth control b) choose a better birth control method for me, c) use my birth control method consistently” (Bearak & Jones, 2017). Women with health insurance who used a hormonal method, but reported having a copay were asked, “If I did not have to pay for this method it would help me to” and provided with the same follow-up options and, finally, women using hormonal methods and having no copay were asked, “Not having to pay anything out-of-pocket for my birth control method has helped me to” and also provided with the same response categories Bearak & Jones, 2017).
After sorting through the gathered responses and using logistic regression to assess the differences, the researchers found that there was no significant change in contraceptive use patterns among women at risk of unexpected pregnancy (Bearak & Jones, 2017). In both surveys, approximately 59% were using a prescription method, 20%-22% used

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