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February 16, 2016

Addressing Challenges to Implementation of the Contraceptive Coverage Guarantee of the Affordable Care Act

Author Affiliations
  • 1Division of Public Health Sciences, Department of Surgery, School of Medicine, Washington University in St Louis, St Louis, Missouri
  • 2Guttmacher Institute, New York, New York
  • 3Division of Family Planning, Department of Obstetrics and Gynecology, School of Medicine, Washington University in St Louis, St Louis, Missouri
JAMA. 2016;315(7):653-654. doi:10.1001/jama.2016.0204

The contraceptive coverage guarantee of the Affordable Care Act (ACA) requires that privately insured women receive insurance coverage for US Food and Drug Administration (FDA)–approved contraceptive methods, sterilization procedures, and patient education and counseling without any out-of-pocket costs. Medicaid recipients have been excluded from this requirement. This coverage must encompass the clinical visit, services needed for provision of contraception, follow-up and management of adverse effects, counseling for continued adherence, and device removal.1

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