On Tuesday, the Institute of Medicine (IOM), a leading adviser to the federal government on healthcare established by the National Academy of Sciences in 1970, issued a series of groundbreaking recommendations regarding preventive services for women under the Patient Protection and Affordable Care Act (ACA). One recommendation in particular - that health insurance plans provide the full range of FDA-approved contraceptive methods free-of-charge to all women with reproductive capacity - bears enormous implications for women's access to reproductive healthcare services, particularly for women of color.
Unintended pregnancies in the United States are disproportionately high for low-income women and racial or ethnic minorities, many of whom face structural barriers to accessing contraception as a result of broad social and economic inequities (e.g., the persistent wage gap, disparate health care coverage rates, etc.). The high out-of-pocket costs of birth control - often hundreds of dollars each year - can be "prohibitively expensive" for many women and force them to choose between affording contraception and paying for basic necessities such as rent or child care. Over half of Latina and Black women between the ages of 18-34 have struggled with the cost of birth control, placing them at greater likelihood of an unintended pregnancy and related health risks.
If the U.S. Department of Health and Human Services accepts the IOM's recommendation that contraception be included as an important part of prevention for women's health care, the nation will be one step closer to fulfilling the ACA's promise of improving access to health care to all Americans. Click here to sign the National Women's Law Center's petition asking Kathleen Sebelius, Secretary of Health and Human Services, to accept these medically-based recommendations and to support no-cost contraception.
This blog is part of the National Women's Law Center birth control blog carnival, "We've Got You Covered," on the importance of accessible contraception.