Updated HHS Guidance Reaffirms the ACA’s Contraceptive Coverage Requirements for Health Insurance Providers – InsuranceNewsNet


Targeted News Service (Press Releases)

WASHINGTON, July 30 (TNSres) — Power to Resolve issued the next news release:

The U.S. Department of Health & Human Services (HHS) released updated guidance in response to mounting evidence – including a recent report from Power to Resolve – that medical insurance firms have been failing to supply coverage for the complete range of contraception options with no out-of-pocket expense, as required under the Inexpensive Care Act (ACA).

The updated guidance from HHS reaffirms several vital standards outlined within the ACA, including the requirement that medical insurance firms provide a transparent and easy-to-use exceptions process to assist patients get coverage of the contraceptive method that works for them in cases when it isn’t typically covered by their plan.

In May, Power to Resolve released “When Your Birth Control Is not Covered: Health Plan Non-Compliance with the Federal Contraceptive Coverage Requirement,” which included an intensive review and “secret shopper”-style survey of 42 health plans, covering tens of millions of individuals across greater than 35 states. Researchers for this report concluded that only two out of the 42 had an appropriate exceptions process in place. Among the many others, what information was available was often vague, incorrect, or otherwise fell in need of the ACA’s requirements. For 18 of the plans, researchers could find no mention in any respect of an exceptions process for contraception or other preventive services.

“This latest guidance from HHS was unfortunately a essential response to the continuing problem of medical insurance firms failing to comply with the ACA’s contraception profit, disproportionately harming historically marginalized communities and people struggling to make ends meet,” said Power to Resolve Vice President of Policy Rachel Fey. “We hope that it serves as a very important reminder to medical insurance firms, that individuals across the country depend on contraceptive coverage to guard their reproductive health and well-being.

“We applaud HHS and the Biden administration for taking this vital step toward reaching the goal of ensuring everyone has access to the contraceptive care they need and urge them to take enforcement steps as essential to make sure adherence to this guidance.”

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Original text here: https://powertodecide.org/about-usnewsroom/updated-hhs-guidance-reaffirms-acas-contraceptive-coverage-requirements-for-health

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REPORT: https://powertodecide.org/sites/default/files/2022-04/ACA%20Contraception%20Exception%20Report.pdf


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