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The Latest Research, Commentary, And News From Health Affairs

Thursday, April 15, 2021

Dear John,

A new study shows that the Affordable Care Act's birth control mandate
substantially increased the use of long-term contraception among women
with high-deductible health plans.

Tracking The ACA's Impact On Women And Birth Control

Starting in 2013, the Affordable Care Act (ACA) required all private
insurers to fully cover the cost of prescription contraception with zero
cost sharing. This mandate had a major impact on women with
high-deductible health plans (HDHPs), which have become increasingly
common but are associated with higher out-of-pocket spending and less
use of preventive services.

Before passage of the ACA, long-acting reversible contraception (LARC),
such as intrauterine devices, could cost patients several hundred
dollars out of pocket in the form of deductibles, copayments, or
coinsurance.

Using national commercial claims data from 2010 to 2017, Nora Becker and
coauthors studied LARC use for reproductive-age women

with HDHPs. They found that after the ACA's implementation, women
enrolled in HDHPs increased their use of LARC by 35 percent more

than women in non-HDHPs did.

Becker discussed this research on an episode of A Health Podyssey
.

For more on the intersection between access, the Affordable Care Act,
and spending, read the April 2021 issue
.

Today on Health Affairs Blog, Margaret M. Dotzel and coauthors argue
that, to design an effective financing system for generic drug
approvals, the FDA must balance the need to ensure sustainability

with the goal of providing a level playing field for competition among
firms of all sizes. Also, Meghan Peterson and coauthors discuss how
difficult it is to obtain data on vaccination rates within correctional
facilities
,
which limits our ability to track and improve on vaccine delivery to
this highly vulnerable population.

Are you

**enjoying our free COVID-19 research, blogs, and podcasts?** Please
consider supporting our work .

Your Daily Digest

ACA Mandate Led To Substantial Increase In Contraceptive Use Among Women
Enrolled In High-Deductible Health Plans

Nora V. Becker, Nancy L. Keating, and Lydia E. Pace

To Improve Competition In Generic Drug Markets, The FDA Should Discount
User Fees For Small Players

Margaret M. Dotzel, Richard G. Frank, Thomas G. McGuire, Ian Nason, and
William B. Schultz

Uneven Rollout Of COVID-19 Vaccinations In United States Prisons

Meghan Peterson, Forrest Behne, Beza Denget, Kathryn Nowotny, and Lauren
Brinkley-Rubinstein

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Request For Abstracts:
Racism And Health

Health Affairs is planning a theme issue on racism and health, with an
emphasis on structural racism, to be published in February 2022. We plan
to publish approximately twenty peer-reviewed articles-including
original research, analyses, commentaries, and Narrative Matters-from
a diverse group of researchers, scholars, and community health leaders,
among others.

We're looking for content to help shape future research and policy.

**Health Affairs** thanks the Robert Wood Johnson Foundation and the
Episcopal Health Foundation for their generous support of this issue.

Read More

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