187529 Low-Income Women's Access to Birth Control

Tuesday, October 28, 2008: 9:15 AM

Myra G. Batchelder , Low-Income Access Program, National Institute for Reproductive Health, New York, NY
An essential component of comprehensive reproductive health care is access to birth control. Unfortunately, for millions of uninsured and underinsured women across the country accessing birth control is a difficult and often impossible process. Even women on Medicaid and other public health insurance programs face problems accessing needed contraceptive services.

Twelve percent of women of reproductive age depend on Medicaid for their health care. However, the birth control options that state Medicaid programs provide are not always adequate to meet women's needs. Emergency contraception, for instance, is not covered by all state Medicaid programs and in some states is only covered if the woman obtains a prescription, despite its approval by the FDA for over-the-counter use. The panelist will discuss the state of Medicaid coverage for emergency contraception and will highlight current efforts on the national, state and local level to expand state Medicaid coverage for emergency contraception. One effort that will be highlighted is the work of the Low-Income EC Access Coalition, a coalition made up of over 60 organizations from 22 states that are collaborating on efforts to expand access to emergency contraception for all low-income women.

With over twenty percent of women of reproductive age uninsured, there is a large need to create new innovative programs to expand access to family planning. The panelist will also discuss the work of six state and local organizations who recently received grants from the National Institute to expand access to birth control for low-income women in their area.

Learning Objectives:
Analyze the current limitations regarding Medicaid’s coverage of birth control products. Discuss efforts underway across the country to expand birth control access for low-income women.

Keywords: Access, Family Planning

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified due to my professional career and experiences. Currently, I direct the Low-Income Access Program at the National Institute for Reproductive Health. In my position, I helped to conduct a national survey looking at Medicaid coverage of emergency contraception and wrote a toolkit for advocates about this coverage and how to expand it. In addition, I co-coordinate a nationwide coalition of over 120 advocates from 60 organizations in over 22 states that is working to expand low-income women's access to emergency contraception and birth control more broadly. In addition, over the next year my program is providing 6 grants to state and local organizations along with technical assistance to assist in their endeavors to expand birth control access for low-income women. In addition, on the side I co-direct a state abortion fund that provides financial assistance for women for reproductive health care. In my prior professional career, I have worked on related issues including welfare and its intersections with reproductive health, economic issues, domestic violence, and broader sexuality issues.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.