Online Program

Family Planning and the Affordable Care Act: Lessons Learned from New York City Community Health Centers

Tuesday, November 3, 2015 : 11:30 a.m. - 11:50 a.m.

Keely Robinson, RN, BSN, MA, Lienhard School of Nursing, Pace University, New York, NY
The Affordable Care Act (ACA) has changed the face of healthcare in the United States. In New York City, thanks to the large expansion of Medicaid and availability of subsidies, many people now have health insurance and access to quality healthcare for the first time in their lives. One major change that was supposed to occur with the role out of the ACA was access to contraception with no copay. 

The ACA states that companies must provide generic contraception with no copay, or that they must provide brand name contraception with no copay when no alternative is available. However, a combination of poor training and coordination within insurance companies and community health clinics, coupled with a lack of consumer awareness has meant that many people are still being asked to pay a copay for their contraception. This lack of coordination and consumer awareness has left many women unable to access their contraception of choice, leaving them little option but to turn to safety net providers. The removal of this barrier has the potential to make reproductive health services much more accessible, especially for the most vulnerable, low-income population, but in practice, it has not been this simple.

Taking a few case studies from community health centers in the boroughs of New York City, this paper highlights lessons learned from the ACA role out and its impact on access to family planning services and offers lessons learned and discusses potential solutions.

Learning Areas:

Administer health education strategies, interventions and programs
Provision of health care to the public
Public health administration or related administration
Public health or related laws, regulations, standards, or guidelines
Public health or related public policy
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Identify major impacts of the Affordable Care Act HMOs' policies and restrictions on contraception coverage have had so far on safety net providers Discuss potential solutions to subsequent current and future issues

Keyword(s): Family Planning, Affordable Care Act

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I worked as the Women's Health Program Manager for a large network of Title X/Federally Qualified Health Centers during Affordable Care Act transition.
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.