Posts Tagged ‘women’s health’

Moving Latinas Health Forward: Celebrating the Latina Week of Action

Thursday, August 9th, 2012

It couldn’t be a more perfect week to celebrate the third annual Latina Week of Action. Eight days ago, the Affordable Care Act (ACA) began to level the playing field when it comes to gender inequity in health care by expanding women’s access to preventive health care benefits with no co-pay. And while the news and equitable coverage are monumental for all female-identified people, it’s especially significant for low-income women and women of color.

We know that disparities in health care access and coverage play out at extremely disproportionate rates when it comes to Latinas. For example, while Latinas exhibit lower breast cancer rates than white women, they are more likely than whites to be diagnosed at a later stage. Furthermore, LGBT Latinas are less likely than their white or straight peers to receive preventative health care. HHS cites a lack of screenings as one factor in creating these differences, and unsurprisingly, unequal access to health care as another.

But, thanks to Obamacare and with continued publicity about these new services, we can begin to decrease these disparities. In the past, insurance companies were allowed to charge higher premiums or deny individuals coverage if they were a cancer survivor – and, in fact, insurers in 45 states did just that. But starting in 2014 under the ACA, no one can be denied coverage for a preexisting condition! It means that continuous health care, without gaps due to illness, will be available, and families shouldn’t have to face bankruptcy because of mounting medical bills.

The new benefits under Obamacare go beyond cancer screenings and preventative well-woman visits though. They’re likely to help reduce the transmission and contraction of STIs by removing cost barriers for screening and counseling. When it comes to sexually transmitted infections and diseases, Latinas are four times more likely to have HIV/AIDS than non-Hispanic white women and Latinos are more than two times as likely to contract syphilis or gonorrhea than their white peers. But thanks to Obamacare, sexually active women will have access to free STI screenings and counseling.

The disparities continue with regards to pregnancy and prenatal care. From 2006-2008, 45 percent of Latinas reported experiencing an unintended pregnancies, nearly ten percentage points higher than their white counterparts. Some of these pregnancies can be linked to the limited access and affordability of birth control. However, thanks to Obamacare, insured women with a prescription for birth control can walk out of their pharmacies with their pills, Nuva Rings, Emergency Contraception, or any of the FDA-approved contraceptive methods- never once having opened their wallets. While cost isn’t the only barrier to birth control take-up, it surely stands as one limitation that Obamacare has dismissed.

We can celebrate cost-free prenatal care, too! The ACA and its new August 1 benefits will ensure pregnant women are covered for gestational diabetes screenings, breastfeeding support, supplies, and counseling from licensed lactation counselors, and prenatal care—all without any co-pay. We’re hopeful that it can begin to decrease some of the disparities in prenatal care for Latinas specifically. A 2008 study by HHS found that while 71 percent of all women received prenatal care beginning in the first trimester of a pregnancy, only 64.7 percent of Hispanic women did.

Over here at Community Catalyst, we let out a quite a few cheers at the Supreme Court’s ruling to uphold Obamacare, and all these new forms of coverage. However, the more challenging part of the decision about Medicaid might have been a bit overshadowed. According to the Supreme Court, states can choose to expand their Medicaid coverage to include individuals making up to 138 percent of the federal poverty line. With this expansion, we can expect to see more low-income individuals and families receive health care, helping change the statistic that nearly one out of every three Hispanic/Latina woman does not have health insurance.

If state governors and legislatures elect to expand their Medicaid coverage per Obamacare’s allowance, more working class families and individuals—those making too much for current Medicaid eligibility requirements, but too little to actually afford their own health care—could become eligible for coverage and gain preventative care.

Take the time to celebrate these new benefits. But, if you live in a state where your governor has firmly refused to expand Medicaid coverage under the new Obamacare arrangements (we’re looking at you Florida, Texas, Louisiana, South Carolina, Mississippi, Wisconsin, just to name a few), or where your Governor has not come out firmly on one side or another on the Medicaid expansion, send a letter expressing your support for the expansion. If your governor has already committed to supporting greater Medicaid coverage, send a note of thanks (props to you, California, Washington, Vermont, Massachusetts, Connecticut, Maryland, Minnesota and Illinois).

And make sure to get out the word regarding the new expansions for women’s health care. While there may no longer be a co-pay for your annual visit to the gynecologist, women will continue to avoid making appointments for screenings, well-person check-ups, and even birth control coverage as long as they still think there’s a cost barrier. The law is only one step (one great step) in beginning to break down gender and racial disparities in health care.

– Emily Polak, State Advocacy Manager

Please note: The new preventive services for women went into effect on August 1. Most consumers will see the increase in services and coverage the next time their insurance plans are renewed.

 

I Love MamaCare!

Saturday, May 12th, 2012

This is a guest post from Raising Women’s Voices.

This weekend not only marks a time where we will be celebrating Moms, but it marks the launch of a campaign celebrating everything the Affordable Care Act does for the health of mothers and children, “I Love MamaCare!”

Sadly, it is not uncommon to hear stories of moms who forgo preventive screenings or medical treatment, so their families can pay the bills and have food to put on the table. Thanks to the ACA, however, moms now have access to several of the preventive services they need to stay healthy, like pap smears and mammograms. Starting on August 1, 2012, moms will get access to even more services, like contraception and breastfeeding support, with no co-pay.

But the benefits of the Affordable Care Act go beyond just preventive care. It also gives protection against discriminatory health insurer practices. Take Tracy from Wisconsin, for example. Her son, Sami, has neurofibromatosis, which causes tumors to grow all over his body. He needs care that is a little more specialized than the care most 9 year olds need. The ACA now prevents insurance companies from dropping Sami’s coverage because he is sick, and from refusing to cover care once Tracy’s family hits a lifetime limit.

The ACA also provides moms the security in knowing their kids will stay covered, even as young adults. Diana from Illinois has a 24 year old daughter Katie who is currently in graduate school. One of her biggest worries is that Katie won’t have insurance or the ability to afford the care she needs. Thanks to the ACA, Katie can stay on her health insurance until she is 26, even after she graduates. (And luckily for mom, Katie won’t even need to live at home to get this coverage!)

With the ACA doing so much for Moms and our families, we’re celebrating it this weekend on Mother’s Day. In fact, we’re even coining our own name for the law. People can call it the Affordable Care Act and Obamacare – but at the end of the day, this law helps moms and families, so we at Raising Women’s Voices are calling it MamaCare.

Join Raising Women’s Voices online for our “I Love MamaCare!” campaign. Take a picture with your mother or child, and send us your story about how you or someone you know has been helped by MamaCare. We’ll share it on our Twitter and Tumblr, and make sure your voices are heard in support of MamaCare!

– Maryanne Tomazic, Raising Women’s Voices
Regional Coordinator 

 

Contraception Coverage: A Compromise That Protects Women

Monday, February 13th, 2012

In the immortal words of “Say Anything’s” Lloyd Dobler, “I gave her my heart, she gave me a pen.” We were worried women were going to get pens this Valentine’s Day instead of a key improvement to health care they are set to receive under the Affordable Care Act. Under the ACA, women can receive many preventive services – including contraception – without a co-pay. However, some religious leaders and policymakers objected that some religious-affiliated employers (e.g. universities and hospitals) would be required to cover contraception as part of their insurance plans.

The recommended list of preventive services was based on a report by the Institute of Medicine and includes services such as annual physicals, screening for gestational diabetes, breast feeding support and FDA-approved contraceptive methods and counseling.

In the face of that strong opposition, we were heartened when the Secretary of Health and Human Services announced in January that all employers, except churches and religious organizations that primarily serve members of their own faith, would be required to provide insurance coverage that included contraceptive services. And despite all the hot air from opponents of these critical improvements to women’s health, recent polling shows the majority of Catholics support inclusion of contraceptive services.

Friday morning the Administration announced it was making changes to the rule, and we worried women would be getting pens this Valentine’s Day.

Fortunately, our fears were assuaged when President Obama announced a change to the rule that still supports women and their health care needs. Under the President’s new proposal, insurers will directly offer contraceptive coverage to those who work at religious affiliated institutions, which means institutions won’t have to include or pay for this benefit as part of the coverage they provide to their employees. As a result, women will continue to be able to get access to these important services at no cost, no matter where they work. The amended rule has the support of women’s health organizations and the Catholic Health Association (a critic of the earlier rule), as well as support from Catholic voters.

If the Administration had allowed some of these large, religious-affiliated employers to opt-out of providing birth control, hundreds of thousands of women (of varying faiths) would not have access to these important preventive services and would face additional financial costs. The President’s proposal is a fair compromise: women who work at these institutions will get the services they need from their insurance companies directly, and employers will be exempt for providing services they oppose. As Jack Lew, President’s Obama Chief of Staff, explained on the Sunday news shows, the Administration can’t make everyone happy, but they were able to create a compromise that has the support from various groups on both sides of the issue.

We are grateful that this Valentine’s Day the Administration, in the face of intense political pressure, put women’s health care needs first.

The ACA is a huge victory for women. This Valentine’s Day, let’s make sure women and the Administration receive hearts and not pens. Let the Administration know you support their decision that insurance should cover a woman’s basic preventive health care needs, including contraception, no matter where she works.

– Reena Singh, Associate Director of State Health Advocacy

 

Another Historic Announcement Brought to You by the ACA

Monday, August 1st, 2011

Today, the Department of Health and Human Services (HHS) released new guidelines about women’s preventive health, and announced the services for women that insurance plans must cover without co-payments under the Affordable Care Act (ACA). We first discussed this in a blog following the release of the Institute of Medicine report which outlined eight recommendations for HHS.

The recommendations HHS adopted in its guidelines include:

  • – well-woman visits
  • – screening for gestational diabetes
  • – human papillomavirus (HPV) DNA testing for women 30 years and older
  • – sexually-transmitted infection counseling
  • – human immunodeficiency virus (HIV) screening and counseling
  • – FDA-approved contraception methods and contraceptive counseling
  • – breastfeeding support, supplies, and counseling
  • – domestic violence screening and counseling

As with the rest of the ACA, the political cup runneth over when it comes to women’s health issues and what insurance should cover. In an attempt to handle objections to the inclusion of contraception, HHS included in its announcement today an exemption for religious institutions.

This is a historic day for women’s health. The regulations ensure that women across the country will be able to access the important services they need without a co-payment – removing a significant barrier to women living healthier lives.

– Reena Singh, Associate Director of State Consumer Health Advocacy

The ACA – Working for Women

Friday, July 22nd, 2011

Women could start seeing some big advancements in preventive care services as part of the Affordable Care Act if the recommendations from Tuesday’s Institute of Medicine (IOM) report, Clinical Preventive Services for Women: Closing the Gaps, are accepted by the Department of Health and Human Services (HHS).

The IOM report makes eight recommendations about what preventive services for women should be included under health insurance plans without requiring a co-payment. The report is a step in the right direction to ensure that women get the kind of care they need, without facing prohibitive costs.

The eight recommendations for preventive services for women are:

  • – Full range of contraceptive services and contraceptive counseling
  • – Annual well-woman exam
  • – Screening of pregnant women for gestational diabetes
  • – Annual counseling on sexually-transmitted infections for all sexually-active women
  • – Counseling and screening for HIV infection on an annual basis for sexually-active women
  • – Screening and counseling for interpersonal and domestic violence.
  • – Comprehensive lactation support and counseling and costs of renting breastfeeding equipment
  • – Addition of high-risk human papillomavirus DNA testing

To be clear, these services are not provided “free” as the media has reported. They are still paid for through insurance premiums, but they would be offered without requiring a co-payment.

HHS will decide whether to accept IOM’s recommendations possibly as soon as August 1st. The IOM report is a historic step for women’s health and shows the promise of the Affordable Care Act and what it can do for women and families. We hope HHS will swiftly approve these recommendations and not let this latest important advancement of the ACA get bogged down in politics.

You can learn more at Raising Women’s Voices: Women’s Health Preventive Health Coverage: Implementation Central.

– Reena Singh, Associate Director of State Consumer Health Advocacy

A Government Shutdown of Women’s Health?

Friday, April 8th, 2011

Since the new Congress came to Washington DC some Republicans in the House have been very concerned with women’s health care; however, not necessarily in a good way.

In the last few months, the House Leadership has tried to eliminate funding for Title X, the federal family planning program, passed an amendment that bans Planned Parenthood from receiving any federal funds to provide health care services to their communities, and introduced legislation that attempts to further restrict access to abortion services.

(For more about the legislation see Kaiser’s side-by-side comparison.)

As I write this blog, the latest news reports are saying the federal government shut down may hinge on whether Planned Parenthood is allowed to receive federal funding to provide needed health care services like family planning, sexually transmitted infection testing and counseling, HIV/AIDS testing and counseling and pap smears. None of the federal funds Planned Parenthood currently receives are allowed to be used for abortion services.

Members of Congress who support slashing funding for Planned Parenthood and important women’s health programs are the same individuals who want to dismantle and defund the Affordable Care Act. What were their first actions when they came to Washington in January? They introduced legislation to repeal the ACA — including trying to dismantle the carefully crafted abortion compromise in the law. Tying the two issues together allows opponents to spread misinformation and confuse the public about the ACA.

We took big strides forward when we passed the ACA to ensure access to health care services for families. For women, in particular the ACA:

  • – Stops insurance companies from denying coverage for pre-existing conditions – including pregnancy;
  • – Covers preventive services like mammograms and other preventive screening without out-of-pocket costs;
  • –  Lowers health care costs for women by not allowing women to be charged more than men.

Allowing any of the proposals in the House discussed here to move forward is a slippery slope that could cause real harm to women’s health. Our elected officials should be working to ensure access to women’s health care services is not undermined so women can get the health care they need, when they need it.

– Reena Singh, Field Coordinator

Health reform makes for healthier women

Thursday, March 24th, 2011

To mark the first anniversary of the Affordable Care Act this week, Health Policy Hub will be cross posting blogs from our state partners that show how people in their states are benefiting from the law. This blog was originally posted on the Health Care for All New York blog.

Women were among the strongest supporters of health reform in the campaign that led up to President Obama’s signing of the Affordable Care Act (ACA) on March 23, 2010. One year later, women and girls across New York State are experiencing the benefits of the ACA provisions that have gone into effect so far. Raising Women’s Voices, an active member of the HCFANY steering committee, is working to inform women about benefits like these:

  • – Young women can now stay on their family health insurance policies up to age 26. This new provision, which applies to all young adults, is especially important for young women, who are in their prime reproductive health years and need affordable family planning and primary care services. It also provides peace of mind for all those moms worried about how their children will maintain health coverage after graduating from high school or college, when so many entry-level jobs no longer include health insurance. Want to know if this applies to your family’s insurance policy and, if so, how to take advantage of it? Go here.
  • – Women who are insured can now get preventive care – such as mammograms and Pap smears — without having to come up with co-pays or deductibles. Out-of-pocket costs can discourage women from seeking the preventive care they need. Many important women’s health services are covered by this new provision. Wondering which services are included? Go here to see the list. Of course, we still want to see contraception added to the list. Women can sign the Raising Women’s Voices petition asking the U.S. Department Health and Human Services to declare that Contraception is Prevention by going here.
  • – Older women on Medicare now can get annual physicals without co-pays. Also, Medicare enrollees who fall into the Prescription Drug Part D “donut hole” are eligible for 50 percent discounts on brand-name prescription drugs this year, to help hold down their out-of-pocket costs. Yes, these are real women’s health issues! According to the Kaiser Family Foundation, 58 percent of Medicare enrollees in New York State are women. To learn more about how to take advantage of these new provisions, go here.
  • – Health insurance companies can no longer require you to get a referral from your primary care doctor before you can seek obstetric or gynecological services from an ob/gyn who participates in your plan. This new provision means you can get to your ob/gyn quicker, without having to jump through the hoop of obtaining a referral. Learn more about this provision here.
  • – Women who have pre-existing medical conditions and can’t find affordable private health insurance can now get insurance through the New York’s Bridge Plan. Having a medical condition like breast cancer, diabetes or heart disease can make it nearly impossible to find affordable health insurance in the private market in New York State. A woman we know in Queens who has pre-existing medical conditions couldn’t afford the only policy she could find, because the monthly premium was going to be $1,200! Now, she has signed up for New York’s new Bridge Plan and will be getting health insurance for less than $500 a month. The list of pre-existing conditions that qualify you for enrollment in this plan include high-risk pregnancy, complications from pregnancy, uterine fibroids, endometriosis and a number of other conditions specific to women.

Raising Women’s Voices has prepared a fact sheet of the top 10 benefits women and our families are already getting from the Affordable Care Act. You can find it here.

Click here to view HCFANY’s policy brief, “Health Reform: What’s in it for women?”

Other great sources of information about how the Affordable Care Act helps women include:

— Lois Uttley, Director Merger Watch Project
Co-Founder, Raising Women’s Voices