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Here are the final rules that Trump for you means for birth control coverage



The Trump administration released two final rules earlier this month that expand exceptions for birth control in employer-sponsored insurance plans, so that more companies can decide not to treat drugs on religious or moral grounds , 19659002] Under the Affordable Care Act, all employers must cover at least one form of any FDA-approved contraceptive method in their insurance plans at no cost to the patient. This mandate was somewhat relaxed in 2014 when Hobby Lobby accused the US government, claiming contraceptive contraception violated its values ​​as a Christian company. The Supreme Court ruled in favor of Hobby Lobby in 2014, arguing that the prevention of contraception in health insurance plans of religious companies was a violation of religious freedom.

Well, Trump ] rules on this topic which are essentially identical to those that were first introduced last year but are now final, extend this exception. Essentially, a rule allows any company with "sincerely held" religious beliefs (such as churches, religious higher education institutions, or for-profit companies with religious beliefs) to exclude health insurance coverage so that employees have to pay for it. The second allows small businesses and nonprofit companies to claim a non-pious moral belief in order to exempt them from the mandate as well.

The ACA mandate currently covers any form of contraception approved by the FDA. including pills, IUDs, implants and emergency contraceptives. Under these rules, a company might object to covering these FDA-approved methods for moral or religious reasons. In the case of nonprofit religious organizations or companies seeking exemption based on non-religious moral beliefs, they may voluntarily seek shelter, according to the Department of Health and Human Services . This would allow them to continue providing their employees with some or all contraceptives without having to pay Copay insurance, co-insurance or a deductible (if provided by an In-Network provider). However, this would be the insurer or a third party's responsibility of the administrator to actually do so.

Basically, the federal government is opening the door so that more employers can decide whether to grant birth control insurance cover or not.

or a moral objection to the prevention of birth control, "says Audrey Sandusky, public relations and communications lawyer at the National Family Planning and Reproductive Health Association. It expects people who use all types of birth control – including the pill, IUD, shot and implant – to be potentially affected and may not be able to afford their contraception. "We're talking about" Writ Large "to get access to all contraceptive methods, and that's the requirement that meets the requirement," says Sandusky.

However, that does not mean that you will necessarily be concerned with the full price. Next time you're in the pharmacy, take a pack of birth control pills with you. However, this means that contraception may no longer be considered covered if the rules become effective and you are working for a company or non-profit organization that is exempted from this mandate. (As mentioned above, your company may decide to take advantage of accommodation that still allows you to take over birth control externally through a third party, but this is entirely voluntary.)

The Trump Administration predicts The change will affect only about 200 employers, affecting 6,400 women (and no more than 127,000 women) across the country. By contrast, reproductive health experts are skeptical.

Proponents say it's particularly cruel to take advantage of it, just as millions of Americans get used to health insurance for the first time.

The Affordable Care Act created a record number of Americans required to take out health insurance by requiring more employers to offer health insurance, create state health insurance marketplaces, and expand Medicaid entitlement. "There could be a myriad of insured women in the dark. Depending on how many employers opt for it, the insured might see their cover removed, "says Sandusky.

"I talk to patients who have recently completed health insurance every day, and they feel like they've made it." It is simply cruel that the Trump government is abolishing the prevention of their health insurance, "says Ghazaleh Moayedi, DO, a gynecologist and fellow of reproductive health physicians, to SELF.

In addition to controlling people beyond reproductive life it has various health benefits for contraception .

As SELF already wrote birth control is often the first line of treatment for problems related to or exacerbated by the disease, such as hormonal changes in the menstrual cycle Endometriosis or Polycystic ovarian syndrome (PCOS) Some forms of birth control also reduce menstrual bleeding, relieve menstrual cramps and help regulate your cycle In addition, some forms of birth control may increase the risk of cervical cancer s, colon cancer and ovarian cancer . .

Because of the many benefits that contraception has for women, Dr. to prevent someone from the boss. "I treat women who need to go to the emergency room with the amount of bleeding they have every month. We know that one of the best ways to reduce bleeding is through birth control. It keeps women out of the hospital for a number of reasons, "says Dr. Moayedi.

There are a number of lawsuits that find their way through the courts, which could shoot down the rule before it comes into force.

The Attorneys General of California and Pennsylvania sued the federal government as a draft of this rule was released a year ago, and the federal government won each case (although both state officials protested the verdict). Experts told SELF they expect another lawsuit to be filed after the ruling is completed.

Sandusky says she has heard from the Trump administration that women who will be affected by the rule can easily go to publicly funded hospitals that offer family planning services too little or no charge. These clinics, referred to as Title X clinics, are funded by a federal grant that provides only money for family planning services – there are 4,000 titles of X-clinics nationwide .

But the Trump administration has threatened to reshape this program by issuing a rule prohibiting Title X clinics from providing abortion. The rule is still pending, and the American Medical Association called on the federal government not to officially adopt the rule. The Trump administration also suggested that they will prioritize clinics that offer abstinence and natural family planning methods, such as fertility awareness-based methods, in future grant financings.

"This is another example of the preventive care distraction that millions of women rely on," says Sandusky. This administration was not sympathetic to family planning of women. "

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