Senior Biden Officials Press Insurers Over Contraceptive Coverage

Secretaries meet with representatives from Anthem, Centene, Humana, CVS Health, Blue Cross Blue Shield Association, Express Scripts, Optum, United Health, Kaiser Permanente, and industry trade groups America’s Health Insurance Plans, Association of Locally Affiliated Plans. population. , the National Health Business Group, the National Multi-Employer Plans Coordinating Committee, and the Public Health Plans Alliance.

Concerns about coverage

The Affordable Care Act requires payers to pay for at least one form of contraception for each FDA-approved method without copay and provide alternatives if someone has been denied their preferred contraceptive. However, coverage advocates say that insurers bypassing the rules and denied coverage in some cases.

The House Oversight and Reform Committee said last month that insurers don’t always provide alternatives either. Chair Caroline MaloneyNew York Democrat sent letters in May for many of the same payers meeting with cabinet secretaries on Monday. She asked them to provide responses about coverage plans and gaps by June 9, but the committee has yet to share their responses.

Becerra, Walsh and Yellen also wrote a letter to the payers ahead of Monday’s meeting.

“It is more important than ever to ensure access to contraceptives at no out-of-pocket cost, in accordance with the Affordable Care Act,” the joint letter said.

In connection with the annulment of the decision of the Supreme Court Caviar, health policy experts the question of whether insurers can cover abortions in restrictive states or pay for out-of-state care. In some states, this procedure is now or will soon become illegal. In eight others, Medicaid is required to cover abortion for rape, incest, and protect the life of a pregnant woman, but the trigger laws do not include exceptions for rape and incest.

Becerra noted on Friday that an FDA-approved abortion drug in the form of a mifepristone pill is still available. But the pill is only approved for the first 10 weeks of pregnancy, and abortion rights advocates fear it could also lead to coverage and access restrictions as states crack down on abortion.