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Women Saw Large Decrease In Out-Of-Pocket Spending For Contraceptives After ACA Mandate Removed Cost Sharing.

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The Affordable Care Act mandate significantly reduced out-of-pocket spending for prescription contraceptives. Women experienced substantial annual savings on methods like oral contraceptive pills and intrauterine devices.

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Area of Science:

  • Health Economics
  • Public Health Policy
  • Reproductive Health

Background:

  • The Affordable Care Act (ACA) mandated insurance coverage for prescription contraceptives without cost-sharing.
  • The financial impact of this mandate on consumers using contraceptives remained unquantified.

Purpose of the Study:

  • To estimate the out-of-pocket spending changes for prescription contraceptives following the ACA mandate.
  • To quantify the financial savings experienced by women using various contraceptive methods.

Main Methods:

  • Analysis of a large administrative claims dataset from a national health insurer.
  • Comparison of out-of-pocket expenses for contraceptive prescriptions and insertions before and after the ACA mandate implementation.

Main Results:

  • Significant decreases in mean and median out-of-pocket expenses were observed for most reversible contraceptive methods.
  • Out-of-pocket spending dropped by an average of 20 percentage points for oral contraceptive pills and intrauterine device insertions.
  • Estimated average annual savings were $255 per user for oral contraceptive pills and $248 per user for intrauterine devices.

Conclusions:

  • The ACA contraceptive mandate has successfully reduced financial barriers to contraception.
  • These cost reductions are substantial and likely to be recognized by women with private health insurance, potentially improving access and adherence.