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Medicaid and Family Planning: Background and Implications of the ACA

Introduction
  1. Guttmacher Institute. Public Funding for Family Planning, Sterilization and Abortion Services, FY 1980–2010, 2012.

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  2. Kaiser Commission on Medicaid and the Uninsured (KCMU) and Urban Institute estimates based on data from FY 2011 Medicaid Statistical Information System (MSIS).

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  3. Ibid.

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Medicaid Family Planning Policy
  1. Section 1905(a)(4)(C) of the Social Security Act.

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  2. Centers for Medicare and Medicaid Services (CMS), Letter to State Medicaid Directors Re: Family Planning and Family Planning Related Services Clarification, April 16, 2014.

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  3. Kaiser Family Foundation and George Washington University Medical Center School of Public Health and Health Services, State Medicaid Coverage of Family Planning Services:  Summary of State Survey Findings, 2009.

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  4. American College of Obstetricians and Gynecologists Committee on Healthcare for Underserved Women, Committee Opinion: Access to Postpartum Sterilization, Obstetrics and Gynecology, July 2012.

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  5. Gavin, L., et al.  Providing Quality Family Planning Services, MMWR, April 25, 2014.

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  6. Kaiser Family Foundation, Women and Health Care in the Early Years of the Affordable Care Act:  Key Findings from the 2013 Kaiser Women’s Health Survey, May 2014.

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  7. Section 1903(a)(5) of the Social Security Act.

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  8. Guttmacher Institute. Public Funding for Family Planning, Sterilization and Abortion Services, FY 1980–2010, 2012.

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  9. RTI International. Title X Family Planning Annual Report, November 2012.

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  10. Guttmacher Institute. Public Funding for Family Planning, Sterilization and Abortion Services, FY 1980–2010, 2012.

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  11. Kaiser Family Foundation. Women and Health Care in the Early Years of the Affordable Care Act: Key Findings from the 2013 Kaiser Women’s Health Survey, May 2014.

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  12. KCMU and Urban Institute estimates based on data from FY 2011 MSIS.

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  13. Sections 1902(a)(23) and 1915(b) of the Social Security Act.

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  14. KCMU and Urban Institute estimates based on data from FY 2011 MSIS.

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  15. National Academy for State Health Policy, State Health Policy Monitor: Demonstration Waiver Programs, November 2008.

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  16. Bixby Center for Global Reproductive Health. Cost Benefit Analysis of the California Family PACT Program for Calendar Year 2007, April 2010.

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  17. Bixby Center for Global Reproductive Health. Cost Benefits from the Provision of Specific Methods of Contraception in 2009, April 2012.

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  18. Bixby Center for Global Reproductive Health. Family PACT Program Report, FY 2011-2012, 2013.

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  19. Bixby Center for Global Reproductive Health. Cost Benefits from the Provision of Specific Methods of Contraception, April 2012.

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The ACA, Medicaid Expansion, and Family Planning
  1. KCMU. “A Closer Look at the Impact of State Decisions Not to Expand Medicaid on Coverage for Uninsured Adults.” April 2014.

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  2. Kaiser Family Foundation analysis based on KCMU issue brief, “The Coverage Gap: Uninsured Poor Adults in States that do not Expand Medicaid – An Update.” January 2016.

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  3. KCMU. “A Closer Look at the Impact of State Decisions Not to Expand Medicaid on Coverage for Uninsured Adults.” April 2014.

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  4. Ricketts, S., Klingler, G., Schwalberg, R. Game change in Colorado: Widespread use of Long-Acting Reversible Contraceptives and Rapid Decline in Births Among Young, Low-income Women, Perspectives on Sexual and Reproductive Health, September 2014; 46(3).

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  5. Colorado Department of Public Health and Environment. Unintended Pregnancy.

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  6. Kaiser Family Foundation. Women and Health Insurance, November 2013.

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  7. White, K., et al. Cutting Family Planning in Texas, NEJM. 2012; 367: 1179-1181.

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  8. Ibid.

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Future Challenges
  1. Kaiser Family Foundation. Coverage of Preventive Services for Adults in Medicaid, November 2014.

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  2. Food and Drug Administration Office of Women’s Health. Birth Control Guide.

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  3. California Legislative Information, Senate Bill No. 1053, Health Care Coverage: Contraceptives.

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  4. Guttmacher Institute. Variation in Service Delivery Practices Among Clinics Providing Publicly Funded Family Planning Services in 2010, 2012.

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  5. Decker, S. “In 2011, Nearly One-third of Physicians Said they Would not Accept New Medicaid Patients, but Rising Fees May Help,” Health Affairs, August 2012.

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  6. KCMU. How Much will Medicaid Physician Fees for Primary Care Rise in 2013, 2012.

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  7. Gemmill, A. Short Interpregnancy Intervals in the United States, Obstetrics and Gynecology, July 2013.

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  8. Tocce K, et al. Long Acting Reversible Contraception in Postpartum Adolescents: Early Initiation of Etonogestrel Implant is Superior to IUDs in the Outpatient Setting, J Pediatr Adolesc Gynecol. Feb 2012; 25(1):59-63.

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  9. ACOG. Medicaid Reimbursement for Postpartum LARC by State.

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  10. “Health Policy Brief: The 340B Drug Discount Program,” Health Affairs, November 17, 2014.

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  11. Sommers BD, Rosenbaum S. Issues in Health Reform: How Changes in Eligibility may Move Millions Back and Forth Between Medicaid and Insurance Exchanges, Health Affairs.  2011;30(2):228–36.

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  12. Coleman, K., et al. Evidence on the Chronic Care Model in the New Millennium. Health Affairs. 2009; 28(1): 75-85.

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  13. Gavin, L., et al.  Providing Quality Family Planning Services, MMWR, April 25, 2014; 63(4).

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  14. Centers for Medicare and Medicaid Services. CMCS Maternal and Infant Health Initiative, July 17, 2014.

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