Community Health Centers and Family Planning in an Era of Policy Uncertainty

Report
  1. Ranji, U., Salganicoff, A., Sobel, L., Rosenzweig, C., & Gomez, I. (2017). Financing family planning services for low-income women: the role of public programs. The Henry J. Kaiser Family Foundation. Retrieved from: https://www.kff.org/womens-health-policy/issue-brief/financing-family-planning-services-for-low-income-women-the-role-of-public-programs/

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  2. Gavin, L., Moskosky, S., Carter, M., Curtis, K., Glass, E., Godfrey, E., Marcell, A., Mautone-Smith, N., Pazol, K., Tepper, N. (2014). Providing Quality Family Planning Services Recommendations of CDC and the U.S. Office of Population Affairs. Retrieved from: https://www.cdc.gov/mmwr/pdf/rr/rr6304.pdf. Accessed March 22, 2017.

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  3. Source: U.S. Census Bureau, Current Population Survey, Annual Social and Economic Supplement, 2017

    https://www.census.gov/cps/data/cpstablecreator.html

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  4. Wood, S., Goldberg, D., Beeson, T., Bruen, B., Johnson, K., Mead, H., … Rosenbaum, S. (2013). Health Centers and Family Planning: Results of a Nationwide Study. Retrieved from: http://hsrc.himmelfarb.gwu.edu/sphhs_policy_facpubs/60. Accessed January 11, 2017.

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  5. Data derived from the Health Resources and Services Administration, Uniform Data System; calculations by GW

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  6. George Washington analysis of 2016 UDS data

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  7. US Census Bureau. (2017). Current Population Survey, Annual Social and Economic Supplement. Retrieved from: https://www.census.gov/cps/data/cpstablecreator.html

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  8. 42 U.S.C. § 254b(b)(1)(A) and (k)(3) (Because “look-alike” is conditioned on satisfaction of all federal health center requirements, family planning also would be a required service at look-alike health centers as well.)

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  9. 42 U.S.C. § 254b(b)(1)(A) and (k)(3)

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  10. Office of Population Affairs, Program Requirements for Title X Funded Family Planning Projects, April 2014.

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  11. Wood, S., Goldberg, D., Beeson, T., Bruen, B., Johnson, K., Mead, H., … Rosenbaum, S. (2013). Health Centers and Family Planning: Results of a Nationwide Study. Retrieved from: http://hsrc.himmelfarb.gwu.edu/sphhs_policy_facpubs/60. Accessed January 11, 2017.

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  12. Categories: at or above the median number of patient visits (15,000) reported at the site in calendar year 2016.

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  13. Categories: urban vs. rural/suburban

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  14. UDS does not include a category for suburban, and location is defined by health center self-report. At the site level, 60 percent were urban and 40 percent were rural, while at the grantee level, 56 percent were urban and 44 percent were rural (source: GW analysis of 2016 Uniform Data System [UDS] data).

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  15. Upon re-analysis of the 2011 data, some findings differed slightly (<1%) from previously published percentages due to rounding.

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  16. ella was not included on the 2011 survey.

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  17. ella was not included on the 2011 survey.

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  18. Committee Opinion Number 707: Access to Emergency Contraception. American College of Obstetricians and Gynecologists. July 2017. Retrieved from: https://www.acog.org/-/media/Committee-Opinions/Committee-on-Health-Care-for-Underserved-Women/co707.pdf?dmc=1&ts=20170707T0723545024

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  19. Committee Opinion Number 615: Access to Contraception. American College of Obstetricians and Gynecologists. January 2015. Retrieved from: https://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Health-Care-for-Underserved-Women/Access-to-Contraception

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  20. Gavin, L., Moskosky, S., Carter, M., Curtis, K., Glass, E., Godfrey, E., Marcell, A., Mautone-Smith, N., Pazol, K., Tepper, N. (2014). Providing Quality Family Planning Services Recommendations of CDC and the U.S. Office of Population Affairs. Retrieved from https://www.cdc.gov/mmwr/pdf/rr/rr6304.pdf. Accessed March 22, 2017.

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  21. Gavin, L., Moskosky, S., Carter, M., Curtis, K., Glass, E., Godfrey, E., Marcell, A., Mautone-Smith, N., Pazol, K., Tepper, N. (2014). Providing Quality Family Planning Services Recommendations of CDC and the U.S. Office of Population Affairs. Retrieved from: https://www.cdc.gov/mmwr/pdf/rr/rr6304.pdf. Accessed March 22, 2017.

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  22. Gavin, L., Moskosky, S., Carter, M., Curtis, K., Glass, E., Godfrey, E., Marcell, A., Mautone-Smith, N., Pazol, K., Tepper, N. (2014). Providing Quality Family Planning Services Recommendations of CDC and the U.S. Office of Population Affairs. Retrieved from: https://www.cdc.gov/mmwr/pdf/rr/rr6304.pdf. Accessed March 22, 2017.

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  23. Gavin, L., Moskosky, S., Carter, M., Curtis, K., Glass, E., Godfrey, E., Marcell, A., Mautone-Smith, N., Pazol, K., Tepper, N. (2014). Providing Quality Family Planning Services Recommendations of CDC and the U.S. Office of Population Affairs. Retrieved from: https://www.cdc.gov/mmwr/pdf/rr/rr6304.pdf. Accessed March 22, 2017.

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  24. The seven effective methods include: hormonal IUDs, copper IUDs, the implant, the injectable, oral contraceptives, the contraceptive ring, and the contraceptive patch.

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  25. Frost, J.J., Frohwirth, L.F., Blades, N, Zolna, M.R., Douglas-Halland, A., Bearak, J. (2017). Publicly Funded Contraceptive Services At U.S. Clinics, 2015. Retrieved from: https://www.guttmacher.org/report/publicly-funded-contraceptive-services-us-clinics-2015

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  26. Ku, L., Cartwright-Smith, L., Sharac, J., Steinmetz, E., Lewis, J., & Shin, P. (2012). Deteriorating access to women’s health services in Texas: potential effects of the Women’s Health Program affiliate rule. Geiger Gibson/RCHN Community Health Foundation Research Collaborative, George Washington University. Policy Research Brief No. 31. Retrieved from: http://www.rchnfoundation.org/?p=913

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  27. Frost, J.J., Frohwirth, L.F., Blades, N, Zolna, M.R., Douglas-Halland, A., Bearak, J. (2017). Publicly Funded Contraceptive Services At U.S. Clinics, 2015. Retrieved from: https://www.guttmacher.org/report/publicly-funded-contraceptive-services-us-clinics-2015

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  28. Large health centers are defined as at or above median 15,000 visits in CY2016. Small health centers are below median 15,000 visits in CY2016.

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