{"id":1383,"date":"2013-02-01T20:52:10","date_gmt":"2013-02-01T20:52:10","guid":{"rendered":"http:\/\/oursilverribbon.org\/?p=1383"},"modified":"2013-02-05T10:41:03","modified_gmt":"2013-02-05T10:41:03","slug":"new-birth-control-policy-more-swipes-at-women","status":"publish","type":"post","link":"https:\/\/oursilverribbon.org\/?p=1383","title":{"rendered":"New Birth Control Policy: More Swipes at Women"},"content":{"rendered":"<p>The Obama Administration is seeking comments by April 8, 2013, on <a href=\"http:\/\/oursilverribbon.org\/wp-content\/uploads\/proposed-rules-2-1-132.pdf\">proposed rules to cover birth control under the Affordable Care Act.<\/a>*<\/p>\n<p>The rules would permit religiously-affiliated non-profit organizations like hospitals, universities and charities, as well as churches, to withhold coverage for contraception.\u00a0 They can self-declare that they are religious institutions that oppose providing coverage for contraception. Employees would be issued individual insurance plans that cover contraception at no additional cost.<\/p>\n<p><strong>The proposed rules continue to stigmatize contraception, which is widely used and accepted, but <a href=\"http:\/\/salsa3.salsalabs.com\/dia\/track.jsp?key=-1&amp;url_num=6&amp;url=http%3A%2F%2Foursilverribbon.org%2Fblog%2F%3Fp%3D795\" target=\"_blank\">too often inaccessible, especially to lower-income women<\/a>.\u00a0They would\u00a0leave millions of women \u2013 and their families \u2013 subject to as-yet poorly defined financial and administrative arrangements, dependent on the compliance and goodwill of private health insurance plans.<\/strong><\/p>\n<p><strong><\/strong>* If link does not work, copy and paste into your bowser:<\/p>\n<p><strong>\u00a0<a href=\"http:\/\/www.ofr.gov\/OFRUpload\/OFRData\/2013-02420_PI.pdf\" target=\"_blank\">http:\/\/www.ofr.gov\/OFRUpload\/OFRData\/2013-02420_PI.pdf<\/a><\/strong><\/p>\n<p>From Catholics for Choice:<\/p>\n<p>\u201cThe Obama Administration did the right thing the wrong way. According to the proposed rule, some women whose employers have a religious objection to providing contraception will still be able to get access through a\u00a0 third party provider.<\/p>\n<p>\u201cThat\u2019s the good news, but the proposed rule\u2019s expansion of which employers can be exempted from providing comprehensive preventive healthcare, including contraception, is appalling.\u00a0 Women who work at Catholic schools, hospitals and social service agencies are wondering whether they\u2019ll be able to get the same coverage as millions of other women, or if their healthcare just isn\u2019t as important to the president as their bosses\u2019 beliefs about sex and reproduction.<\/p>\n<p>\u201cIt\u2019s obvious that once again, the administration listened to the lobbyists for the Catholic bishops and their big business interests, instead of Americans of every faith and of none who support the separation of religion and state and believe that public policy should not impose or privilege any religious viewpoint. Allowing such a wide exemption gives religious extremists carte blanche to trump the rights of others, based merely on the assertion of a belief about contraception even if that belief runs contrary to science or the widely-held convictions of co-religionists.<\/p>\n<p>\u201cWhile protecting contraceptive access under the ACA is a win for women, the administration\u2019s caving in to lobbying from conservative religious pressure groups is a loss for everyone. American Catholics who support contraceptive coverage, who believe in the separation of church and state and who were hoping for change in Washington are disappointed today.\u201d<\/p>\n<h1>In addition:\u00a0 <a title=\"Seventh Circuit stays contraception insurance mandate \" href=\"http:\/\/www.law.com\/jsp\/nlj\/PubArticleNLJ.jsp?id=1202586527593&amp;et=editorial&amp;bu=National%20Law%20Journal&amp;cn=20130201nlj&amp;src=EMC-Email&amp;pt=NLJ.com-%20Daily%20Headlines&amp;kw=Seventh%20Circuit%20stays%20contraception%20insurance%20mandate%20in%20second%20case \" target=\"_blank\">NLJ Home &gt; News &gt; Seventh Circuit stays contraception insurance mandate in second case<\/a><\/h1>\n<p>Seventh Circuit stays contraception insurance mandate in second case. A federal appeals court has issued a second ruling staying the health care reform law&#8217;s requirement that health insurance plans cover contraception and related services.<\/p>\n<h1>From the Obama Administration:\u00a0 <a title=\"Women's Preventive Services Coverage and Religious Organizations\" href=\"http:\/\/cciio.cms.gov\/resources\/factsheets\/womens-preven-02012013.html\" target=\"_blank\">Women\u2019s Preventive Services Coverage and Religious Organizations<\/a><\/h1>\n<p>Thanks to the Affordable Care Act, most health plans cover recommended women\u2019s preventive services, including contraception, without charging a co-pay or deductible.\u00a0 The scientists and other experts at the independent Institute of Medicine provided recommendations to the Department of Health and Human Services (HHS) regarding which preventive services help keep women healthy and should be covered without cost-sharing. The IOM recommended covering contraception without a co-pay or deductible because there are tremendous health benefits for women that come from using contraception. In fact, nearly 99% of all women have relied on contraception at some point in their lives, but more than half of all women between the ages of 18 and 34 have struggled to afford it.<\/p>\n<p>Today, the Obama Administration moved forward to continue to implement provisions in the health care law that would provide women contraceptive coverage without cost sharing, while taking into account religious objections to contraceptive services by certain religious organizations. The Notice of Proposed Rulemaking (NPRM) released today reflects the public feedback from comments on the Advance NPRM issued in March 2012.<\/p>\n<p>Today\u2019s proposals build on the ideas we laid out last year to provide women with coverage for recommended preventive care, including contraceptive services, without cost sharing, while also ensuring that non-profit organizations with religious objections won&#8217;t have to contract, arrange, pay, or refer for insurance coverage for these services to their employees or students.<\/p>\n<p>Details on these proposed policies are outlined below.\u00a0 The Administration is seeking comment on these proposals and welcomes feedback from all Americans through <strong>April 8, 2013<\/strong>.<\/p>\n<p><span style=\"text-decoration: underline;\"><strong>Exemption for Religious Employers<br \/>\n<\/strong><\/span>Group health plans of \u201creligious employers\u201d are exempted from having to provide contraceptive coverage, if they have religious objections to contraception.<\/p>\n<p>Today\u2019s NPRM would simplify the existing definition of a \u201creligious employer\u201d as it relates to contraceptive coverage.<\/p>\n<p>The NPRM would eliminate criteria that a religious employer:<\/p>\n<ol type=\"\">\n<li>have the inculcation of religious values as its purpose;<\/li>\n<li>primarily employ persons who share its religious tenets; and<\/li>\n<li>primarily serve persons who share its religious tenets.<\/li>\n<\/ol>\n<p>The simple definition of \u201creligious employer\u201d for purposes of the exemption would follow a section of the Internal Revenue Code, and would primarily include churches, other houses of worship, and their affiliated organizations, as defined by Section 6033(a)(3)(A)(i) or (iii)<\/p>\n<p>This proposed change is intended to clarify that a house of worship would not be excluded from the exemption because, for example, it provides charitable social services to persons of different religious faiths or employs persons of different religious faiths.\u00a0 The Departments believe that this proposal would not expand the universe of employer plans that would qualify for the exemption beyond that which was intended in the 2012 final rules.<\/p>\n<p><span style=\"text-decoration: underline;\"><strong>Creating Accommodations for Non Profit Religious Organizations <\/strong><\/span><\/p>\n<p>Consistent with the Advance NPRM, the NPRM proposes accommodations for additional non profit religious organizations, while also separately providing enrollees contraceptive coverage with no co-pays.\u00a0 An eligible organization would be defined as an organization that:<\/p>\n<ol type=\"\">\n<li>opposes providing coverage for some or all of any contraceptive services required to be covered under Section 2713 of the PHS Act, on account of religious objections;<\/li>\n<li>is organized and operates as a nonprofit entity;<\/li>\n<li>holds itself out as a religious organization; and<\/li>\n<li>self-certifies that it meets these criteria and specifies the contraceptive services for which it objects to providing coverage.<\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n<p>Under the proposed accommodations, the eligible organizations would not have to contract, arrange, pay or refer for any contraceptive coverage to which they object on religious grounds.<\/p>\n<p>In addition, under the proposed accommodations, plan participants would receive contraceptive coverage through separate individual health insurance policies, without cost sharing or additional premiums.\u00a0 The issuer would work to ensure a seamless process for plan participants to receive contraceptive coverage.<\/p>\n<p>With respect to insured group health plans, the eligible organization would provide the self-certification to the health insurance issuer, which in turn would automatically provide separate, individual market contraceptive coverage at no cost for plan participants.\u00a0 Issuers generally would find that providing such contraceptive coverage is cost neutral because they would be they would be insuring the same set of individuals under both policies and would experience lower costs from improvements in women\u2019s health and fewer childbirths.<\/p>\n<p>With respect to self-insured group health plans, the eligible organization would notify the third party administrator, which in turn would automatically work with a health insurance issuer to provide separate, individual health insurance policies at no cost for participants.\u00a0 The costs of both the health insurance issuer and third party administrator would be offset by adjustments in Federally-facilitated Exchange user fees that insurers pay.<\/p>\n<p>The NPRM also proposes that an eligible religious non profit organization that is an institution of higher education that arranges for student health insurance coverage may avail itself of an accommodation comparable to that for an eligible organization that is an employer with an insured group health plan.<\/p>\n<p>The NPRM on women\u2019s preventive services coverage is available here: <a href=\"http:\/\/www.ofr.gov\/inspection.aspx\">http:\/\/www.ofr.gov\/inspection.aspx<\/a>.<\/p>\n<p>For more information on women\u2019s preventive services coverage, visit:\u00a0 <a href=\"http:\/\/www.healthcare.gov\/news\/factsheets\/2011\/08\/womensprevention08012011a.html\">http:\/\/www.healthcare.gov\/news\/factsheets\/2011\/08\/womensprevention08012011a.html<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The Obama Administration is seeking comments by April 8, 2013, on proposed rules to cover birth control under the Affordable Care Act.* The rules would permit religiously-affiliated non-profit organizations like hospitals, universities and charities, as well as churches, to withhold &hellip; 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