FACT SHEET

Affordable Birth Control

 

 

General Overview

Since January 2007, more than 3 million college students and hundreds of thousands of low-income women have lost access to affordable birth control. This crisis was caused by a provision in the 2005 Deficit Reduction Act (DRA) which - by all accounts - unintentionally cut off every college and university health center and hundreds of safety-net providers from access to low-cost drugs. A no-cost technical fix (S. 2347 / H.R. 4054) should be passed immediately to correct this mistake and restore affordable birth control to these populations.

 

Why did Congress Encourage Pharmaceutical Companies to Offer These Prices to Safety-Net Providers?

In 1990, Congress passed the Medicaid Anti-Discriminatory Drug Price and Patient Benefit Restoration Act to ensure that Medicaid receives the lowest drug prices in the marketplace. Congress intentionally protected the practice of pharmaceutical companies offering charitable organizations and clinics nominally-priced drugs. This voluntary, charitable practice was encouraged because it helped ensure access to affordable birth control for millions of low-income women, at no cost to the federal government.  Moreover, Congress knew that allowing companies to continue this private practice helped avoid costs of unintended pregnancies that would otherwise fall to the government. For decades, pharmaceutical companies have been providing low-cost birth control to safety-net family planning providers and university health centers.

 

How did the provisions in the DRA change this law?

In 2005, Congress became concerned that manufacturers were selling nominally priced drugs to some entities and for some purposes beyond the intent of the 1990 Act, thereby driving up the best price (a term of art for drug pricing) and lowering the amount of rebates manufacturers pay states for Medicaid drugs. Accordingly, the DRA included a provision that sought to restore the original intent of the Act to limit nominal drug sales to the kinds of charitable organizations and entities that help to make up the health care safety-net.

 

The provision specifies four categories of providers that are eligible for nominally priced drugs:

(I) a covered entity described in section 340B(a)(4) of the Public Health Service Act (including Title X health clinics)

(II) an intermediate care facility for the mentally retarded

(III) a state-owned or operated nursing facility

(IV) any other facility or entity that the secretary determines is a safety-net provider to which sales of such drugs at a nominal price would be appropriate based on the factors described in clause.

 

Preliminary Impact on Providers and their Patients

Safety-Net Providers

While the majority of family planning clinics remained eligible for nominal drugs under category (I), approximately 200 of Planned Parenthood’s 860 health centers and another 200 family planning or community health centers lost their ability to purchase low cost contraception. These health centers provide the same types of services to the same population base as the other centers, but do not receive Title X funding. We estimate that these health centers treat roughly 500,000-750,000 low-income women in 36 states each year. The increase in birth control pricing is having a devastating impact on the ability

of health centers to provide critical health care services to low-income patients. Because this increased cost cannot be passed on to low-income clients, the health centers have been forced to cut back on other services, such as prenatal care and cervical cancer testing and treatment, in an effort to accommodate the rising cost of birth control. These are the very services the 1990 Act sought to protect.

 

College and University Health Centers

Colleges and university health centers were entirely cut out of this program by the DRA. As a result, the price of birth control has risen dramatically at all 1,370 college and university health centers nationwide. Three million undergraduate students have seen their birth control prices skyrocket, from $5 or $10 up to $40 or $50 per month. In some cases, college health centers have stopped providing oral contraceptives altogether.

 

Impact on the Lives of Struggling College Students and Low-Income Women

For many students and low-income women, access to birth control is now out of reach financially. Colleges and Universities report a drop in the use of regular oral birth control. As a result, we anticipate an increase in unintended pregnancies and abortions among this population until access to affordable birth control is restored. With the increased rates of unintended pregnancy, education and opportunities are jeopardized.

 

CMS has Failed to Implement the Law Appropriately

Under the new law, Congress anticipated that it might not have captured all entities to whom sales of nominal drugs would be appropriate, and authorized the Secretary of Health and Human Services to designate other entities as “safety-net providers” for whom it would be appropriate to offer nominally priced drugs. According to the Institute of Medicine’s (IOM) 2000 treatise America’s Health Care Safety-Net, family planning clinics are considered core safety-net providers. Contrary to the authority provided under the statute, the Centers for Medicare and Medicaid Services (CMS) has failed to propose rules for designating entities “safety-net providers.” Senate Finance Committee Chairman Max Baucus (D-MT) and Ranking Member Chuck Grassley (R-IA) sent a letter urging CMS to develop guidance pertaining to this issue. Other Senators and Representatives from both sides of the aisle have encouraged CMS to issue guidelines that reflect Congressional intent on this issue by defining safety-net providers in order to restore nominally priced drugs to family planning providers and college health centers. However, on July 6, 2007, CMS issued a final rule which failed to define safety-net providers, thus, leaving family planning and college health centers permanently without access to these low-priced drugs. It is imperative that Congress act immediately to restore access to birth control for college students and low-income women and couples.

 

Immediate Congressional Action Is Needed

Bipartisan agreement has been reached on legislative language that will address the inadvertent exclusion of health centers that provide the same services to the same populations as those clinics that receive 340B funding, as well as college health centers. The no-cost resolution to this crisis, the Prevention Through Affordable Access Act (S.2347 / H.R. 4054), has over 180 bipartisan house and senate cosponsors. It is critical that this provision be passed to correct this unintended anomaly and restore affordable birth control to university students and low-income women once again.

 

 


This information was compiled by Planned Parenthood's Government Relations Department (202-973-4848).

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