Latest Republican repeal proposal eliminates pre-existing protection; but exempts Members of Congress
WASHINGTON, DC – The latest Republican proposal to repeal the Affordable Care Act is the worst legislation for women’s health in a lifetime.
Among its provisions:
- It eliminates the community rating provision allowing insurers to charge people with pre-existing conditions an exorbitant amount for coverage.
- Despite the fact that the proposal claims to maintain the current prohibition on gender rating, it still allows insurers to once again discriminate against women and charge more for being a woman. Eliminating the community rating provision disproportionately affects women, since insurers can claim having given birth, having had a C-section, or having been a survivor of domestic violence is a so-called pre-existing condition. For example, a woman who had breast cancer could be charged more than $28,000 per year for coverage and a woman who was previously pregnant could be charged more than $17,000 per year for coverage.
- It removes the ACA’s Essential Health Benefits (EHB) coverage standards, which is a direct attack on women of all ages. Women disproportionately rely on every one of the EHB standards -- not just maternity coverage -- and would be disproportionately affected by the elimination of these services. (Full list below)
- It exempts the plans Members of Congress and their staff would purchase from these provisions.
- In addition, the ACA repeal bill would prohibit women from getting care like birth control and lifesaving cancer screenings at Planned Parenthood; kick millions of women off their insurance; reduce access to birth control, and impose a nationwide ban on private insurance coverage of abortion.
“They took a bad bill that would result in 24 million people losing their insurance and higher premiums and actually made it worse,” said Dawn Laguens, executive Vice President for Planned Parenthood Federation of America. “How do you know it's a bad bill? The members exempted themselves from all the rollbacks. Members of Congress would continue to get high-quality coverage and protections, while other Americans could be discriminated against, charged higher prices, and lose maternity coverage.”
It’s clear the American people want Congress to keep the protections in the Affordable Care Act. A new ABC-Washington Post poll this week shows that 62 percent of Americans, including 67% of Independents, want to keep national protections that cover essential health benefits, and not allow it to be varied by state.
Fact Sheet: Rolling Back the ACA’s Essential Health Benefits Will Hurt Women
- AMBULATORY CARE: Women make up approximately 60% of outpatient visits.
- EMERGENCY SERVICES: Women account for 6 in 10 visits to the emergency room.
- HOSPITALIZATIONS: Women are 70% more likely than men to have had an in-patient hospital stay.
- MATERNITY & NEWBORN CARE: Approximately 13 million women could stand to lose maternity coverage. Prior to the ACA only 12% of individual market health plans covered maternity care. And, prior to the ACA, some insurance plans did not cover C-sections at all; when they did, they charged women 25 percent more in premiums.
- MENTAL HEALTH & SUBSTANCE USE: Women are 40% more likely than men to have mental health needs. Additionally, women are roughly 75% more likely than men to report having recently suffered from depression.
- PRESCRIPTION DRUGS: Women are more likely than men to need prescription drugs to meet their daily health care needs.
- REHABILITATIVE SERVICES: Women are more likely to suffer from a stroke and require rehabilitative services to help them regain motor or speaking skills.
- LAB TESTS: Some of the most common lab tests are specifically geared to women, including pap smears, pregnancy tests, mammograms, brca gene testing (breast cancer testing), and many other lab services that are necessary to diagnose and treat conditions that disproportionately impact women like autoimmune disorders, thyroid disorders, and urinary tract infections.
- PREVENTIVE SERVICES & CHRONIC DISEASE MANAGEMENT: 55 million have received access to no cost birth control, well-woman visits, domestic violence screenings, and STI/HIV screenings thanks to the ACA.
- PEDIATRIC SERVICES. In two-parent households where at least one parent is a woman, women tend to bear a disproportionate share of childcare and caregiving responsibility for children. In addition, 80% of single-parent households are headed by women.
Planned Parenthood is the nation’s leading provider and advocate of high-quality, affordable health care for women, men, and young people, as well as the nation’s largest provider of sex education. With approximately 650 health centers across the country, Planned Parenthood organizations serve all patients with care and compassion, with respect and without judgment. Through health centers, programs in schools and communities, and online resources, Planned Parenthood is a trusted source of reliable health information that allows people to make informed health decisions. We do all this because we care passionately about helping people lead healthier lives.