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Mandating Prescription Contraception Coverage: Effects on Contraception Consumption and Preventive Health Services

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  • Kerri Raissian
  • Leonard Lopoo

Abstract

While recent national discussions of the Affordable Care Act (ACA) made the introduction of mandated contraceptive coverage within health insurance policies seem like a novel idea, it is not new at all. Since the late 1990s, 29 states have mandated that insurance providers include prescription contraceptive supplies and, in some instances, associated contraceptive services in their coverage. We use state-level policy variation to generate both difference-in-differences and triple difference estimates to determine if women in states with state-level contraception supply or contraception supply and services insurance mandates experienced changes in their utilization of contraception and preventive health care services. We find a positive relationship between these policies and prescription contraception use for those with low educational attainment, but the results are not robust to a variety of specifications. Our results also show an increase in the consumption of preventive health services for women with low educational attainment as a result of these health insurance mandates. We conclude by discussing the implications for the ACA. Copyright Springer Science+Business Media Dordrecht 2015

Suggested Citation

  • Kerri Raissian & Leonard Lopoo, 2015. "Mandating Prescription Contraception Coverage: Effects on Contraception Consumption and Preventive Health Services," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 34(4), pages 481-510, August.
  • Handle: RePEc:kap:poprpr:v:34:y:2015:i:4:p:481-510
    DOI: 10.1007/s11113-014-9353-6
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    References listed on IDEAS

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    5. Gruber, Jonathan, 1994. "State-mandated benefits and employer-provided health insurance," Journal of Public Economics, Elsevier, vol. 55(3), pages 433-464, November.
    6. Martha J. Bailey, 2006. "More Power to the Pill: The Impact of Contraceptive Freedom on Women's Life Cycle Labor Supply," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 121(1), pages 289-320.
    7. Ted Joyce, 2013. "How Important Was The Pill To Women'S Economic Well‐Being? If Roe V. Wade Were Overturned, How Might Society Change?," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 32(4), pages 879-887, September.
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    Cited by:

    1. Jennifer Trudeau & Karen Smith Conway, 2018. "The Effects Of Young Adult‐Dependent Coverage And Contraception Mandates On Young Women," Contemporary Economic Policy, Western Economic Association International, vol. 36(1), pages 73-92, January.
    2. Dills, Angela K. & Grecu, Anca M., 2017. "Effects of state contraceptive insurance mandates," Economics & Human Biology, Elsevier, vol. 24(C), pages 30-42.
    3. Sandra Zwier, 2021. "Insurance-based marketing (IBM): a prevalent marketing strategy," Journal of Financial Services Marketing, Palgrave Macmillan, vol. 26(3), pages 160-168, September.

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