Affordable Care Act

The Affordable Care Act (ACA) allows millions of individuals to gain access to insurance coverage and health services, including family planning and sexual health care. According to the US Department of Health and Human Services, 137 million Americans now have guaranteed access to health insurance that covers recommended preventive services without cost sharing. Among them, an estimated 55.6 million women now have access to no-cost preventive services such as well-women visits, contraception, and recommended cancer screenings. 

In response to the evolving health care landscape post-ACA, family planning providers have been modernizing their health center operations including contracting with insurance plans and reforming their billing and revenue cycle processes. Additionally, providers have integrated and bolstered outreach and enrollment efforts necessary to fulfill the goals of the law, serving as trusted sources of information for patients interested in gaining health coverage.


NFPRHA works to ensure that a robust network of safety-net providers have adequate resources to modernize their operations and service delivery such that the publicly funded family planning network remains the superior standard for high-quality family planning and sexual health care delivery. NFPRHA has been an active participant in the federal regulatory and sub-regulatory process as the health law has been implemented by the federal government and individual states. Specific areas of advocacy have included efforts to strengthen essential community provider requirements for qualified health plans, ensure the women’s preventive services benefit is fully implemented, and engage providers in outreach and enrollment activities. 


 NFPRHA's Position

Health Care Reform

NFPRHA believes women and men should have access to their contraception of choice without cost-sharing requirements or other barriers, and that those choices must be free of coercion. The Affordable Care Act (ACA) preventive services benefit has ensured access to contraception with no cost-sharing for millions of women in the private insurance market for the first time. 

NFPRHA's Comments

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For additional resources & information, access NFPRHA fact sheets and federal comments by issue or read NFPRHA's publications and recent press statements.

National Family Planning & Reproductive Health Association

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