Contraceptive Coverage/Preventive Services

The women’s preventive health services benefit in Affordable Care Act (ACA) requires that most insurance plans cover evidence-based preventive services for women including annual exams, Pap smears and contraception without cost-sharing. The US Department of Health and Human Services (HHS) estimates that 55.6 million women and 53.5 million men now have access to this coverage of preventive services without cost-sharing. There have been several legal challenges to the contraceptive coverage requirement. For more information, visit the legal action page.


NFPRHA strives to protect and expand the access resulting from the Affordable Care Act’s (ACA) contraceptive coverage requirement that helps millions of insured women in the US have access to contraception with no cost-sharing. NFPRHA has a long history of working to improve both public and private health insurance coverage of contraceptives throughout the country and will continue to work tirelessly to protect women’s access to these services.


NFPRHA Fact Sheets

NFPRHA Comments

Other Resources

 NFPRHA's Position

Contraceptive Coverage and Preventive Services

Contraceptive coverage enables the prevention of unintended pregnancy and allows women, if and when they choose to become pregnant, to better plan and space pregnancies, which has been proven to improve maternal and child health.

Happening Now 

  • On November 15, 2018, the administration released two rules finalizing the interim final rules (IFRs) issued in October 2017. The rules significantly expand the types of entities that can legally refuse to coply with te Affordable Care Act's contraceptive coverage requirement. One final rule allows any employer to claim a religious objection to covering contraception for their employees. The other final rule allows exemptions for organizations with moral objections. The rules are scheduled to go into effect on January 14, 2019.
  • On December 15, 2017, a federal judge in Pennsylvania blocked the administration's interim final rules on contraceptive coverage. The IFRs are currently blocked under a nationwide injunction. 

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

1025 Vermont Ave. NW, Suite 800, Washington, DC 20005
Phone: 202-293-3114  |

© 2019 National Family Planning & Reproductive Health Association