Sexual + Reproductive

Health in a Post-ACA World

Bixby Center Fall Lecture Series

December 2, 2014

CFHC Mission

CFHC champions and promotes quality

sexual + reproductive health care for all.

CFHC Strategic Goals

Promote QUALITY sexual and reproductive

health care service delivery

Champion ACCESS to and use of

comprehensive sexual and reproductive health

care services and information for all

Advance innovative RESEARCH in sexual and

reproductive health technologies

Key Programs

Health Center Partnerships

Research

Advocacy

Consumer Awareness + Education

Provider Training

Presentation Objectives

ACA status/overview

Sexual + reproductive health care benefits

under the ACA

CA policies post-ACA

Looking ahead

Snapshot of ACA Enrollment in California

Coverage Options

California Enrollment

As of November 12, 2014: 4.1 million newly

insured

o 1.4 million Covered California

o 2.7 million Medi-Cal

o 3 million uninsured in 2019

New Women’s Health Protections

+ Benefits

Women’s preventive services provided

without co-pays

No more gender rating

OB/GYN without referrals

DV not a pre-existing condition

Expanding and Protecting Sexual +

Reproductive Health Access Post-ACA

SB 138

SB 138 – the Confidential Health Information Act

(Hernandez)

Co-sponsors: CFHC, ACLU, NCYL

Allows individuals with health insurance under

another person’s policy to feel safe enough to use it

Patients can submit a confidential communications

request (CCR)

Communications sent to patient rather than policy

holder

Takes effect January 1, 2015

SB 138 Eligibility

Individual seeking any health service if

disclosure of information could endanger

patient

Individual seeking sensitive services

oReproductive health services

o STD services

o Sexual assault services

oMental health

oDrug treatment

SB 138 – How Will it Work?

Patient submits CCR before, during or after

visit to insurer

Patient provides alternate

address/preferred communication

Insurer required to implement in 7 or 14

days

CCR lasts until patient sends in another

one or cancels it

SB 138 Implementation

myhealthmyinfo.org

oConsumer awareness

o Provider training + patient education

Providers and consumers can play a key

role educating

Providers can facilitate CCR submission

Keep it Confidential

Group Discussion

What do you need to make this law work?

How can we most effectively reach target

audience with this information?

What do you need to inform groups?

SB 1053

SB 1053 (Mitchell) – the Contraceptive

Coverage Equity Act

Co-sponsored by CFHC, NHeLP

Ensures women with health plans can

access FDA-approved birth control

oNo co-pays, restrictions, delays or denials

oMedi-Cal managed care + private plans

Takes effect January 1, 2016

Looking Ahead

Protect Title X + Family PACT

Health care for all – SB 4 (Lara)

Medi-Cal reimbursement rates

Network adequacy

STD prevention

Quality improvement for sexual +

reproductive health

Other?

Conclusion

ACA created opportunities for new health

care coverage pathways

Closed loopholes in CA with SB 138 and

SB 1053

Continue to ensure coverage = access

Spread the word on SB 138 - provider

webinar December 17th

Thank You. Questions?

Alejandro Huerta, huertaa@cfhc.org

Manager of Public Policy + Community

Engagement

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