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       Updated August 5, 2009  


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815 16th St. NW
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The quick fix on contraceptive equity

There is generally no positive language in health insurance plans when contraception is covered -- the problem is when it is excluded.

However, contract/health plan language could be: "All FDA approved contraceptives and related services shall be covered to the same extent, and on the same terms, as all other drugs, devices and services."

 
Support Contraceptive
Equity in the States

In recent years, many states have passed laws requiring that health benefit plans that cover other types of prescriptions must also cover prescription contraception. These laws vary from state to state. These state laws apply only to those insurance plans that are regulated by state law. See Planned Parenthood's FAQ's  for more information on federal vs. state laws.

Michigan ruling extends contraceptive equity

Employers in Michigan are now prohibited from excluding birth control pills and other prescription contraceptives from employee health plans that cover other prescriptions, thanks to a ruling by the Michigan Civil Rights Commission on Aug. 21. More...

RECENT VICTORIES

Masters, Mates and Pilots Union Adds Contraception to Health Plan: One member taking action benefits 6,800 members

Robin Llewellyn is a member of the Masters, Mates and Pilots Union. She is based in Seattle where she works for Horizon Lines as a licensed third mate in charge of safety inspection. She has been a union member and Horizon employee for two and a half years. Robin earned a BS in Marine Transportation from the California Maritime Academy in April 2003 and received her third mate unlimited tonnage license for steamer motors in June of that year.

For Robin, who is in her mid-20s, contraception is a particular concern: Her chosen profession – which can keep her at sea for long stretches – and the cost of contraception is high. She, therefore, asked the health plan administrator if prescription contraception drugs and devices were covered. She found out that they weren’t. More...

 
RELATED WEBSITES
Back Up Your Birth Control
with Emergency Contraception
 

 

  As union activists, we have the ability to make sure that union women (and the wives of male union members) have the best health benefits possible, including comprehensive contraceptive coverage.
 

CLUW FOR
Contraceptive
Equity NOW

Contraceptive Equity Roll of Honor

CLUW established the Contraceptive Equity Project in the Spring of 2001 to inform union members and all working women about legal, medical, political and collective bargaining issues related to gaining contraceptive coverage in health insurance plans. Right now, women pay on average 68 percent more out of pocket for health care expenses than men—largely as a result of having to pay for contraception.

What is Contraceptive Equity?

Contraceptive equity means simple fairness. If a health plan covers prescription drugs and devices, it has to cover contraception too. In 2000, the Equal Employment Opportunity Commission (EEOC) ruled that employers may not discriminate against women in their health insurance plans by denying benefits for prescription contraceptives, if they provide benefits for drugs, devices and services used to prevent other medical conditions.

CONTRACEPTIVE INSURANCE COVERAGE
HAS IMPROVED DRAMATICALLY

State laws prove effective,
but there is more to be done

A study released in June 2004 shows that we have come a long way on getting insurance plans to cover contraception. However, it also notes that "too little information was available from employers who self-insure, typically large companies, to be meaningful. About half of all employee benefit plans are administered by the companies themselves and are not subject to the state coverage mandates." MANY UNION PLANS FALL INTO THIS CATEGORY -- SO THAT UNION WOMEN MUST CHECK TO SEE IF THEIR PLANS COVER CONTRACEPTION... AND IF THEY DON'T, THE ISSUE NEEDS TO BE PUSHED BY THE UNION (the union can threaten the employer with a law suit under Title VII of the 1964 Civil Rights Act). We urge unions that have women's caucuses/committees to circulate this.

In those states without mandates -- or State Attorney General interpretations of state employment law to cover contraceptive equity* -- unions need to work with those groups pushing for state laws/Attorney General opinions (often headed by Planned Parenthood in the state) to get them. States that still need to get contraceptive equity include: Alabama, Alaska, Colorado, Delaware, Florida, Hawaii, Idaho, Indiana, Kansas, Kentucky, Louisiana, Minnesota, Mississippi, Nebraska, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, and Wyoming.

*Wisconsin, Michigan and Montana

 
CONTRACEPTIVE EQUITY TOOL KIT
These materials can assist you in bargaining or lobbying for contraceptive equity and educating co-workers and coalition partners.

Contraceptive Equity Quick Facts
States with Contraceptive Equity laws
Contraceptive Coverage Saves Money
Emergency Contraception Fact Sheet
Sample request for information on contraceptive coverage
Sample request for contraceptive coverage
A good contraceptive equity plan
CLUW resolution on contraceptive equity
AFL-CIO resolution on contraceptive equity

Ideas for action

Contact: Carolyn J. Jacobson, Contraceptive Equity Project Director, 202-508-6901,cjacobson@cluw.org
 
OF NOTE: Troublemakers Handbook features Philly CLUW Pres. Kathy Black and the Chapter's work on contraceptive equity. The section, called "Adventures of the Viagra Lady," is part of the chapter, "Fighting Discrimination, Building Unity."