If Lawsuit Ends Federal Mandates on Birth Control Coverage, States Will Have the Say

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David Engler, a substitute teacher in Oregon, decided to get a vasectomy after a frustrating school day. His insurance, Kaiser Permanente, initially promised it would be covered for free as a form of birth control, but he ended up with a bill for $1,080. This situation highlights the confusion around insurance coverage for reproductive health care, especially with a pending federal lawsuit challenging the ACA’s preventive care coverage requirements. If the lawsuit succeeds, it could impact access to care for millions of Americans. Ultimately, the case could lead to more unintended pregnancies and less access to contraception.

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