The Affordable Care Amendment, which took effect in 2017, required that insurers cover the full cost of the first year of care for any patient who received an elective vaginal birth.
At that point, however, the ACA only covered a partial cost, meaning patients were covered for a relatively small percentage of the bill.
The problem is that the ACA doesn’t specifically specify how much a patient needs to pay.
In 2018, the nonpartisan Congressional Budget Office estimated that a person who received elective vaginoplasty could expect to pay an average of $1,800 for vaginal surgery, according to a recent study by the Kaiser Family Foundation.
The Affordable Health Care Act, the Affordable Foundation and the American Academy of Pediatrics have all raised concerns about how the ACA treats women who undergo elective birth control.
As Vox’s Emily Bazelon wrote last year, “the ACA’s contraception coverage is a non-negotiable condition for coverage under the law.”
The Affordable Healthcare Act’s mandate to cover elective sterilization and abortion has also raised concerns.
In July, the American Civil Liberties Union announced that it was suing the Department of Health and Human Services over the provision that requires insurance companies to cover abortion services for up to six months after a pregnancy is detected.
As a result of the lawsuit, insurers have to begin covering elective abortion in 2018.
The provision has raised concerns that women who can afford elective procedures will be forced to pay more for those procedures, and the ACLU said that “some insurance companies will no longer cover electives at all.”
On the other hand, the AHCA’s contraception mandate is only a temporary measure, meaning that if a woman chooses to have an electives procedure, she can still be reimbursed for the full bill after the year-long period of coverage ends.
“In the future, I believe that we will see a more permanent, comprehensive solution to this issue,” Cecile Richards, president of Planned Parenthood Federation of America, said in a statement.
“The ACA’s contraceptive coverage requirement will be in place for the foreseeable future and will not go away.”
The AHCA has been under review by the Congressional Budget Ombudsman for nearly a year.
The Office of Congressional Ethics has also been reviewing the bill since the election of President Donald Trump in November.
“We have a number of concerns, and I think they’re very valid,” said Rep. Barbara Lee, D-Calif., a member of the House Health Committee who was a co-author of the AHCCA.
“As we’ve discussed in the past, we think we should have a full analysis of what it is that we’re doing to get to that point where we’re not spending more money on birth control for women.”