title: The affordable care act's impact on fertility care.
abstract: The Supreme Court's decision upholding the constitutionality of the Affordable Care Act (ACA) provides an opportunity to review its impact on fertility care in the United States. After examining the legislation, we identified several core areas that might affect patients struggling with infertility. Although changes to the tax code, elimination of denying insurance to those with pre-existing conditions, and an overriding theme of maternity care within the ACA are easy to qualify and quantify, due to the incremental nature of the ACA, it remains to be seen whether the ACA will alter the current status quo of access to fertility care.
authors.affiliation: Washington University School of Medicine, Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, St. Louis, Missouri, USA.
authors.forename: Kenan
authors.initials: K
authors.lastname: Omurtag
authors.forename: G David
authors.initials: GD
authors.lastname: Adamson
mesh_terms: D017046:Cost Savings; D005260:Female; D006801:Humans; D007246:Infertility / Q000191:economics* / Q000628:therapy; D008297:Male; D017057:Medically Uninsured / Q000331:legislation & jurisprudence; D058991:Patient Protection and Affordable Care Act / Q000191:economics* / Q000331:legislation & jurisprudence*; D011247:Pregnancy; D012051:Reimbursement Mechanisms / Q000191:economics / Q000331:legislation & jurisprudence; D018456:Reproductive Medicine / Q000191:economics* / Q000331:legislation & jurisprudence*; D013219:State Government; D013660:Taxes / Q000191:economics; D014481:United States