title: Projecting the Unmet Need and Costs for Contraception Services After the Affordable Care Act.
abstract: OBJECTIVE
  We estimated the number of women of reproductive age in need who would gain coverage for contraceptive services after implementation of the Affordable Care Act, the extent to which there would remain a need for publicly funded programs that provide contraceptive services, and how that need would vary on the basis of state Medicaid expansion decisions.
  
  
  METHODS
  We used nationally representative American Community Survey data (2009), to estimate the insurance status for women in Massachusetts and derived the numbers of adult women at or below 250% of the federal poverty level and adolescents in need of confidential services. We extrapolated findings to simulate the impact of the Affordable Care Act nationally and by state, adjusting for current Medicaid expansion and state Medicaid Family Planning Expansion Programs.
  
  
  RESULTS
  The number of low-income women at risk for unintended pregnancy is expected to decrease from 5.2 million in 2009 to 2.5 million in 2016, based on states' current Medicaid expansion plans.
  
  
  CONCLUSIONS
  The Affordable Care Act increases women's insurance coverage and improves access to contraceptive services. However, for women who remain uninsured, publicly funded family planning programs may still be needed.
authors.affiliation: Euna M. August, Maria I. Rivera, and Karen Pazol are with Centers for Disease Control and Prevention, Division of Reproductive Health, Atlanta, GA. Erika Steinmetz and Leighton Ku are with George Washington University, Center for Health Policy Research, Washington, DC. Susan Moskosky, Lorrie Gavin, and Tasmeen Weik are with Office of Population Affairs, Washington, DC.
authors.forename: Euna M
authors.initials: EM
authors.lastname: August
authors.affiliation: Euna M. August, Maria I. Rivera, and Karen Pazol are with Centers for Disease Control and Prevention, Division of Reproductive Health, Atlanta, GA. Erika Steinmetz and Leighton Ku are with George Washington University, Center for Health Policy Research, Washington, DC. Susan Moskosky, Lorrie Gavin, and Tasmeen Weik are with Office of Population Affairs, Washington, DC.
authors.forename: Erika
authors.initials: E
authors.lastname: Steinmetz
authors.affiliation: Euna M. August, Maria I. Rivera, and Karen Pazol are with Centers for Disease Control and Prevention, Division of Reproductive Health, Atlanta, GA. Erika Steinmetz and Leighton Ku are with George Washington University, Center for Health Policy Research, Washington, DC. Susan Moskosky, Lorrie Gavin, and Tasmeen Weik are with Office of Population Affairs, Washington, DC.
authors.forename: Lorrie
authors.initials: L
authors.lastname: Gavin
authors.affiliation: Euna M. August, Maria I. Rivera, and Karen Pazol are with Centers for Disease Control and Prevention, Division of Reproductive Health, Atlanta, GA. Erika Steinmetz and Leighton Ku are with George Washington University, Center for Health Policy Research, Washington, DC. Susan Moskosky, Lorrie Gavin, and Tasmeen Weik are with Office of Population Affairs, Washington, DC.
authors.forename: Maria I
authors.initials: MI
authors.lastname: Rivera
authors.affiliation: Euna M. August, Maria I. Rivera, and Karen Pazol are with Centers for Disease Control and Prevention, Division of Reproductive Health, Atlanta, GA. Erika Steinmetz and Leighton Ku are with George Washington University, Center for Health Policy Research, Washington, DC. Susan Moskosky, Lorrie Gavin, and Tasmeen Weik are with Office of Population Affairs, Washington, DC.
authors.forename: Karen
authors.initials: K
authors.lastname: Pazol
authors.affiliation: Euna M. August, Maria I. Rivera, and Karen Pazol are with Centers for Disease Control and Prevention, Division of Reproductive Health, Atlanta, GA. Erika Steinmetz and Leighton Ku are with George Washington University, Center for Health Policy Research, Washington, DC. Susan Moskosky, Lorrie Gavin, and Tasmeen Weik are with Office of Population Affairs, Washington, DC.
authors.forename: Susan
authors.initials: S
authors.lastname: Moskosky
authors.affiliation: Euna M. August, Maria I. Rivera, and Karen Pazol are with Centers for Disease Control and Prevention, Division of Reproductive Health, Atlanta, GA. Erika Steinmetz and Leighton Ku are with George Washington University, Center for Health Policy Research, Washington, DC. Susan Moskosky, Lorrie Gavin, and Tasmeen Weik are with Office of Population Affairs, Washington, DC.
authors.forename: Tasmeen
authors.initials: T
authors.lastname: Weik
authors.affiliation: Euna M. August, Maria I. Rivera, and Karen Pazol are with Centers for Disease Control and Prevention, Division of Reproductive Health, Atlanta, GA. Erika Steinmetz and Leighton Ku are with George Washington University, Center for Health Policy Research, Washington, DC. Susan Moskosky, Lorrie Gavin, and Tasmeen Weik are with Office of Population Affairs, Washington, DC.
authors.forename: Leighton
authors.initials: L
authors.lastname: Ku
mesh_terms: D000293:Adolescent; D000328:Adult; D003267:Contraception / Q000191:economics*; D005193:Family Planning Services / Q000191:economics*; D005260:Female; D006301:Health Services Needs and Demand; D006801:Humans; D019458:Insurance Coverage / Q000191:economics; D008404:Massachusetts; D008484:Medicaid / Q000191:economics; D058991:Patient Protection and Affordable Care Act / Q000191:economics*; D011203:Poverty / Q000191:economics; D011247:Pregnancy; D011795:Surveys and Questionnaires; D014481:United States; D055815:Young Adult