Lawmakers implore HHS to protect ACA contraceptive coverage

Four congressional committee chairs penned a letter to HHS, the Labor Department and the Treasury Department to urge leaders to protect FDA-approved contraceptives under the ACA, which they say are being sidestepped by insurers and pharmacy benefit managers.

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The Oct. 6 letter raises concerns that ACA health plans are making it increasingly difficult to approve an alternative contraceptive if a physician recommends it. 

Insurers put up roadblocks by denying coverage, proposing alternative contraceptives outside of a physician’s recommendation or denying name-brand coverage when no generic alternatives exist, according to the letter.

The lawmakers encouraged the department heads to investigate what they called “impermissible coverage denials” and issue enforcement accordingly.

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