Evaluation of Medicaid Expansion Under the Affordable Care Act and Contraceptive Care in US Community Health Centers.

ABSTRACT:

Importance

Use of effective contraception decreases unintended pregnancy. It is not known whether Medicaid expansion under the Affordable Care Act increased use of contraception for women who are underserved in the US health care safety net.

Objective

To evaluate the association of Medicaid expansion under the Affordable Care Act with changes in use of contraception among patients at risk of pregnancy at US community health centers, with the hypothesis that Medicaid expansion would be associated with increases in use of the most effective contraceptive methods (long-acting reversible contraception).

Design, setting, and participants

This was a participant-level retrospective cross-sectional study comparing receipt of contraception before (2013) vs immediately after (2

SUBMITTER: Darney BG 

PROVIDER: S-EPMC7273194 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature