Running head: No pill left behind act 1

No Pill Left Behind Act
Kelly E. Burg
Wayne State University

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Birth control and the affordability is an on-going problem around the world for women
and their personal health. In 2010, a policy in the United States was put in place to help
individuals receive medical insurance at an affordable rate. “The Patient Protection and
Affordable Care Act, signed into law by President Barack Obama, has been called the most
important piece of health-related legislation in history” (Nick Tate, 2012). Under the Affordable
Care Act, President Obama wanted to make sure that Women’s health was covered. The
Affordable Care Act was to offer to women free birth control and other preventive services with
little cost or no cost at all. All states are not complying with this law. In this paper, there will be a
policy alternative that could help improve woman’s health care and free birth control.

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Women’s health coverage and birth control coverage is a global issue. It is affecting
women of all ages around the world. This paper will compare policies about women’s health care
coverage and birth control. This paper will also give an alternative policy that could alleviate the
problem. “Births to unwed mothers and single parenthood have negative consequences,
including increased spending on health care and social welfare programs. The majority of such
births are unplanned. Greater access to birth control particularly the newer and more effective
types of birth control are known as long acting, reversible contraception, helps women delay
childbearing until they and their partners are in a stable relationship, ready to marry, and ready to
become parents ” (Haskins,R., Sawhill,I., McLanahan,S. 2015).
Women’s health coverage and birth control is a global issue. Globally everyone should
come together to alleviate this problem. The current policy in place today to help reduce the cost
of birth control, is The Affordable Care Act. “The Patient Protection and Affordable Care Act,
which was enacted by the US Congress in 2010. It marks the greatest change in the US health
policy since the 1960’s. The law is intended to address fundamental problems within the US
health system including the high and rising cost of care, inadequate access to health insurance
and health services for many Americans and low health care efficiency and quality”(Shaw,F.,
Asomugha,C.,Conway,P., Rein,A. 2014)(P.1) The Affordable Care Act isn’t just in place for birth
control policies. It is in place to protect people from being dropped from insurance plans or being
discriminated against. This Act also allows young adults to stay on their parents insurance until
the age 26.

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“The Affordable Care Act includes a mandate that preventive services a category of
services that include both prescription contraceptives and their related medical services. It was to
be covered with no consumer cost sharing. This mandate went into effect on August 1, 2012. It is
required that insurance plans come into compliance at the beginning of the subsequent plan year,
for many women it was January 1, 2013” (Becker, Nora &Polsky, Daniel, 2015, p.1204). If the
woman has a co pay on the medication or at the doctor’s office, it should also have shown a
decrease in the amount that the woman was paying the previous year.
Although The Affordable Care Act is fairly new, there is a lot of controversy over what
should and shouldn’t be covered. In a recent survey conducted by The American Medical
Association, it asked people, “Do you think all health plans should be required to include birth
control medication and prevention methods for women?”
(Moniz,M., Davis,M., Chang,T. 2014) “Overall 69% of respondents supported mandated
coverage of birth control medications in health plans, with significantly higher odds of support
among women, black women, and Hispanic respondents. Support for mandated coverage of birth
control medication was lower than for other benefits including services that have prompted a
public debate.” (p.2539) This statistic shows that the women that would use the birth control
medication or the prevention would be the ones to support this.
(National Women’s Law Center, 2012) “The state contraceptive equity laws are
incorporated into state insurance laws, and they are administered and enforced in the same
manner as other state insurance requirements, governing matters such as marketing practices,
premiums that may be charged, and other consumer protections. The state regulations include
provisions governing how complaints are handled when people do not receive the benefits they

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are entitled to under the insurance plans.” (P.2) This allows the certain states to enforce the laws
that they want to be in placed with birth control coverage.
Some birth control policies around the world rely on the population amount in the
country. China has a policy known as the “one-child policy.” During the 1950s and 1960s,
China’s total fertility rates remained very high, hovering at five to six children per woman,
because Mao Zedong ignored warning from demographers about the danger of overpopulation.
With dramatic improvements in public health and drastic reduction in infant mortality rates,
China’s population expanded rapidly from 550 million in 1950 to 830 million in 1970.
Confronted with the reality of a population explosion and mounting unemployment, the Chinese
leadership began in the 1970s to advocate birth control via a soft policy of “later marriage,
longer birth intervals, and fewer children” and effectively reduced total fertility rates to fewer
than three births per woman by the end of the 1970s. Starting from 1980, a much harsher
anticatalyst policy was enforced that came to be known as the “one-child policy.” (Peng. 770,
Policy Alternative
No Pill Left Behind Act
The No Pill Left Behind Act is an act that will originate on the federal level. Every state
in the United States must follow the Act. This Act will require all insurance companies to offer
free birth control to any woman interested in using birth control. The woman must be at least 16
years of age to receive the free services and the free contraception. If a patient is under 16 years
of age, there must be guardian consent. Coupled with guardian consent the child will have to
watch a sex education video before being administered the contraception.

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If a woman is over the age of 16, she must undergo an annual exam, also covered under
the Act, during the annual exam the doctors must complete a physical exam including a Pap
smear test, before administering any form of birth control. The Act will offer the women all
methods of birth control including implants, the patch, pills, shots, vaginal rings, cervical cap,
condoms, diaphragm, female condom, and the IUD.
The No Pill Left Behind Act will also cover any extra doctor appointments needed to
receive a certain form of birth control such as having the IUD inserted. The No Pill Left Behind
Act will allow any female over the age of 18 be able to get the morning after pill without charge.
If a woman is under the age of 18 she will have to have a parent consent for her to be able to
receive the pill.
Under the No Pill Left Behind Act, no discrimination is allowed concerning the amount
of children that a woman can have., “Making it illegal to discriminate against a woman because
of pregnancy, childbirth, or a medical condition related to pregnancy or childbirth found in The
Pregnancy Discrimination Act. The law also makes it illegal to retaliate against a person who
complained about discrimination, filed a charge of discrimination, or participated in an
employment discrimination investigation or lawsuit.” (U.S. Equal Employment Opportunity
Commission, 2015).
Woman will also be covered completely with child birth. All pre appointments and the
hospital stay for the mother and baby will be completely covered under The No Pill Left Behind
Act. This can be an option that the religious groups can add on to their plan if a woman becomes
If there is a religious group that is not for contraception, they can have the option to opt
out of having insurance coverage for contraception. They may still have the same insurance plan

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but, they will not have to pay the extra amount that is added on for the full coverage of
contraception’s and medical procedures for contraception.
Since the men will also be contributing to the insurance cost, their insurance will also
have better health care coverage. Their insurance will be able to cover all birth control methods
for men. Men will be able to receive free condoms if they are 16 or older. If the man is not 16
years of age, he will need a parent consent form signed to receive free condoms. Another method
that will be fully covered is a vasectomy. A vasectomy blocks the tubes of a man that carries the
sperm. The sperm then can’t cause a women to become pregnant. All doctors’ appointments and
the procedure itself will be completely cover 100% by the insurance companies.
All levels such as local, state, and federal will administer this Act. If any doctor or
insurance company fails to provide free birth control or medical examinations, they will be fined.
The fines minimum starts at $70,000. Depending on how many clients have turned down by the
health care professional.
Political, Economic, and Administrative Levels
The No Pill Left Behind Act must also look at the political, economic, and administrative
levels. Politically, people must be aware of how important it is for women to have the
appropriate health care. “The Women’s health Amendment was designed to address longstanding
gender discrimination in health care. Women routinely pay more than men in health care costs
due to discriminatory coverage. Not only do women pay more for the coverage we seek for the
same age and the same coverage as men do, but in general women of childbearing age spend 68
percent more in out-of-pocket health care costs than men.” (Lipton-Lubet,S. 2014) (P.346-347).
People should be aware that women pay more than men do out of pocket costs for health care.

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Economically, the cost of insurance will increase, to cover free prevention of birth control
and woman’s health. Therefore, in order for the Act to be successful, there will be a higher
amount of pay that comes out of their paychecks to help cover the cost of their health insurance.
The wages of employees will increase to try to equal the amount of pay that will be taken from
their paychecks. Another more recent study from the National Bureau of Economic Research
shows that women’s use of oral contraception has substantially contributed to the narrowing of
the wage gap between men and women. This matters because 59% of U.S. women over the age
of 16 are looking for such work” (Joffe. 2012).
The Federal government must make sure that the insurance agencies are complying with
the Act. They need to make sure that there are not any clients being charged for any medical
procedure pertaining to birth control, any doctor appointments pertaining to birth control, or any
form of contraception for both males and females.
Policy Goals
In order for The No Pill Left Behind Act, the local, state, and federal governments must
make sure that everyone is complying with the Act. There must be social equality for both men
and women. The No Pill Left Behind Act gives 100% birth control coverage to both males and
females without showing any form of discrimination. Both males and females will be
contributing to their insurance, therefore they will both be receiving the same amount of birth
control prevention coverage.
The No Pill Left Behind Act also requires redistribution of resources. The No Pill Left
Behind Act must be followed by all doctors and insurance companies. With the insurance
companies and the doctors following this Act, the resources will be provided to the clients such

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as free contraception and free medical attention that relates to any form of birth control or
The social workers must follow the NASW Code of Ethics to help the clients that need
assistance receiving free contraception. Social workers must use to core values service, social
justice, dignity and worth of the person, importance of human relationships, integrity, and
competence when assisting clients (National Association of Social Workers, 2008).
The No Pill Left Behind Act shows awareness of dignity and worth of a person. Social
workers need to treat each person in a caring and respectful fashion, mindful of individual
differences and cultural and ethnic diversity (National Association of Social Workers, 2008).
Having a policy implemented is a process. The No Pill Left Behind Act will have to go
through several steps before the policy becomes an Act. The Act will be under everyone’s
insurance. There will be a yearly form that has to be filled out regarding if he or she wants to
have full coverage under their insurance. If they chose to opt out of the insurance, they can chose
to add on the insurance at any time of the year.
The No Pill Left Behind Act will need to be advocated for. Not everyone will be for the
Act. The religious groups that are against contraception will be against the No Pill Left Behind.
To try to sway those clients, there will be a coverage within the act that they may be interested in.
There will be complete coverage with child birth. This part of the Act can be included within the
insurance where they only pay for the coverage of child birthing and not contraception.
Therefore they will not be supporters of contraception. As a social worker, everyone should be
aware of how important safe sex is. By providing resources about The No Pill Left Behind Act,
men and women can be more aware of the new act.

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Personal Feelings
I have a very strong opinion when it comes to free birth control. Every woman and man
should to have the right to free contraception if they want. They also should be able to have free
doctors’ appointments if needed. Health care is very important. Everyone should have the right to
keep themselves healthy. Nobody should have a problem receiving insurance that can cover the
medical needs that he or she needs. My policy alternative, The No Pill Left Behind Act, allows
for this to happen. To get my policy implemented I will be sure to advocate for it. Every doctor’s
office, hospital, and insurance companies will be notified of The No Pill Left Behind Act. There
will be fliers sent out to every home in the United States of America. The flier will explain
everything about the free contraception and the medical procedures that someone can get with
their insurance.
The forces that are for my policy are the Democratic Party. Contraception is very
important to have covered because it can be costly. Some women have to pay monthly for their
birth control pills. Men or women also have to pay for condoms, these can be costly as well. If a
man or woman wants to protect themselves from STDs or trying to prevent pregnancy, they
should be able to do so without worrying about a cost.
Many religious people may be against The No Pill Left Behind Act. This can be because
some people that are religious believe in no form of contraception, just abstinence. From the
Affordable Care Act, (Holahan,W., Kroncke,C. 2013) “The Affordable Care Act stipulates that
the benefits include coverage for all FDA approved drugs and devices for contraception and
sterilization, including intervene devices and the morning after pill. Entices with direct religious
missions such as churches and novitiates were exempted but not religiously affiliated such as
universities.” (P.1) With The No Pill Left Behind, religious groups that are against any form of

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birth control, can be exempted from the insurance plan. They can opt out of the opinion of
having contraception coverage.
I will not try to sway the religious groups. They have their own believes, which nobody
should try to sway. I will explain to them that with the act they do not have to participate in the
free contraception coverage. I can explain to them that overall, they will have better health
coverage that will cover any emergency female or male medical procedure. The No Pill Left
Behind Act, will also have full coverage for a woman who is giving birth at the hospital. It will
cover all visits and the hospital stay for the mother and the child. If the religious group does not
agree with the free contraception, they can add on full coverage for pregnancy if they become
As a social worker, I have an important role pertaining to The No Pill Left Behind Act. I
must be very aware of diversity of people. Not all men and women will be interested in being
interested about information pertaining to the Act due to personal beliefs or religious values. I
must be aware of the group of people that I am speaking to. Men and women should be educated
about the importance of using contraception and protection if he or she is sexually active. People
must be aware about the Act and that it exists. Insurance companies and doctors office must
make their clients aware of the change. As a social worker, I can provide resources to insurance
companies and doctors’ offices about the Act. This can make men and women more familiar
about the changes that could be taking place with their insurance if he or she doesn’t have full
coverage relating to contraception.
In conclusion, birth control and women’s health is a global issue. The No Pill Left Behind
Act is built of the Affordable Care Act 2010 and China’s One-Child Policy. The current policy is

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not allowing every man and woman to receive free contraception, doctors’ appointments, and
medical procedures pertaining to birth control. The alternative policy No Pill Left Behind Act
provides any form of contraception to women for free if the women is over the age of 16. The No
Pill Left Behind Act also allows men to receive free condoms over the age of 16. If a man or
woman is under the age of 16 the parent must provide consent for the client to receive the free
contraception. The No Pill Left Behind Act will also provide any woman over the age of 18 the
morning after pill with no charge. If a woman is under the age of 18, she must have a parent
consent before receiving the pill.
The No Pill Left Behind Act also refrains from any form of discrimination to any woman
when it comes to pregnancy and birth control. A woman can be allowed to have as many children
as she wants, without being punished. If any doctor or medical insurance company choses to not
support this act, they will be fined. The fines minimum charge will be $70,000. The maximum
charge will depend on how many clients that the doctor or medical insurance company is
refusing to help.
For The No Pill Left Behind Act to become successful, the act must comply with local,
state, and federal governments. Everyone must be in compliance. They must all be aware of what
the act provides. The act will ensure that all men and women will receive the contraception
coverage that they deserve.

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Joffe,C. 2012. Birth Control is an Economic Issue for Women and their Families. Retrieved from
Haskins, R., Sawhill, I., & McLanahan, S. (2015, Fall). The promise of birth control. The Future
of Children, 25(2), 1+. Retrieved from
Holahan, W. L., &Kroncke, C. O. (2013). Who pays for contraceptives under the Affordable
Care Act? Journal of Economics and Economic Education Research, 14(2), 1+.
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University Journal of Gender, Social Policy & the Law, 22(2), 343-385. Retrieved from
Moniz, M. H. (06/2014). JAMA : The journal of the American medical association: Attitudes
about mandated coverage of birth control medication and other health benefits in a US
national sample. American Medical Association. Doi:10.1001/jama.2014.4766
NASW. (2014). Code of Ethics of the National Association of Social Workers. Retrieved from

National Women’s Law Center. 2015. Contraceptive Equity Laws in Your State: Know Your
Rights-Use Your Rights, A Consumer’s Guide. Retrieved from

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Peny,Y. (2010). The American Journal of Sociology: When formal laws and informal norms
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