Oppose ACA Repeal and Ensure Any Changes to the Affordable Care Act (ACA) Meet the Needs of Ob-Gyns and Our Patients
Any attempt to reform our Nation’s health care system must not compromise or reduce health insurance guarantees and protections achieved by the ACA. Alternative proposals must:
Maintain critical benefits, including o Guaranteed maternity coverage
Full coverage and no cost-sharing for women’s preventive health services, including all FDA approved contraceptives
Continued Medicaid state plan option to expand coverage of family planning
Preserve market protections, including:
Prohibition on pre-existing condition exclusions, gender rating, and annual and lifetime benefit caps
Direct access to ob-gyn care
Allowing individuals through age 26 to maintain coverage on their parents’ insurance
Access to premium subsidies for small employers and low-income individuals
Strengthen the health care safety net, including o Continued Medicaid expansion to cover individuals up to 138% of the federal poverty level
Protect public health, including o Continued required break time and location to express breastmilk
We support repeal of:
- The Independent Payment Advisory Board (IPAB)
- ACA Replacement Must Include:
- Meaningful Liability Reform
Protect the Physician-Patient Relationship
- Oppose political interference in the patient-physician relationship.
Medicaid and Medicare - Advocate for Ob-Gyns and Our Patients
- Oppose any efforts to deny federal funds to qualified health care providers.
- Ensure MACRA implementation meets the needs of women's health and ob-gyns.
- Oppose Medicaid cuts and proposals that shift costs to states, patients, or health care providers including grants and per capita caps.
- Oppose efforts to privatize Medicare by transitioning to a premium support program.
- Protect ob-gyn ultrasound from any reimbursement or coverage cuts.
Support Our Physician Workforce
- Support graduate medical education by exploring additional funding mechanisms and innovative approaches to medical education.
- Oppose cuts in Federal and State GME funding.
- Oppose funding GME through the appropriations process.
- Make Medical student loan repayment more affordable.
- Work to gain designation of maternity care shortage areas by the National Health Service Corps.
- Oppose cuts in GME programs at Department of Defense.
Enact Meaningful Medical Liability Reform
- ACOG supports caps on non-economic damages.
- We support meaningful alternative reforms, including safe harbors and expanded application of the Federal Tort Claims Act to on-call ob-gyns.
Support Appropriate Efforts to Reduce Maternal Opioid Dependence
- Promote public health efforts to reduce maternal opioid use disorder and neonatal abstinence syndrome (NAS).
- Oppose punitive legislation against women with opioid use disorder and babies born with NAS.
- Support implementation of laws to ensure access to appropriate care for women with opioid use disorder and babies born with NAS.
Ensure Best Care for Patients - Scope of Practice/Midwifery
- Oppose federal and state recognition of and reimbursement to midwives who do not meet the International Confederation of Midwives (ICM) standards.
- Ensure that the educational and professional standards of the American Midwifery Certification Board (AMCB) and the International Confederation of Midwives are used to evaluate and certify all midwives.
Protect Access to Care for Low-Income Women and Adolescents
- Oppose cuts to discretionary programs, such as the Special Supplemental Nutrition Program for Women and Children (WIC); CDC Breast and Cervical Cancer Screening Program; programs to combat sudden infant death syndrome, STDs; and programs to improve preconception care, family planning and breastfeeding.
Improve Access to Care for Pregnant and Postpartum Women Experiencing Depression
- Support implementation of Bringing Postpartum Depression Out of the Shadows Act, Sec. 10005 of the 21st Century Cures Act, funding states to improve diagnosis and treatment options for maternal depression.
Advance Research in Pregnant and Breastfeeding Women
- Promote pregnant and breastfeeding women's inclusion in clinical trials.
- Support implementation of an interagency task force to advance the inclusion of pregnant and breastfeeding women in research initiatives.
Prevent Unintended Pregnancies and Reduce the Need for Abortions
- Support access to reproductive health services.
- Promote access to contraception, including emergency contraception.
- Ensure the use of medically accurate information.
Protect Programs that Support Healthy Mothers and Healthy Babies
Support Federal funding for:
- Biomedical research at NIH to address prematurity, obesity, maternal morbidity, and health disparities.
- Data collection and surveillance programs, including vital statistics systems, maternal mortality reviews, and the Pregnancy Risk Assessment Monitoring System (PRAMS).
- Maternal health programs, including the Title V Maternal/Child Health Block Grant, Fetal Infant Mortality Review, and Title X Family Planning.
- Zika virus prevention and response.
Support Efforts to Reduce Rising Rates of Maternal Mortality in the United States
- Support federal grant program for state maternal mortality review committees.
- Support state-level perinatal quality care collaboratives.
Continue Quality Improvement and Patients Safety Initiatives, including:
- Support for ob-gyn performance measures developed by and in consultation with ACOG and dissemination through Medicare, Medicaid and CHIP.
- Participating in Strong Start and other HHS programs to reduce elective induction pre-39 weeks, promote the use of evidence-based practice guidelines, and identify innovative and best practices in care coordination.
Support Healthy Pregnancy and Motherhood for Working Women
- Ensure that pregnant workers are not forced out of their jobs unnecessarily or denied reasonable job modifications that would allow them to continue working and have healthier pregnancies.
- Ensure breastfeeding workers have adequate allowance to express milk at work.
Increase Access to Women's Health Care for Military Service Members and Families and Veterans
- Support meaningful VA reform that ensures access to women's health services for veterans.
- Protect access to ob-gyn care at Military Treatment Facilities (MTFs).
Ensure Access to Women's Health Care for Incarcerated Women and Immigrant Women
- End the practice of shackling of pregnant and vulnerable women in incarceration facilities.
- Ensure access to adequate women's health care in incarceration facilities.
- Promote access to care for all women, regardless of immigration status.
Protect Vulnerable Populations from Toxic Chemical Exposure
- Support implementation of the chemical safety reform law to ensure adequate protection for the health of vulnerable populations including pregnant women, infants, and children.