The Title X Family Planning program was enacted in 1970 as Title X of the Public Health Service Act (Public Law 91-572 Population Research and Voluntary Family Planning Programs). Title X is the only federal grant program dedicated solely to providing individuals with comprehensive family planning and related preventive health services. The U.S. Department of Health and Human Services’ Office of Population Affairs (OPA) oversees the Title X program (U.S. Department of Human Services, 2014).
Services are provided through state, county, and local health departments; community health centers; Planned Parenthood centers; and hospital-based, school-based, faith-based, other private nonprofits (Fowler, Lloyd, Gale, Wang & McClure, 2012). In
…show more content…
This mandatory benefit is provided at an enhanced matching rate to states, with the federal government paying 90% of the cost for family planning services and supplies. Although states can require Medicaid managed care enrollees to obtain health care from certain providers, federal law makes an exception for family planning services and supplies in most cases, meaning most Medicaid managed care enrollees can receive family planning services from any provider, even if their provider of choice is outside of their managed care network (National Family Planning, 2014).
Medicaid is a mandatory spending program, meaning that Medicaid funding does not need to be approved by Congress annually nor is there an annual cap on how much federal money can be spent on Medicaid in a given year, as opposed to discretionary spending programs like the Title X family planning program. Rather, Medicaid is a state/federal partnership, in which states pay providers or managed care organizations and the federal government “matches” state dollars spent (National Family Planning, 2014). Medicaid is key to helping low-income women gain access to the preventive services recommended for all women. In 2013, just over half of uninsured women reported having had a Pap test, compared with three-fourths of women with private insurance (Medicaid.gov, 2015).
Affordable Care Act
On March 23, 2010, President
Title X was enacted in the 1970’s to subsidize families and individuals who do not have the financial means to raise a child. The Health and Human Services Department states, “Title X family planning clinics have played a critical role in ensuring access to a broad range of family planning and related preventive health services—” (U.S health, n.d.) Although Title X intends to help the needy through taxpayer money, Title X harms the needy by making them depend on government (who is insufficient to fill their needs causing emotional hurt and instability), and Title X harms taxpayers by using their money for what should be considered luxury items.
Medicaid is a huge program that touches many lives but is nonetheless poorly understood by both the public and policymakers. This is an argument for many people, mostly because the public has the idea that only people that refuse to work are on it, well for some yes that could be true but this program helps working families and the elderly. single individuals and childless couples are largely excluded from Medicaid coverage, but the program covers 65 percent of maternity stays for women under 25, and 40 percent of all maternity stays. Many of these women are uninsured individuals with incomes above the poverty line. ("PA DHS - Healthy Beginnings," n.d.) For many financially struggling families, whom otherwise are least likely to have insurance, Medicaid is the only available option for them to receive the coverage they need. The media portrays this façade of “Medicaid: Worst insurance in America?” It’s hard for citizens to not believe that line when it’s in the forefront of a political debate. With republicans like, Carly Fiorina making statements such as “Obamacare isn’t helping anyone” ("Medicaid: Worst insurance in America?," n.d.) what is the country supposed to
Planned ParentHood offers services to the general public, low income persons, women, adolescents/youth/teens. There are many ways Planned Parenthood advertises their services so here are a few of them, billboards and television advertisements as well as an internet presents. Some states oppose Planned Parenthood because of the services it offers to individuals. Some clients may not be able to afford the services offered at Planned Parenthood. There are no barriers to services offered to individuals other than self-imposed ones. The facility is well maintained and clean both inside and out. Staff are professional, friendly and willing to help out with questions. Planned Parenthood offers Spanish, English as well as an interpreter service
In 2012, amid much controversy, the Obama Administration effected the Contraception Coverage policy within the ACA which stated that organizations and insurers were to provide free contraceptive coverage for women across the nation. By doing so, the goal was
Since 1970, Title X, a Family Planning program, has served the community by providing federal grants dedicated solely to meeting the contraceptive needs of teenagers (Reddy, 2002), individuals with limited English proficiency and patients with complex medical and personal issues (Title X Family Planning, n.d.). The Federal grants provided by the Title X Family Planning program, support services such as cancer screening and sexually transmitted
The Affordable Care Act requires health insurance providers—including both health insurance companies and companies that administer self-insured employer health plans on behalf of the employer (third party administrators)—to provide certain preventative services to women without cost. 42 U.S.C. § 300gg-13(a)(4) (2015). Congress delegated the task of deciding which kinds of preventative care would be provided to the Health Resources and Services Administration (HRSA). In making its determination, HRSA consulted the Institute of Medicine (IOM), which ultimately decided that insurers must provide “coverage without cost sharing” for “[a]ll Food and Drug Administration approved contraceptive methods, sterilization procedures, and patient education
In a recent article, “Nailed it: Paul Ryan’s perfect answer to why Planned Parenthood should be defunded”, Claire Chretien explains House Speaker Representative Paul Ryan’s view on the defunding of Planned Parenthood. He starts off by stating that he wants to ensure women get the care they need. He says, “we believe that this can better be done by putting that money in federal community health centers” (Chretien). Putting the money into local community centers, congress can ensure that women get all of the health services they need. “Planned Parenthood receives approximately $500 million in public funding, with federal funding consisting of Medicaid reimbursements and grants from the Title X Family Planning Program” (“Planned Parenthood Controversy”). By redirecting the funds into local health centers, people are supporting their community, the cost of care becomes more affordable with the extra funds, and women have access to more than just abortion health
In March 2010, one of the most controversial bills in modern history was signed into law by President Barack Obama. The Patient Protection and Affordable Care Act expanded the 1965 bill passed under President Johnson that created Medicare and Medicaid (“LBJ Presidential Library,” 2015). While the Affordable Care Act, or “Obamacare” as it has been dubbed by the media, has many components, the focus here is the expansion of Medicaid. Obamacare sought to expand Medicaid to cover those who earn too much to qualify for traditional Medicaid, but not enough to afford employer-provided health care. These people are said to be in the “coverage gap” (“Obamacare Medicaid expansion,” 2015). While only 32 states have adopted Obamacare, we should advance a policy encouraging the remaining states to expand existing coverage by extending the period of federal government cost-sharing an additional five years. Doing so would give states previously refusing the cost sharing a second chance to opt-in. This expansion would save money for the states from some of the rising cost of healthcare, and fulfill our moral duty to care for uninsured Americans.
In Texas, the uninsured rate dropped from 37 percent to 27 percent due to many adults meeting the low poverty criteria to become insured. The adults that were eligible for the Medicaid program were adults who were eligible for a tax credit to buy the coverage on the federal health insurance programs. Texas decision not to expand Medicaid also made it hard for low income families to receive health care and pay for health medications. According to the study and observations of other states who have expanded Medicaid, it is proven that many low-income adults have less trouble paying for and obtaining health care while on the Medicaid program. In states with the Medicaid program in full effect compared to Texas where there is no expansion on Medicaid, many Americans are struggling with household responsibilities and finances due to having to pay for the private insurance and receive the health care that is needed for their condition.
The state of Texas has pulled its Medicaid funding for Planned Parenthood, leaving poor residents with few options for affordable healthcare. Medicaid, a program focused on helping low-income families and individuals receive healthcare, has always been jointly operated by the state and the federal government. But to who this program would be eligible for is entirely up to the state. More conservative states, like Texas for example, strictly reserve Medicaid for only the most severe cases of poverty-stricken families, leaving a large portion of low-income residents uninsured. The Affordable Care Act, a federally mandated reform of Medicaid introduced by President Obama, would provide healthcare for many American citizens in need. Despite being
For close to 50 years, the Mississippi Medicaid program has provided health coverage for its low-income residents. “While Medicaid originally only insured Americans receiving cash welfare assistance, Congress expanded it over the years to help insure those left behind by the private insurance system”.7 Medicaid in the state of Mississippi is a health care program that help pays for medical services for its low income residents. In Fiscal Year (FY) 2009, Medicaid provided $3.9 billion in benefits which attributed to 20.4% of all health care spending in the state7 and insured 754,333 – 1 out 4 (25.6%) state residents.6
Medicaid initially established that each state is responsible for designing their medical costs to pay medical care for the poor. Also, Medicaid created as a voluntary program for each state; they have to have the choice to participate. For one thing, because of the rising costs of healthcare, it has been difficult to bring Medicaid recipients into the “mainstream” of United States (U.S.) medical care. Donald R. Barr notes, “between 1975 and 1989, the cost of the Medicaid program increased by an average of 11.9 percent per year before adjusting for inflation” (172). The rising costs of healthcare are necessary for each state to determine if it is beneficial for them to participate in the Medicaid program. As the government level of payment is determined by each state economic condition. For instance, a state with lower per capita income will receive more government funding. A state with higher per capita income receives less reimbursement for program costs. Therefore, on December 31, 2010, many states continued to experience budget cuts. As a result on August 2010, Congress increased reimbursement rates through June 2011.
The ACA has recommended that individuals under the Medicaid program be covered for family planning services and supplies without cost-sharing, however, covered services may vary depending on individuals’ qualifications and States in which they leave. For those who are qualified for traditional Medicaid programs, coverage for family planning services and supplies are without cost-sharing, but is up to the states to determine covered services. Moreover, the states only pays 10% of the services while the remaining 90% is paid by the federal. On the other hand, Medicare patients are not cover for contraceptive services and supplies, but may benefit form some hormonal contraceptives under Medicare part D. Under this plan, elective sterilizations are not covered, only surgical sterilization necessary to treat an illness or injury. However, women under a dual eligibility for Medicare and Medicaid can only be covered if Medicare denies the service. Although many women covered under private plans benefit from no cost-sharing, there still a great variation between private and public coverage, especially when uninsured or insured patients through public programs do not benefit
Medicaid is a social health care program that covers nearly 60 million Americans, including children, pregnant women, seniors, parents and individuals suffering with disabilities. Medicaid is the biggest source of funding for health related services and medical needs for the people with low income in the United States. This program is funded jointly by the state and federal level governments, but it is the state’s responsibility to manage this program. The Medicaid program is not a required program that states have to use, but all 50 states have implemented this program. With the introduction of the Affordable Care Act (ACA), and its passing in 2010, the ACA unveiled its plans to expand Medicaid eligibility to nearly all low-income adults as an addition to the other groups that fall into the Medicaid eligibility. The Medicaid program had “many gaps in coverage for adults” because it was only restricted to the low income individuals and other people with needs in their own specific category. In the past, the majority of the states who had adults that did not have children dependent on those parents were not eligible for Medicaid. These low income adults without dependent children would be without medical insurance assistance before the ACA was introduced. Medicaid is now available to all Americans under the age of 65 whose family income is at or below the federal poverty guideline of “133 percent or $14,484 for an individual and $29,726 for a family of four in 2011” (NSCL).
Services are provided through various health clinics, hospitals, schools, community centers, and public housing centers. In the United