The Affordable Care Act, or Obamacare, has created a huge new pool of affordable, available contraception coverage, but only a fraction of women have access to it.
That’s according to a new study from the University of Michigan.
The study found that nearly a quarter of women surveyed did not know whether they had access to a generic version of the birth control pill or another form of the hormone-free contraceptive known as intrauterine devices (IUDs), and only about 20 percent of women had access either.
The lack of access to these products has left women in a Catch-22: They can’t get the birth-control pills they need to prevent pregnancy, or they can’t afford to pay for a generic that’s compatible with the pills they have.
The results of the survey, published Wednesday in the journal PLOS One, come from a national sample of women who were surveyed over the course of their pregnancies.
The data is based on responses from 2,829 women, and the results were weighted according to their age, gender, and race/ethnicity, and include women ages 18 to 39 and those who are pregnant.
The survey was conducted between May and September 2016, and included a total of 1,023 respondents.
It also includes questions about how well-informed women are about birth control options and how many of them were currently using the contraception at the time of the question.
According to the survey results, less than 25 percent of respondents reported having any form of insurance for birth control coverage, while nearly half of those who had access were using a private plan.
Women who reported having insurance were far less likely to report that they had an IUD or a generic IUD.
“The survey data provides some important insights into the public health challenges facing women who are trying to access contraception,” said co-author Elizabeth Kreider, a professor in the department of obstetrics and gynecology at the University at Buffalo and an associate director of the Center for Health Policy and Management at the School of Public Health.
“While the survey shows that women in the United States have not fully found a universal birth control method, it does highlight the need for improved access to the pill, IUDs, and other contraception options.”
The findings come at a time when Republicans are pushing a bill that would require employers to provide insurance to employees who do not have access a birth control option.
The American Congress of Obstetricians and Gynecologists (ACOG) issued a report earlier this month calling for birth-related exclusions in the ACA.
The law’s contraception coverage mandates require employers that provide health insurance coverage to their workers to provide coverage for contraception and sterilization services.
But the ACA has not yet made it clear whether companies that don’t provide these services will have to provide them as part of their employees’ health insurance plans.
That means that many women are left with no choice but to rely on the pill for contraception, which is less than what they would pay if they were on their own.
In a letter to Congress earlier this year, ACOG President Nancy Keenan said that the ACA would be harmful to women’s health and undermine women’s access to affordable birth control, particularly if it mandates that employers provide insurance coverage for contraceptive services and sterilizations, but not for other forms of birth control.
“We have seen in the last several years the dramatic increase in the number of women using contraceptives in the context of a larger increase in overall access to contraceptives,” Keenan wrote.
The survey data is one of the first to show the disparity between access to contraception and other birth control methods. “
Increasingly, we see that there is a need for more comprehensive and coordinated access to contraceptive services, and that includes not only coverage for the pill and IUD, but for all forms of contraception.”
The survey data is one of the first to show the disparity between access to contraception and other birth control methods.
The researchers also surveyed 5,000 women ages 19 to 59 about their sexual and reproductive health, including pregnancy rates, contraceptive use, and sexual satisfaction.
More than 1 in 4 women reported that they used condoms during their pregnancies, but the study found only about 13 percent of them could get the prescription they needed.
Only 10 percent of those surveyed had tried to get an abortion, and a mere 4 percent had attempted to get pregnant themselves.
Women in the survey also reported being unable to get a Pap test, and almost two-thirds of women said they had not received a birth-contraceptive pill prescription at the end of their pregnancy.
“Our study demonstrates that women’s willingness to use birth control is largely determined by their health status,” Kreider said.
“It also suggests that women who cannot afford to purchase an IUCU or the contraceptive pill, or who do have a prescription for an