Washington, D.C.–This Mother’s Day, moms can celebrate health care reform’s new provisions that help moms, moms-to-be, grandmothers, and their families to get healthy and stay healthy. Here are some of health care reform’s “gifts” that moms can already enjoy, as well as a sneak peek of gifts to come.
One of the biggest worries for moms is their kids. Kids get sick, get hurt, and were denied health insurance prior to health care reform. But thanks to reform, moms have support whether they have a young child with a preexisting condition or a college graduate whose employer doesn’t cover them. Insurance companies can no longer deny insurance to children with preexisting conditions, and children up to age 26 can stay on their parent’s plan if their employer doesn’t offer coverage.
But reform looks out for Mom, too. The Affordable Care Act provides free screenings of many of women’s biggest health concerns: breast cancer, cervical cancer, blood pressure, cholesterol, and obesity.
Paired with improvements in primary care, we know this preventive approach will drastically improve the health of moms and their families. We know, for instance, that regular pap smears increase the likelihood of detecting cervical cancer early and subsequently increasing survival rates.
The bottom line? Free screenings allow doctors and their patients to address health problems earlier and help prevent Mom from getting sick.
And if Mom still gets sick, health care reform provides support there, too. Provisions now prohibit annual and lifetime caps, meaning that a person who is severely or continually ill will not “run out” of insurance.
Moms-to-be can look forward to the guarantee that all health plans will cover maternity care for the first time. This is especially exciting since prior to health care reform, 22 states offered no coverage of pregnancy-related costs under any health care. Further, in a study conducted by the National Women’s Law Center, only 13 percent of studied health plans in the individual market provided maternity care.
Maternity coverage will also include preventive and prenatal services. For instance, women considering pregnancy can receive free folic acid supplements while pregnant women can receive free, routine screening for anemia. Taking folic acid previous to getting pregnant and during the first trimester of pregnancy helps prevent birth defects and is essential to the development of the fetal nervous system. Further, pregnant women with iron-deficient anemia are at increased risk of preterm deliveries, delivering babies with a low birth weight, and even fetal death.
Finally, new moms will see additional postnatal benefits. Mothers will receive breastfeeding support such as prenatal and postnatal breastfeeding education and evaluation from trained caregivers. This has proven health benefits for both mothers and their children. Additionally, moms who go back to work will benefit from a private space to breastfeed because employers are now required to provide one.
Grandmothers can stay stronger for longer with free annual checkups covered by Medicare. The physicals are available to every Medicare beneficiary and they don’t cost a thing.
In addition, other health plans will allow grandmothers to receive preventive care without copays or deductibles. All new plans must include free osteoporosis screening—a disease affecting mainly older women that causes the bones to weaken and severely increases the likelihood of fractures and breaks—for women over 65 and for women at higher risk over age 60.
Finally, provisions in health care reform are working to close the “doughnut hole” in which people enrolled in Medicare’s prescription drug program, often women, are forced to pay a greater share out of pocket for prescription drugs due to a gap in coverage. In the last year Medicare beneficiaries received a $250 rebate. In coming years there will be discounts on brand-name and generic prescription drugs, and provisions will work to make it so by 2020 the doughnut hole will be closed.
While many of these “gifts” to mothers are already in place, more gifts will arrive in the next two-and-a-half years.
For starters, because of new and expanded programs, more moms will have health insurance. These new programs will make it so insurance plans include even more mom and family-friendly services that build on the aforementioned maternity, preventive, and Medicare benefits.
Finally, for the first time, women—mothers included—will pay the same rate for health insurance as men. Forty-two states currently allow gender rating (charging women more than men for the same health plan), with some charging up to 84 percent more. This is a huge, long-awaited gift to women and moms everywhere.
Health care reform acknowledges moms’ 24/7 care. That’s why the law works to serve moms every day and not just Mother’s Day.
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Sandra Bogar is an intern with the Health Team at American Progress.