Urology Times

Urology Times.Based on a partnership with Urology Times, articles from the American Association of Clinical Urologists (AACU) provide updates on legislative processes and issues affecting urologists. We welcome your comments and suggestions. Contact the AACU government affairs office at (847) 517-1050 or info@aacuweb.org for more information.

Vasectomy Scrutinized in Contraception, Scope of Practice Campaigns

posted: January 31, 2017

The Affordable Care Act's controversial contraceptive coverage mandate requires most private health plans to provide cost-free coverage of all FDA-approved methods of contraception used by women. Reproductive health advocates in many states are pressing for new laws that will survive with or without the ACA and, additionally, cover male methods of contraception.

Contraceptive coverage mandated by the ACA was challenged in the courts from the very start. These legal entanglements contributed to inconsistent implementation and enforcement of the law. What's more, by restricting the coverage mandate to women, many insurance companies are relieved of the responsibility to cover vasectomy, a voluntary sterilization procedure chosen annually by more than 500,000 Americans.

According to the Guttmacher Institute, an advocacy group focused on sexual and reproductive health, 28 states guarantee private insurance coverage for most FDA-approved methods of contraception, while four states (California, Illinois, Maryland, and Vermont) require that it be provided to the patient cost-free. In recent years, several states have stepped in to expand these mandates to include contraception methods used by men.

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Legislative Priorities
  • Proper Implementation of MACRA

    Urologists support the goals of Medicare payment reform, but Congress must monitor its implementation to ensure that the intent of MACRA is fully realized and preserved.BackgroundIn April 2015, Congress passed, and the president signed into law, the Medicare Access and CHIP Reauthorization Act (P...

  • Repeal the Independent Payment Advisory Board

    Urologists urge Congress to repeal the Independent Payment Advisory Board (IPAB). We urge Representatives to cosponsor H.R. 849. We urge Senators to cosponsor S. 251 and S. 260. Each of these measures would permanently repeal the IPAB.Take ActionSend an email to Congress, requesting support for H...

  • Support Transparency and Accountability for USPSTF

    Urologists urge Congress to support legislation that promotes greater transparency and accountability from the U.S. Preventative Services Task Force (USPSTF).  We urge representatives to cosponsor H.R. 539, the “USPSTF Transparency and Accountability Act of 2017”.Take ActionSend...

State Advocacy
  • Fair Contracting and Medical Practice Freedom

    Where We Stand Ensure openness and fairness in health care provider contacts. Prevent third-party payors from changing the terms of their provider contract without notice to the provider and without the consent of the provider. Ensure that physician licensure is based upon a physician's...

  • Medical Liability Reform — Expert Witness Qualifications

    Strengthen expert witness standards Ensure that expert witness is from the same specialty as the defendant physician Prevent frivolous lawsuits Improve the practice environment for physicians in your stateWhenever a physician’s conduct is being called into question, it is only fair...

  • Prostate Cancer Awareness & Assessment

    Where We Stand Continue the progress that has been made in the reduction of prostate cancer morbidity and mortality with the appropriate use of prostate cancer testing. Ensure that third-party payors provide for the reimbursement of prostate cancer testing when the patient and his physician...

  • Uniform Prior Authorization for Prescriptions and Health Services

    Where We Stand Prior authorizations cost the health system $728 million in 2012. Prior authorization requests must use a single form, no more than two pages in length. Forms must available for both access and submission electronically. Requests are deemed approved if no response is...

  • Work Force — Scope of Practice

    Where We Stand Allow the maximum patient-to-physician ratio to increase based on the number of physician assistants in a practice. Expand the ability of nurse practitioners and physician assistants to supervise medical assistants when doctors aren’t on the premises.Proactive Physician...

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