Biden allows the First over-the-counter birth control pill to hit U.S. stores in 2024
I was introduced to Jada a while back. She is a part-time
worker as well as a college student who needed to refill her birth control
prescription, but the clinic’s hours didn’t align with her busy schedule. How
does she refill her prescription on the patchwork of crappy healthcare plans
she has available to her? Wouldn’t it be easier for her if there were over-the-counter
(OTC) options for contraception medications?
The push to make an oral contraceptive available
without a prescription predates Biden’s presidency. But the issue took on fresh
urgency when the Supreme Court overturned Roe v. Wade in 2022, particularly as
conservatives openly questioned the legal precedent establishing the right to
privacy for birth control access. Within weeks of the ruling, a contraceptive
maker, that had spent more than six years studying consumers’ ability to use
the product correctly without a doctor’s supervision, applied to the FDA for
over-the-counter approval.
Despite concerns from FDA scientists about
consumers’ comprehension of the drug’s proper use and risks, in July 2023 the
agency endorsed making the pill available over the counter.
CVS and Walgreens, two of the country’s biggest
retail pharmacies, have pledged to carry the Opill contraceptive once it’s
available in early 2024. Reproductive rights advocates, such as the Center for
Reproductive Rights, say an OTC oral contraceptive will help make birth control
access more equitable by reaching people who can’t afford or easily visit a
health care provider for a prescription (2016).
Opill’s success will come down to its retail
price and whether public and private insurers opt to cover it. The Affordable
Care Act requires most private health plans to cover contraception at no cost
to consumers, but insurers generally don’t cover OTC medications unless they’re
prescribed. Advocates for greater contraception access say those policies
create a barrier for the uninsured, teenagers and people of color. Mandating no
cost-sharing could create challenges at the point of sale for pharmacists and
insurance plans. The Biden administration is considering requiring no-cost
coverage of OTC items like Opill without a prescription by most commercial
plans.
As the debate over reproductive rights continues
to evolve, the availability of OTC contraceptives like Opill could mark a
significant step towards more equitable healthcare access for all, including
women like Jada in looking for an affordable, convenient contraceptive option.
References:
(2016). Over the Counter. .Retrieved June,3, 2024,
https://reproductiverights.org/over-the-counter
(2024). 30 Things Joe Biden Did as President You
Might Have Missed. Retrieved June 3, 2024, https://www.politico.com/news/magazine/2024/02/02/joe-biden-30-policy-things-you-might-have-missed-00139046
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