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This rule proposes to expand and strengthen access to birth control with no out-of-pocket costs. Under the Affordable Care Act (ACA), most private health plans are required to provide birth control and family planning services to their patients. Clarifying Protections for Women with Private Health Insurance: Under the Affordable Care Act (ACA), most private health plans are required to provide family planning counseling with no out-of-pocket costs.

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Later, in response to a request from the manufacturer of the Treasury and Labor, HHS convened a meeting with health insurers and employee benefit plans and sent them a letter, calling on the industry to commit to meeting their obligations to cover contraceptive coverage as required under the ACA.