California Approves OTC Birth Control
California and Oregon will be the first states in the nation to allow women to get birth control pills and other hormonal contraceptives directly from their pharmacists – without a doctor’s prescription.
As California officials were busy finalizing regulations on a state law passed in 2013, Oregon’s governor Kate Brown signed a similar bill into law last week.
The two measures were hailed by women’s health advocates.
“We support efforts like these that remove barriers to women gaining access to birth control and other reproductive health care,” said Kathy Kneer, chief executive officer of Planned Parenthood Affiliates of California, in a written statement.
She added that hormonal contraception has been widely studied and shown to be safe – “so safe that the American College of Obstetricians and Gynecologists has recommended that it be available over the counter.“
Until now, California pharmacists could only provide emergency contraception, also known as “morning-after pill,” without a doctor’s prescription.
The contraceptives won’t be available like cough drops or antacids, however. In California, pharmacists can only dispense them after providing a health screening to women and taking their blood pressure.
The laws differ somewhat. California’s law has no age restrictions on patients – minors have the same access as adults. In Oregon, pharmacists may only give new birth control prescriptions to women 18 or older. Women under 18 must show proof of prior birth control prescriptions from a physician. Also, Oregon likely will require pharmacists to undergo more training than the one hour of education required of California pharmacists,said Marcus Watt, executive director of the Oregon State Board of Pharmacy.
California’s rules are expected to take effect after Oct. 1.
Elizabeth Nash, senior state issues associate at the Guttmacher Institute, said other states could end up following California’s and Oregon’s approaches.
“A lot of eyes are watching what’s going to happen next,” she said.
The laws moved ahead despite partisan debate in Congress over access to birth control. There, members of both parties support legislation allowing over-the-counter access – without any prescription — but Republican legislation would not require insurers to pay for it.
Democrats say that is an attempt to get around requirements to cover prescription birth control under the Affordable Care Act and would effectively make hormonal contraceptives off limits to many poor women. They have introduced a bill that would require insurance coverage of over-the-counter hormonal contraceptives.
California’s regulations and Oregon’s law do not address insurance coverage of birth control. But California’s pharmacists have voiced concerns that insurers won’t pay for time spent screening women and dispensing birth control, as they would for a doctor’s visit.
Pharmacists in California say they are preparing for the new regulations and hoping to resolve the reimbursement issue. California’s 2013 law also allows pharmacists to prescribe other medications that once required a doctor’s prescription, including travel medicines and smoking cessation. treatments.
Kaiser Health News is an editorially independent program of the Henry J. Kaiser Family Foundation, a nonprofit, nonpartisan health policy research and communication organization not affiliated with Kaiser Permanente.
