Kusununguka kwekuchengetedza kwekuchengetedza - chimwe chezvibatsiro zvehutano zvinokosha zveAACA - ndechimwe chezvinhu zvakakurumbira zvinotarisirwa zveNotengeswa Care Act. Insureds pamapurogiramu ose eCAA-anorongeka haafaniri kubhadhara chimwe chezvinhu zvakawanda zvezvidzivirira zvinoshandiswa kune vakadzi, vana, uye vanhu vose vakuru.
Rusununguko rwokuchengetedza rusununguko runoshanda kune hurongwa huzhinji hwehutano muUnited States zvino, uye hwakagadziriswa kusati kwawanda kweAACA zvigadziro muna 2014.
Urongwa hunoshanda kumagadziro ega ega uye mapoka makuru uye maduku emapoka. Zvirongwa zvehutano hwakakura hazvibvumirwi nezvinodiwa kuchengeta kuchengetedzwa kwekuchengetedza pasina kugovana-mari-yakagadzirwa (zvirongwa zvakawanda zvakave zviri izvo zvaive zvatoitika munaMarch 23, 2010 iyo ACA yakasayirwa mutemo). Muna 2014, chinenge chechina chevashandi vane zvirongwa zvakarongwa nevashandirwi vakanga vaine ruzivo rwekuvhara. Asi kuwanda kwezvirongwa zvakawanda zvakave zvichienderera mberi kubva muna 2010.
Kubata pamuviri - chii chakafukidzirwa pasina?
HHS yakagadzira rondedzero yevakadzi-chaiyo yekuchengetedza kwekudzivirira iyo yakatanga kushanda kune zvose zvitsva uye zvekuvandudza zvirongwa zvisiri izvo zvakakura kubva munaAugust 2012. Zvinosanganisira kuvhara kwekudzivirira nekushaya mari. Asi izvozvo hazvirevi kuti zvose zvinowanikwa zviripo zvekuberekwa zvinosarudzwa zvichagoverwa nehutano hwehutano inshupfumi pasina mari.
HHS yakatsanangura kuti zvirongwa zvehutano zvinofanira kuvhara zvingangove imwe yedzimwe nzira dzeDA-dzakagamuchirwa-dzakatenderwa zvekudzivirira pamuviri, kunze kwemishonga inobvisa mishonga (zvirongwa zvehutano hazvidi kuvhara kubata pamuviri kuvanhu, kusanganisira vasectomies).
Kana maitiro ezvimwe zvehutachiwana aripo, chirongwa chehutano chinogona kupa mhizha pasina kugovera mari-asi kuisa copay kana inshuse inosarudza zita rezita rezita (kune chidimbu chokuti copay inodzingwa kana dhigirii inosarudza kuti imwe nzira inopiwa pasina chairo nehutano hwehutano ingadai isingakodzeri murwere).
Ikozvino pane 18 maitiro akasiyana-siyana emadzimai ekudzivirira kubata pamuviri anobvumirwa neCDA:
• Kuvhiyiwa kwechibereko
• Kuvhiya kupera muviri
• Inogadziriswa tsvimbo
• Mucheka wechiprauterine (IUD)
• IUD ne progestin
• Shot / injection (Depo-Provera)
• Muchiedza chemuviri (mapiritsi), ane estrogen uye progestin
• Zviratidzo zvepabonde nemuromo weprogestin chete ("mini-pill")
• Zviratidzo zvekuvhara nemuromo zvinoshandiswa zvakanyanya zvinononoka kuenda kumwedzi (inozivikanwawo semwedzi kuperesa piritsi)
• Chikamu
• Mhete yekubata pamuviri yemakwenzi
• Diaphragm
• Sponge
• Cervical cap
• Kondomu yemadzimai
• Spermicide
• Emergency emergency (Purogiramu B / mangwanani-mushure memapiritsi)
• Emergency contraception (Ella / Ulipristal acetate)
Utano hwako hwehutano inshuwarheni inofanira kukupa imwe sarudzo imwechete kubva kune imwe neimwe yezvikamu gumi nemasere, pasina mari yekunze. Kune mamwe maitiro ekudzivirira kubata pamuviri, pane zvakawanda zvinosarudzwa zviripo, uye hutano hwako hutoriki hutori hunogona kumanikidza copay kune vakawanda vavo, chero bedzi iwe unogona kupiwa kwauri pasina.
LARC - inotengeswa pasi pe ACA
Izvo zvinoda kuti chirongwa chimwe nechimwe chekudzivirira chive chiwanikwe pasina kugovana-mari kunokosha zvakanyanya kwekuita kwenguva refu yekuita zvekudzivirira zvinodhaka (IUDs uye tsvimbo dzinogadziriswa).
Izvi zvaiwanzogadziriswa zvinodhura maererano nepamusoro-mberi mari inotangira musarudzo yeAACA yekudzivirira kubata pamuviri (kunyange pamusoro pehupenyu hwechigadzirwa, inowanzosvitsa kudarika zvinorambidza kubvisa pamuviri). Asi ivo vanobudirira kwazvo uye zvidzidzo zvakawana kuti vakadzi vanosarudza ivo kune dzimwe nzira dzekudzivirira kana mari isati iri chigadziro. Kubata kwenguva refu kushandiswa kwekudzivirira kubata pamuviri kwakanga kwave kuwedzera muna 2012, uye nyanzvi dzinoronga kuti kushandiswa kwavo kuchawedzera kuwedzera semugumisiro weAACA.
zvinetso kumutemo wekubata pamuviri
IAACA haina kubvisa machechi uye zvechitendero zvisingabatsiri kubva kumutemo wekubata pamuviri, asi mamwe masangano akazvidza mutemo uye vamwe vakakunda mudare.
Muna 2014, Hobby Lobby yakatsigira kodzero yekuregeredza marudzi mana ekudzivirira kubata pamuviri (zvose IUDs, pamwe neChirongwa B neElla) kubva kurongwa hwehutano hwevashandi. Dare Repamusorosoro rakatarisana neHobby Lobby, rakatonga kuti hurumende inofanira kuwana nzira yekuita kuti "makambani akabatanidzwa" (seHobby Lobby) ane kukanganisa kune vamwe kana nzira dzose dzekudzivirira kuberekwa vangakwanise kudzivisa kuvapa sechikamu zverongwa hwavo hwehutano.
MunaJuly 2015, mukupindura kweBurwell v. Hobby Lobby kutonga, HHS yakapedzisa mutemo unobvumira nzvimbo ye "nzvimbo yakanyatsotarisirwa kushandiswa-inobatsira iyo inopesana nechitendero kupa kupa vamwe kana mabasa ose ekudzivirira kubata pamuviri," achiri kuve nechokwadi chokuti vakadzi vane ruzivo rwakakwana rwekudzivirira kwemishonga kweDAA. Pasi pemunzvimbo, hurumende yehutano (kana kuti mutongi wechitatu muzvirongwa zvekuzvidzivirira) inotora mari yekuvhara zvimwe kana zvose zvekudzivirira, pasina mari kumukadzi kana kumushandi. Imba yezvinyorwa zvakabatanidzwa kune-inobatsira zvikamu zvakafanana neyo nzvimbo iyo HHS yakanga yambopa yekunamata isingabatsiri.