[identity profile] katen.livejournal.com posting in [community profile] menstrualhut
Birth Control Benefit Could Be a Bitter Pill For Employers

Drugstore chain Bartell Co. must include the contraceptives in its employee prescription drug coverage. Is this the first pebble in an avalanche?

BY JESSICA REAVES (From TIME.com)

Wednesday, Jun. 13, 2001
Jennifer Erickson was tired of paying $300 a year for her birth control pills despite being covered under her employer’s health plan. She was frustrated because every one of her male co-workers’ prescriptions were covered under the same plan. So she called Planned Parenthood, found a lawyer willing to take on her case, and, along with several other women, filed a class action suit against her employer.

Now, thanks to Erickson’s tenacity — and her employer’s refusal to negotiate — a federal judge has ordered that employer, Seattle area drugstore chain Bartell Drug Co., to include oral contraceptives in the company’s prescription drug coverage plan. District Judge Robert Lasnik ruled Tuesday that Bartell’s refusal to offer full benefit coverage to women was tantamount to sex discrimination. "Although the plan covers almost all drugs and devices used by men, the exclusion of prescription contraceptives creates a gaping hole in the coverage offered to female employees, leaving a fundamental and immediate health care need uncovered," Lasnik wrote in his opinion.

Women’s health groups hail the decision as a breakthrough; activists hope the federal ruling will signal other employers that inequitable coverage will not stand up to legal scrutiny. (They won’t get any argument from the defendant; after the judgement was announced Bartell’s chief financial officer, Jean Bartell Barber, said she believes Lasnik wanted to make an example of her company.)

David Larson, a professor of labor and employment law at Saint Paul’s Hamline University School of Law, feels the Bartell case could send a message to other companies making decisions about employee health care policies. "In a sense, this is something of a landmark case," Larson told TIME.com. "The particulars of contraception haven’t been litigated before — and some of the language used in this case can be extended to other cases. The language does say 'if you choose to cut out certain drug coverage for cost reasons, you’d better be sure you’re not putting one group at a comparative disadvantage.'"

Does this mean every company in the nation should rush off immediately to charge their lawyers with restructuring their prescription policy? Not necessarily, says Larson. "To keep this in perspective, you have to remember this is a district court in Washington state. So while I’m sure this decision will be read widely and with great interest, the binding precedent doesn’t go very far."

Facing a media onslaught after the verdict, Bartell officials tried to effect a nonchalant demeanor Wednesday, insisting plans to cover contraceptives in their health plan were launched long before Erickson’s case was completed. No word yet on whether the company will file an appeal.

Date: 2001-06-14 08:27 am (UTC)
From: [identity profile] ginky.livejournal.com
*Finally* Of course my insurance "covers oral contraceptives" or so they say. They cover ONE KIND of oral contraceptives, the kind my doctor will not prescribe because everyone of her patients she puts on it comes back 10-20lbs heavier in the first year! So, I sit back and pay 25$/month for the joy of not socking them with another $35K delivery and NICU stay. =|

Getting their priorities straight

Date: 2001-06-14 08:34 am (UTC)
From: [identity profile] clairisse.livejournal.com
I just can't get over the fact that most of these plans cover VIAGRA but not the birth control pill. Some also cover abortions but not the birth control pill. I'm glad to see they're getting a reality check! Thanks for sharing.

Insurance coverage

Date: 2001-06-14 01:58 pm (UTC)
From: [identity profile] kimatha.livejournal.com
For a thoughtful discussion on health insurance, see this post. (http://www.livejournal.com/talkread.bml?itemid=5211781)

Date: 2001-06-21 02:41 am (UTC)
From: [identity profile] dyfferent.livejournal.com
Yeah, when I lived in the USA the state government Blue Cross didn't cover the Pill. It covered the costs of delivering a BABY, much higher. But it didn't cover the Pill and I always had to pay for the labwork on my Pap smear. Yeah, they'd rather I turned up cancerous, costing them thousands, than pay for that Pap.

I live in the UK now and the NHS lets me have the pill for free! Wahay! I have no idea how the female checkups will work here, though. Haven't been here long enough.

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