CDC just recently released an MMWR on Patterns of Health Insurance Coverage Around the Time of Pregnancy Among Women with Live-Born Infants — Pregnancy Risk Assessment Monitoring System, 29 States, 2009.
· This report summarizes 2009 PRAMS data from 29 states, before the passage of ACA. Data on the prevalence of health insurance coverage stability (stable coverage, unstable coverage, and uninsured) the month before pregnancy, during pregnancy, and at the time of delivery are reported by state and selected maternal characteristics.
· Nearly one third of women with live-born infants experienced changes in health insurance coverage in the period between the month before pregnancy and the time of delivery in 2009, prior to the passage of the Patient Protection and Affordable Care Act (ACA).
· Most women had stable coverage across the three time periods, reporting either private coverage (52.8%) or Medicaid coverage (16.1%) throughout. A small percentage of women (1.1%) reported having no health insurance coverage at any point.
· Most women who experienced changes reported starting out uninsured before pregnancy and having Medicaid at delivery; the next most common pattern of change reported by women was starting out with private insurance before pregnancy and having Medicaid at delivery.
· Continuous access to health insurance and health care for women of reproductive age could improve maternal and infant health by providing the opportunity to manage or treat conditions that are present before and between pregnancies.
· The findings in this report can be used by public health professionals, policy analysts, and others to monitor health insurance coverage for women around the time of pregnancy. In particular, 2009 PRAMS state-specific data can serve as baseline information to assess and monitor changes in health insurance coverage since the passage of ACA.
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