{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T19:46:42Z","timestamp":1771876002975,"version":"3.50.1"},"reference-count":57,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2017,11,12]],"date-time":"2017-11-12T00:00:00Z","timestamp":1510444800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Services Research"],"published-print":{"date-parts":[[2017,12]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To test the effects of state prescription contraception insurance mandates on unintended, mistimed, and unwanted births in a sample of privately insured recent mothers.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data<\/jats:title><jats:p>We pooled Pregnancy Risk Assessment Monitoring System (<jats:styled-content style=\"fixed-case\">PRAMS<\/jats:styled-content>) data from 1997 to 2012 to study 209,964 privately insured recent mothers in 24 states, 11 of which implemented prescription contraception coverage mandates between 2000 and 2008.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Individual\u2010level difference\u2010in\u2010differences models compare the probability of unintended birth among privately insured recent mothers in state\u2010years with mandates to those in state\u2010years without mandates. Additional models use aggregate data to estimate the effect of mandates on states\u2019 number of unintended births.<\/jats:p><\/jats:sec><jats:sec><jats:title>Principal Findings<\/jats:title><jats:p>State mandates are associated with decreased probability of unintended birth (1.58 percentage points) among privately insured women in the second year of implementation, driven by decreased probability of mistimed birth (1.37 percentage points or 614 births per state\u2010year) in the second year of implementation. We find no effects in the first year of implementation or on the probability of unwanted birth. Unexpectedly, recent mothers without private insurance experienced declines in unintended birth, but among unwanted, rather than mistimed, births.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>State prescription contraception insurance mandates are associated with reduced probability of unintended and mistimed births among privately insured women.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1475-6773.12792","type":"journal-article","created":{"date-parts":[[2017,11,13]],"date-time":"2017-11-13T00:20:14Z","timestamp":1510532414000},"page":"1970-1995","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["State Prescription Contraception Insurance Mandates: Effects on Unintended Births"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1145-2910","authenticated-orcid":false,"given":"Emily M.","family":"Johnston","sequence":"first","affiliation":[{"name":"The Urban Institute Washington DC"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"E. Kathleen","family":"Adams","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Management Rollins School of Public Health Emory University Atlanta GA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,11,12]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.15.2.266"},{"key":"e_1_2_6_3_1","first-page":"1","article-title":"Medicaid Family Planning Waivers in Three States Did They Reduce Unwanted Births?","volume":"52","author":"Adams E. 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