The National Academies of Sciences, Engineering, and Medicine will convene an ad hoc committee to review programs that have used health care financing mechanisms to improve availability and affordability contraception through Medicaid, Medicare, state programs, private insurance, employer-sponsored health plans (private and public [Department of Defense, Office of Personnel Management]), and federal grants programs (Title V, Title X, Community Health Centers, Veterans Affairs, and Indian Health Service). In reviewing existing research, as well as case studies of selected pilot and implemented programs, the study will seek to distill lessons learned from various initiatives across the nation, identify effective strategies, and provide evidence-based recommendations to inform policy, practice, and future program development. In reviewing pilot and implemented programs, the committee will consider the following:

• Program design, the legislative and regulatory authorities on which they are based, and their implementation and outcomes;
• Key barriers and facilitators to the success and outcomes of these initiatives, including financial and structural factors, as well as how the statutory and regulatory flexibilities on which these programs are based may have either advanced or inhibited their efficacy;
• The impact of health care financing mechanisms on affordability of contraception for communities at greatest risk for poor access;
• The performance measures used to determine if program approaches are meeting their aims;
• The cost-effectiveness, sustainability, and replicability of successful financing models that have improved access to these services; and
• Integration of community involvement and engagement, technology, and alternative care providers (such as pharmacists and community health workers)

Based on this review, the committee will provide evidence-based recommendations for policymakers, governmental program decisionmakers, health care providers and payers, philanthropic, community-based and non-profit (or non-governmental) organizations, and other interested parties to inform future efforts in this area.