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Health Reform's Quiet Victory: Pregnancy Assistance Fund Benefits Vulnerable Populations


Written by Sheila Bapat for RH Reality Check.This diary is cross-posted; commenters wishing to engage directly with the author should do so at the original post.

Shauna Humphreys has been leading programs that serve at-risk teens of the Choctaw Nation in Oklahoma for several years. But the impact of her work has increased dramatically over the past two years because of the Pregnancy Assistance Fund (PAF), a provision of the Affordable Care Act supporting a range of services for pregnant teens and young adults.

Humphreys' program, known as Support for Pregnant and Parenting Teens (SPPT), serves nearly 100 Choctaw mothers under the age of 22 by building their parenting skills, providing sex education to help prevent repeat teen pregnancies, and encouraging young mothers to obtain high school degrees and pursue higher education.

Vastly more robust than the program Humphreys ran prior to receiving a 3-year PAF grant at $900,000 per year, SPPT is staffed with six caseworkers who visit clients' homes monthly to deliver parenting and life skills training. Caseworkers also serve as a general support network for young women who are experiencing domestic violence.

"These young women need this level of support. They typically don't have anyone helping them to meet their personal goals," said Humphreys, herself a mother of twins. "I can't imagine being pregnant in high school and trying to figure out my life after having a child."

While the battle over the ACA rages on in the states, with the Medicaid expansion and the birth control benefit persisting as the most contentious provisions of the law, PAF is an under-the-radar boon of health reform. Needless to say, if the ACA is repealed, PAF will likely be eliminated as well--jeopardizing Humphreys' program and all PAF-funded programs.


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