Women currently account for 51% of the overall U.S. population, according to the U.S. Census Bureau. To be precise, there were 154,135,120 women and 149,924,604 men in the United States in 2008. We also know that women, more often than not, are responsible for making decisions about their families' health care.

While I think it would be hard to make the leap that 51 percent of the programs and benefits of health reform should be directly targeted toward women, it's not a stretch to argue that health reform should address the health care needs of women and their families. That includes pregnancy planning and prevention.

Unplanned pregnancies are closely linked to a number of negative health, social, and economic consequences. Family planning services--counseling, gynecological care and screenings, prescription drugs and devices, and related outpatient services--are a cost-effective way to make progress on preventing unplanned pregnancy and improving health outcomes for women and families. As such, family planning should be classified as a preventive benefit with the same cost-sharing protections afforded to other designated preventive benefits in any essential benefit package that is created within the context of health reform.

For health reform to work, it has to be meaningful for everyone, including 51 percent of the U.S. population.

We wanted to fill you in on some exciting news about emergency contraception.

Last week the FDA approved a generic version of Plan B.

This whole thing gets a little tricky since Plan B is available with and without a prescription depending on your age, but we'll try to clarify what exactly was approved. Duramed still has market exclusivity on over-the-counter Plan B which can be purchased by women age 17 and older without a prescription until August 24, 2009. However, the recently approved generic version (which will be marketed as Next Choice™) will be available to women age 17 and younger with a prescription in the near future (hopefully in August, Next Choice will be available over-the-counter as well).

The price of Next Choice™ will likely vary by pharmacy, but will most likely be 20-70 percent cheaper than the name brand version which ranges from $35-70 depending on the pharmacy. Clear as mud? Check out these FAQs for more info.

I don't know about you, but a lower cost version of emergency contraception might be just what I need to stock up on for a rainy day...Not that it's a substitute for birth control, mind you. But you can never be too careful...

The 2009 NFPRHA Conference wrapped up with several excellent workshops and presentations yesterday. In a particularly impassioned workshop presentation, Linda Dominguez reminded us that no decision is more important than helping a couple plan when they want to have children, and that making a contraceptive choice can be one of the most important decisions women (and their partners) make. She went on to point out that whatever kind of contraception that a woman chooses at a particular point in time should fit in with her reproductive life plan (do you have a reproductive life plan: how many kids do you want to have? When do you want to have them? With whom? Has a provider ever asked about your plan?).

The goal is to have women and men embrace their contraceptive method, and help them to be satisfied with the method they have selected (or help them find another method that might work better for them).

• How can we work to dispel the myths around contraceptive methods and talk more about the fantastic health benefits that are associated with some methods?

• More than one-third of women report that they are using a method of contraception that they don't like - how can we reach these women and help them find a method that they do like?

• The next question is, how can we help women and men use the method they have selected as effectively as possible?

A presentation by Hieke Thiel de Bocanegra of UCSF's Bixby Center for Global Reproductive Health offered one innovative way to tackle this second question. A pilot project she is leading (full disclosure: funded by the National Campaign) uses text messaging to remind women that it's time to fill their prescription (e.g., if on the NuvaRing) or visit the clinic for a follow-up appointment (e.g., if they need a Depo shot). The project aims include determining 1) the feasibility of this type of reminder system; 2) the acceptability and usage of this system by providers and clients; and 3) the system's effectiveness. More on this to come as the project progresses...

One hundred days into his administration and it is clear that President Obama is ready to take up the important issue of teen pregnancy prevention and unplanned pregnancy with a sense of urgency and seriousness that it deserves. Nothing exemplifies this more than what we heard at NFPRHA's annual gala luncheon yesterday when Melody Barnes, Director of the White House Domestic Policy Council, spoke about the need to direct more resources toward programs and services that support women's health and access to family planning services.

The Obama administration has made a strong commitment to prevention and evidence-based approaches to reduce teen and unintended pregnancy and in turn the need for abortion. In establishing the White House Council on Women and Girls, President Obama will address these issues and many others affecting women and women's health. In her remarks, Ms. Barnes expressed concern about the number of teens who are having sex without using contraception and acknowledged how important it is for parents to have the tools to be able to talk with their teens--both girls and boys. In addition, she raised the importance of involving young adults, men and women, in conversations about taking personal responsibility for their physical and emotional well-being.

To advance its goals, the White House is meeting with organizations and people in communities around the country and across the political spectrum to learn more about what communities are doing and what works. Ms. Barnes expressed a strong interest in working in partnership with family planning and reproductive health care providers to ensure that all women, men, and families get the health care and services they need.

This bodes well for those of us interested in making a serious dent in reducing the high rates of teen and unplanned pregnancy in our country. The steps the administration is taking are very encouraging and promising if we are to improve the lives and future prospects of children and families, and to help ensure that children are born into stable families who are ready for the demanding task of parenting.

In a post on community.feministing.com, Wendy Notsid starts by asking, what does sexual empowerment mean for women? For her it means to "not feel awkward to think and talk about sex ourselves, not afraid to look up information we need or take safety measures regarding sex, like buying condoms or birth control, or going to the Doctor about certain things."

Right on, Sister. That's certainly one characteristic of power. She says that she has been told--by other people her age, I presume--that she goes too far in her conversations. Which is both confounding and sad. Confounding because how could talking about the clitoris and masturbation be "going too far" but dancing in one's underwear in front of delighted frat boys not be? And sad because those of us who called ourselves feminists in the late 1960s fought hard so that women like Wendy could speak freely about sexuality without having to defend herself. (Her post has a notably defensive tone.)

It is difficult to figure out what sexual empowerment means when the culture screams all sex, all the time. As Kate wrote in response to Wendy, "If we've all accepted that everyone else is shagging all the time in a variety of positions and orifices, how do we come to terms with our own desires and drives?"

One sure way not to figure out our sexual selves is to assume that we must do what a man would do in any given situation. Not want to or can do what he would do--that's a different issue--but have to. Here's the way FlyBy expressed that in a comment on the post:

"Would a guy get up on stage at spring break flashing his dick and doing on-command sex acts with other men (even though he isn't gay) while women taped and yelled at him and then posted those videos all over the internet? How many men feel the need to become dick dancers in order to pay for college? Need I go on? Stay gold. That's what I say. Educate yourself. Protect yourself. Enjoy your sexuality on YOUR terms, not anyone else's."

So...what does sexual empowerment mean to you?