WEBVTT 00:00:00.040 --> 00:00:03.350 in one ruling, the rules changed for women across 00:00:03.350 --> 00:00:06.870 the country. What's happened in the aftermath? What 00:00:06.870 --> 00:00:10.509 have you seen? You know, um we knew 00:00:10.509 --> 00:00:12.910 this was coming uh you know, ever since XP 00:00:12.910 --> 00:00:14.119 eight in the fall, I think a lot of 00:00:14.130 --> 00:00:16.629 people in the medical community um you know, we 00:00:16.640 --> 00:00:18.690 were predicting this. But I think what we heard 00:00:18.690 --> 00:00:21.050 is we work with a lot of leading health plans 00:00:21.050 --> 00:00:23.940 and employers with for the women's and family health benefits 00:00:23.940 --> 00:00:26.210 from fertility to maternity. And a lot of them 00:00:26.210 --> 00:00:28.760 didn't know what to kind of make of it the 00:00:28.760 --> 00:00:31.589 second that the Supreme Court decision was kind of struck 00:00:31.589 --> 00:00:34.640 down and brought down. Even the most conservative clients 00:00:34.640 --> 00:00:37.020 that previously didn't want to take a position stood up 00:00:37.030 --> 00:00:40.210 and designed kind of employee benefit packages through maven and 00:00:40.210 --> 00:00:43.649 other services to support travel across state lines to support 00:00:43.649 --> 00:00:46.570 pregnancy options, counseling and you know, a lot 00:00:46.570 --> 00:00:49.719 of other things. So that was encouraging. So 00:00:49.719 --> 00:00:52.530 what kind of demand and requests are you seeing from 00:00:52.539 --> 00:00:56.039 maven members? Are you seeing a surge in requests 00:00:56.039 --> 00:01:00.929 for reproductive help? I think anxiety are mental health 00:01:00.929 --> 00:01:02.890 is up. But I think it's not just maven 00:01:02.890 --> 00:01:04.170 members right now. We're also paying attention to maven 00:01:04.170 --> 00:01:07.060 providers. So, you know, one of the 00:01:07.060 --> 00:01:08.840 things that we've been hearing is there's about 50% of 00:01:08.840 --> 00:01:11.469 us counties don't have an O. B. G 00:01:11.469 --> 00:01:11.659 . Y. N. And a lot of those 00:01:11.670 --> 00:01:15.719 are in states where they're restricting abortion access. A 00:01:15.719 --> 00:01:18.920 lot of our clinicians are really concerned. You know 00:01:18.920 --> 00:01:21.819 , we're hearing people that are going to move and 00:01:21.819 --> 00:01:23.269 so that's going to create even more provider shortages. 00:01:23.269 --> 00:01:26.230 So, you know, it's both the members, 00:01:26.230 --> 00:01:27.879 but also the providers themselves. Hang on. Did 00:01:27.879 --> 00:01:30.010 you just say 50% of U. S. Counties 00:01:30.010 --> 00:01:32.700 don't have an O. B. G. Y 00:01:32.700 --> 00:01:36.579 . N. Correct. Isn't that just a basic 00:01:36.579 --> 00:01:38.950 level of care for any kind of women's health needs 00:01:40.340 --> 00:01:42.250 ? You know, I think one of the reasons 00:01:42.250 --> 00:01:44.409 I started maybe eight years ago is because women's health 00:01:44.409 --> 00:01:47.180 has always been underserved. A lot of these statistics 00:01:47.180 --> 00:01:49.599 , kind of people didn't really pay as much attention 00:01:49.599 --> 00:01:51.859 to, but, you know, technological maternity care 00:01:51.859 --> 00:01:53.659 deserts. And, um, and, you know 00:01:53.659 --> 00:01:56.269 , I think the doctor and the medical community is 00:01:56.269 --> 00:01:57.659 afraid that it's going to be even more exacerbated, 00:01:57.739 --> 00:02:00.349 um, with, you know, with this ruling 00:02:01.140 --> 00:02:05.769 . So here's the question. There are companies and 00:02:05.780 --> 00:02:10.110 startups like yours that are now potentially serving women in 00:02:10.110 --> 00:02:15.080 states where abortion is illegal. How are you navigating 00:02:15.080 --> 00:02:16.310 that? Well, I think, you know, 00:02:16.310 --> 00:02:19.229 what we always think about is the well being of 00:02:19.229 --> 00:02:21.960 the members are providers or clients is always first and 00:02:21.960 --> 00:02:23.110 foremost. And we also of course, will always 00:02:23.110 --> 00:02:25.310 be in compliance with the laws. And so our 00:02:25.310 --> 00:02:28.550 legal team, there's a lot that's still really uncertain 00:02:28.550 --> 00:02:30.120 is working overtime to try to understand this. And 00:02:30.120 --> 00:02:32.250 so, you know, we have to obviously be 00:02:32.250 --> 00:02:35.599 in compliance, But, um, but you know 00:02:35.599 --> 00:02:37.259 , the well being of many of our members in 00:02:37.259 --> 00:02:38.039 those states is, uh, you know, as 00:02:38.050 --> 00:02:39.689 as evidenced by a lot of, you know, 00:02:39.689 --> 00:02:44.639 increased acts for support around emotional well being around just 00:02:44.650 --> 00:02:46.699 the uncertainty of you've been bringing kids up in this 00:02:46.699 --> 00:02:49.419 world, you know, what do you say? 00:02:49.419 --> 00:02:51.539 How do you explain what's going on? You know 00:02:51.539 --> 00:02:53.780 , we're seeing all of that arm platform meantime, 00:02:53.780 --> 00:02:55.830 you've got a number of companies that have come out 00:02:55.830 --> 00:02:58.819 and said, we're going to cover travel benefits for 00:02:58.819 --> 00:03:00.520 employees who need to cross state lines to get an 00:03:00.520 --> 00:03:04.840 abortion. So for example, Uber lyft doordash have 00:03:04.840 --> 00:03:06.699 said they would do this for their employees, but 00:03:06.699 --> 00:03:08.050 Bloomberg has a story out today saying, well, 00:03:08.159 --> 00:03:10.909 they're not doing this for their shoppers or their drivers 00:03:10.909 --> 00:03:14.250 or for all of the contractors on their platform. 00:03:14.840 --> 00:03:16.360 What do you think the responsibility of these employers are 00:03:17.039 --> 00:03:19.830 ? Well, I think that we're living in a 00:03:19.830 --> 00:03:22.180 world where as we see, I mean, it's 00:03:22.189 --> 00:03:23.300 , it's part of why the employee benefits industry as 00:03:23.300 --> 00:03:25.680 such a robust industry as we see that less and 00:03:25.680 --> 00:03:30.759 less services offered by the government companies, you know 00:03:30.770 --> 00:03:32.210 , may have been included. Um, and a 00:03:32.210 --> 00:03:35.069 lot of our clients are stepping up to fill a 00:03:35.069 --> 00:03:37.180 lot of those gaps because at the end of the 00:03:37.180 --> 00:03:38.879 day, um, you know, your people are 00:03:38.879 --> 00:03:40.139 everything when you're growing your business. And so not 00:03:40.139 --> 00:03:43.020 only are you helping your people, but you know 00:03:43.020 --> 00:03:45.960 , there is an economic argument for, you know 00:03:45.960 --> 00:03:47.870 , talent attraction and retention and just kind of creating 00:03:47.870 --> 00:03:52.129 a a good culture so that your, you know 00:03:52.129 --> 00:03:53.990 , your people can be the most productive and they're 00:03:53.990 --> 00:03:57.680 happiest at work, meantime there are some states. 00:03:57.680 --> 00:04:00.080 I'm thinking right now about Kentucky that are considering laws 00:04:00.080 --> 00:04:04.280 that would define life right after fertilization, which would 00:04:04.280 --> 00:04:10.560 potentially put IVF and fertility treatments in danger. And 00:04:10.560 --> 00:04:13.919 you're seeing patients, we're hearing that you're seeing some 00:04:13.919 --> 00:04:15.149 patients try to move their embryos. For example, 00:04:15.540 --> 00:04:18.019 out of those states, are you seeing this? 00:04:18.839 --> 00:04:24.240 Yes. Um we do support the financials around moving 00:04:24.240 --> 00:04:27.220 the embryos across state lines through, you know, 00:04:27.230 --> 00:04:29.689 are made and wallet benefit. But you know, 00:04:29.689 --> 00:04:30.810 I think that what we hear in the fertility community 00:04:30.810 --> 00:04:33.810 is that that there is still so much uncertainty. 00:04:33.819 --> 00:04:36.040 Um, and so a lot of people just, 00:04:36.050 --> 00:04:39.129 you know, don't know what's going on and are 00:04:39.139 --> 00:04:43.560 taking the embryo transfer is is precaution. But you 00:04:43.560 --> 00:04:46.939 know, I I will say that hopefully um that 00:04:46.949 --> 00:04:47.339 , you know, as a lot of this data 00:04:47.339 --> 00:04:50.069 comes out where this is bad for business and a 00:04:50.069 --> 00:04:53.170 lot of these states, it's bad for people. 00:04:53.170 --> 00:04:55.970 It's bad for families. It's bad for women that 00:04:55.980 --> 00:04:58.959 um, that hopefully some of these more extreme bills 00:04:58.959 --> 00:05:00.660 that are in the state Senate's will not get past 00:05:01.439 --> 00:05:04.129 . What are your biggest fears though? I mean 00:05:04.129 --> 00:05:06.750 , there are so many cascading issues here. What 00:05:06.750 --> 00:05:10.379 do you worry about the most? Yeah, I 00:05:10.379 --> 00:05:12.889 mean, listen, I think that the saddest thing 00:05:12.889 --> 00:05:15.569 about this is that this just disproportionately affects um, 00:05:15.579 --> 00:05:18.269 you know, already vulnerable patients, right? So 00:05:18.269 --> 00:05:21.149 lower income women, black women, there's already a 00:05:21.149 --> 00:05:25.009 maternal health crisis in this country. When you look 00:05:25.009 --> 00:05:26.720 at even the data coming out of a lot of 00:05:26.720 --> 00:05:28.839 the states with these trigger laws that are going to 00:05:28.839 --> 00:05:31.339 have more restrictive abortion access. The maternal mortality rate 00:05:31.339 --> 00:05:34.180 is two times that of other states. And so 00:05:34.189 --> 00:05:35.970 , you know, already when we have the highest 00:05:35.970 --> 00:05:39.550 maternal mortality rate in the developed world, and we're 00:05:39.550 --> 00:05:43.480 restricting access even more in in women's health, where 00:05:43.490 --> 00:05:46.439 abortion, about one out of four women get abortion 00:05:46.439 --> 00:05:48.040 in their lifetime. It's a very common procedure and 00:05:48.040 --> 00:05:50.949 part of standard healthcare in women's health. That this 00:05:50.949 --> 00:05:53.610 is just, you know, this is going to 00:05:53.610 --> 00:05:56.339 make our our our outcomes even worse. It's going 00:05:56.339 --> 00:05:58.810 to hurt women. It's gonna hurt families. And 00:05:58.810 --> 00:06:00.350 I hope that, you know, that we that 00:06:00.360 --> 00:06:03.319 quickly states will get on the right side of this 00:06:03.319 --> 00:06:05.250 and recognize that this is just health care.