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The Institute of Medicine recently recommended that, in keeping with the Patient Protection and Affordable Care Act of 2010, reliable contraception be provided at no charge. The Contraceptive CHOICE Project was designed in part to provide insight into how such an objective could change the face of U.S. family planning services. The goal of this prospective cohort study was to promote use of effective contraceptives (with emphasis on highly effective reversible contraceptive methods) by providing them for free to women at high risk for unintended pregnancy in greater metropolitan St. Louis (JW Womens Health May 24 2012). Teen births and repeat abortions were selected as surrogates for unintended pregnancies. Between August 2007 and September…