The Pill OTC only? Bad for women

Certain Republicans have been recently advocating for over-the-counter (OTC) oral contraception. As covered by NPR and others, this accomplishes two goals:

1. Divorces the most popular female contraception from the insurance companies (most insurance doesn't cover OTC meds), and, per the ACA, from corporations required to offer health insurance to their employees.
2. Allows the political right to appear pro-women and pro-reproductive rights, which may give them an edge among women voters in November.

But is an OTC birth control policy good for women? Sure, for some women. Such a policy would be beneficial for those women who are able to afford spending $300-600/year on birth control, especially well-to-do women under 26 who don't want to have their parents' insurance paying for their contraception. It could also be good for women who work odd and unpredicable hours, since they could pick up their pill any time day or night, not just during a pharmacy's buisness hours.

For many other women, however, OTC birth control pills this would be very bad. Currently, under the ACA, the birth control pill is free to an insurance-carrying patient with a prescription. In other words, health insurance pays the entire cost of the contraception, and the woman has no co-pay. The current system allows lower-income women more equal access to birth control. Spending $25-50/month on OTC oral contraception may be cost-prohibitive for the average woman, leading her to use less-effective forms of pregnancy prevention in lieu of the pill. This will mean more unintended and unplanned pregnancies among women who are already financially struggling. What's more, womeb with health insurance would presumably have to pay out-of-pocket for The Pill even when taken for reasons other than contraception, such as treating PCOS  or PMDD.