Generate an explanation for the given claim using the provided supporting material from the paragraph. Please consider the following points while generating an output. 1) The claim will always have supporting proof in the paragraph, and the paragraph will have a clear point of view supporting the claim. 2) There can be instances where direct correlation to the claim is not available. Make use of the sentences in the paragraph to provide a corresponding output supporting the claim. 3) The explanation should be at least one and at most twelve sentences long.

Paragraph: "Gov. Andrew M. Cuomo says women in New York state don't have to worry about new Trump administration rules ending a federal requirement that employers must include birth control coverage in their health insurance plans. The new rules exempt employers from the Obama-era mandate if they have religious or moral reservations to the coverage. But Cuomo said contraception will still be covered in New York state. ""This year, we ensured that whatever happens at the federal level, women in our state will continue to have cost-free access to reproductive health care,"" Cuomo said in a statement. States can set certain insurance standards beyond what the federal government requires. New York state told insurance companies in January they are required to cover birth control and abortion services. That condition still stands, but is Cuomo right that women in New York state are not affected by Trump's decision? Limits to state regulation State regulations, like the one from January, do not apply to all plans. The state Department of Financial Services regulates everything sold on the state health exchange, called New York State of Health. That includes plans sold to individuals and companies with 100 or fewer employees. The agency says the state's birth control mandate covers 1.35 million residents in those plans. Health care offered through companies with more than 100 employees is more complicated. Companies that go the traditional route of buying health coverage through an insurance carrier must adhere to the rules. About 2.5 million people in that category are covered by the state's birth control mandate. But companies that are self-insured, where the employer assumes a large part of the costs,are not regulated by the state, meaning they need not adhere to the state's birth control mandate. About 60 percent of private sector workers in the U.S. who get their health coverage through an employer were enrolled in a self-insured plan in 2015. That's up from 46 percent in 1996, according to research from the Employee Benefit Research Institute. In New York state, about 54 percent of private sector employees who get health insurance through their employer had a self-insured plan last year, according to the federal Agency for Healthcare Research and Quality. The option is most popular for companies with at least 1,000 employees. Eighty percent of private sector employees at companies that size in New York state are enrolled in a self-insured plan. What about public health insurance? The federal government sets the baseline for what services are covered under Medicaid. Government workers are covered under state regulation, but Medicaid and Medicare enrollees are not.States can add to that list. The list of services covered by Medicaid in New York state goes well beyond the federal standard. New York is one of multiple states where Medicaid covers birth control and abortion services. About a third of the state's population alone is on Medicaid. Our ruling Cuomo said women in New York state ""will continue to have cost-free access to reproductive health care"" because of an action the state took earlier this year. But not every woman is in an insurance planregulated by the state. It's possible a self-insured large employer in New York state could apply for an exemption from the federal birth control mandate. If granted the exemption, the company would not have to provide health coverage for birth control to its employees. Those exemptions are not expected to be widespread, but they are possible. Cuomo's statement needs clarification." Claim: Women in our state will continue to have cost-free access to reproductive health care
"Cuomo said women in New York state ""will continue to have cost-free access to reproductive health care"" because of an action the state took earlier this year. But not every woman is in an insurance planregulated by the state. It's possible a self-insured large employer in New York state could apply for an exemption from the federal birth control mandate. If granted the exemption, the company would not have to provide health coverage for birth control to its employees. Those exemptions are not expected to be widespread, but they are possible. Cuomo's statement needs clarification."

Paragraph: The story notes the price "per squat" at various spas and the cost of a do-it-yourself Internet kit. We think the story's discussion of possible benefits is far too extensive considering the total lack of evidence to support them. We understand the need to identify some of the claims made by boostersof the therapy, but the story devotes some three paragraphs to seemingly every possible ailment the baths (or the herbs used in them) are purported to treat. It also throws in an anecdote from a woman suggesting the baths helped her to conceive at the age of 45. The caveats about chai-yok stand a goodchance of getting lost inthis avalanche of discussion about benefits. Aside from burns the potential for which would seem to be obvious we're not sure if there are any harms associated with herbal steam baths for the vagina. The procedure seems less invasive than a douche, which is associated with potential health risks. We'll call this not applicable. The story states that there are no studies that document the effectiveness of chai-yok for any of the conditions it is claimed to treat. It notes that while there is some biological rationale for why heat in the perineal area might be beneficial, it is impossible to say whether these steam baths do any good. The conceptbehind chai-yok seemsvaguely reminiscent of douching, a treatment that has long been promoted as necessary for vaginal health despite a lack of supporting evidence andindications of possible harm. But while the idea may tap into some of the same psychology that makes the normal vagina seem not quite clean or healthy enough, we don't see any evidence of overt disease-mongering in this particularstory. The story quotes twodoctors with expertise ingynecology and fertility. It also solicits comments from a practitioner of traditional oriental medicine. We don't think the story had to mention alternative treatments for all the myriad problems that chai yok can supposedly help with. But since the story suggests in several places thatchai yok increases fertility,we think a brief mention ofother approachesthat are supported by medical evidence would have been appropriate in this case. The story didn't provide this information. The story identifies several spas in Los Angeles and New Yorkwhere vaginal steam baths are offered. It notes that the treatments "are not easy to find" across the country. The story acknowledges the roots of chai-yok in Korean medicine.The approach is described asextremely avant garde in the U.S. a characterization which is probably accurate. Given the variety ofsources quoted, we can be sure the story wasn't based on a press release. Claim: Vaginal steam bath finds a place among Southern California spa options
We liked that this story points out early on that there is zero evidence to support the health benefits of herbal steam baths for the vagina, which are known in traditional Korean medicine as chai-yok. But we becameconfusedwhen the story explainedthat the treatment is almost totally unheard of in the U.S., even among gynecologists and fertility experts. If there's no evidence thatchai-yokworks and almost nobody knows aboutitor has tried it,what exactly makes this treatmentworthy ofan 850-word article in a leading national newspaper? There are limited journalistic resources to cover the seemingly limitless number of treatments that are out there. So we'd prefer to see journalists pursuing storiesthataidthe decision-making ofa significant number of health care consumers. A story about herbal steam baths for the vagina seems unlikely to meet this objective.

Paragraph: Although the peer-reviewed study on which this story seems to have been based on makes the point that text messages could offer a low-cost strategy for reducing the chances of subsequent heart attacks, the story does not reflect on cost. A clear and readable chart in the story quantifiesthe apparent benefits of these text messages. But what's missing here is some nuance:The control group saw a rise in blood pressure, whereas the experimental group remained relatively the sametheir blood pressure didn't actually get lower. So, does that even translate to an actual reduced heart disease risk? And does any of this actually prevent heart attacks? These unanswered questions could have been better emphasized. The concept of "harm" does not appear to be relevant here. Individuals may find text messages to be annoying, of course, but the study itself notes that participants "overwhelmingly" reacted positively to the intervention. That doesn't make it into the story. The story makes it clear that the study utilized an experimental and a control group, and that this study duration was longer than past studies. Yetthe headlinesuggests that text messages can"prevent" heart attacks. The study offers no evidence for that link: There was no measurement of heart attack rates between groups. Instead, they measured several surrogate markers associated with heart disease, such as lipid levels and blood pressure. This should have been stressed. Repeat heart attacks are relatively common, making continued, at-home treatment of heart attack victims important. The story clearly identifies one source as the leader of the study and includes a second source who appears to be independent of the research. Funding sources are missing from the story, but the study's declarations of funding do not seem eyebrow-raising. The story doesmention some other interventions used to prevent heart attacks, such astypical medications taken to lower blood pressure or cholesterol. The story explains that the study leader is now involved in an effort to replicate her results, which implies that the treatment regimen is not available at present. However, studies of social media and apps used to promote healthy behaviorsare ubiquitous, soit mighthave been useful for the reporter to explore the availability of this strategy compared to others on the market now. The text does a decent job of explaining the novel aspects of the study compared to some similar efforts, though more could have been included on the results of the previous research. Also, since this particular study was actually published nearly a year ago, in September 2015, an effort to update our understanding of message effects would seem to make sense. We weren't able to locate a news release, but the inclusion of an independent source in the story is a reliable indicator that the story didn't rely onone. Claim: How to Prevent a Heart Attack: Text Patients on Healthy Habits
This is a story about a now year-old study looking at whether a program of semi-personalized mobile phone text messages supporting healthy lifestyle choices led to significant differences in cholesterollevels, systolic blood pressure, and BMI in a group of patients with known coronary heart disease, compared to those who did not receive such messages. The story makesthose differences clear in an accessible chart. What is less clear is whether these differences are due to beneficial changes caused by the text messages or other factors. For example, in asubsequent letter to the journal, a researcher notes that the differences in blood pressure between the two groups were due mainly to 7-point increase in the control group, whereas the text message group's blood pressure stayed about the same over the course of the study. Similarly, the BMI differences between the groups were due partly to an increase in BMI in the control group and weren't entirely due to reductions in the text message group. The story communicates the study results accurately and doesn't suggest that the text messages lowered CVD risk factors from baseline. Without a more specific explanation, however, many readers may assume that's what happened. Another cautionary note is that the headline goes beyond the findings, suggesting that text messages can possibly "prevent" heart attacks. The study offers no evidence for that link: There was no measurement of heart attack rates between groups. Instead, they measured several surrogate markers associated with heart disease, such as lipid levels and blood pressure. According to the story, more than 25% of all heart attacks in the United States are "repeat" events, making treatmentboth medication and lifestyle elementsof heart attack victims once they have returned home important. Social media and text messaging offer means for providing informational interventions, and studies of the impact of messages on a host of illnesses is brisk. So far, past studies indicate that people abandon healthy behaviors far more quickly than would be perhaps predicted, so a new study showing the potential that text messaging can be an effective behavior-changing intervention is welcome news.