Affordable Care Act Provisions

Title IV of the Affordable Care Act identifies many specific ways the federal government will work with states and across agencies to expand access to preventive health care services. For instance,

Section 4004(i) requires states to design public awareness campaigns to educate Medicaid enrollees on the availability and coverage of preventive and obesity-related services. To support these efforts, the Centers for Medicare and Medicaid Services/Center for Medicaid and CHIP Services (CMCS), will provide guidance and information to states regarding the services available

Section 4106 provides that states who elect to cover all of the United States Preventive Services Task Force (USPSTF) grade A and B recommended preventive services, ACIP recommended vaccines and their administration with no cost-sharing shall receive an increased federal match for such services.

Section 4107 requires states to cover tobacco cessation services for pregnant women including counseling and pharmacotherapy as recommended by the Public Health Service 2008 Clinical Practice Guidelines.

Section 4108 establishes a grant program for states to test and evaluate the use of incentives to help Medicaid and CHIP beneficiaries reduce blood pressure, improve cholesterol, lose weight, control diabetes and stop smoking.

For additional information and guidance about these and other prevention-related provisions in the Affordable Care Act, visit: http://www.medicaid.gov/AffordableCareAct/Provisions/Prevention.html

See also: "Prevention and Getting Care" on HealthCare.gov

Questions about Medicaid and CHIP coverage of preventive health care services should be directed to: MedicaidCHIPPrevention@cms.hhs.gov