HHS Releases New Regulations on Preventive Care Cost Sharing
Education > 2010 Annual Health Care Symposium


This week, HHS Secretary Kathleen Sebelius announced the release of new regulations requiring that health plans cover recommended preventive services without charging a copay, co-insurance or deductible. The rules will go into effect on September 23rd, 2010. Cost sharing will no longer be permitted for the following services:

·   Evidence-based preventive services: The US Preventive Services Task Force, an independent panel of scientific experts, ranks preventive services based on the strength of the scientific evidence documenting their benefits. Preventive services with a “grade” of A or B, like breast and colon cancer screenings, screening for vitamin deficiencies during pregnancy, screenings for diabetes, high cholesterol and high blood pressure, and tobacco cessation counseling will be covered under these rules. 
·   Routine vaccines: Health plans will cover a set of standard vaccines recommended by the Advisory Committee on Immunization Practices (ACIP) ranging from routine childhood immunizations to periodic tetanus shots for adults.
·   Prevention for children: Health plans will cover preventive care for children recommended under the Bright Futures guidelines, developed by the Health Resources and Services Administration (HRSA) with the American Academy of Pediatrics. These guidelines provide pediatricians and other health care professionals with recommendations on the services they should provide to children from birth to age 21 to keep them healthy and improve their chances of becoming healthy adults. The types of services that will be covered include regular pediatrician visits, vision and hearing screening, developmental assessments, immunizations, and screening and counseling to address obesity and help children maintain a healthy weight. 
·   Prevention for women: Health plans will cover preventive care provided to women under both the Task Force recommendations and new guidelines being developed by doctors, nurses, and scientists, which are expected to be issued by August 1st, 2011.
 

Visit www.HealthCare.org or click here for more information on the new regulations.


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