IFEBP > ACA University > Health Plan Design > Preventive Services Preventive Services The Affordable Care Act (ACA) requires nongrandfathered plans to cover preventive health services without employee/participant cost sharing. Articles Federal Agencies Caution Health Plan Sponsors to Comply with ACA Contraceptive Coverage Requirement or Face Enforcement Action, Hall Benefits Law, 8/29/2022 Guidance on Coverage Requirements for Contraceptive Products under the Affordable Care Act, Slevin & Hart, 8/11/2022 The ACA Preventive Health Services Mandate, Newfront, 3/9/2022 HHS Updates Women’s Preventative Services Guidelines, OneDigital, 3/4/2022 Feds reiterate ACA preventive care requirements, scold some plans…, Lockton, 1/13/2022 Top 10 health, fringe and leave benefit compliance issues for 2022 , Mercer, 7/30/2021 Guidance Reminds Health Plans to Check Up on Preventive Care Compliance, Jackson Walker, 7/22/2021 Agencies issue new FAQs on COVID-19 testing, vaccines , Mercer, 3/9/2021 Navigating Voluntary COVID-19 Vaccination Programs & Incentives, The National-Law-Review, 2/19/2021 How Top Payers Are Providing COVID-19 Vaccine Coverage, Support, Health Payer Intelligence, 1/25/2021 Guidance on Covering COVID-19 Preventive Services and Tests, Segal, 11/4/2020 Potential Impact of California v. Texas Decision on Key Provisions of the Affordable Care Ac, Kaiser Family Foundation, 9/22/2020 CARES Act Prompts Changes to Employer-Sponsored Health Plans, Ogletree Deakins, 4/6/2020 When Do We Have to Comply With Changes to the Recommendations or Guidelines on the Preventive Services Requirement?, Thomson Reuters, 10/10/2019 IRS expands preventive care benefits that are not subject to HDHPs’ deductible, Greensfelder, 7/19/2019 Plans Must Cover PrEP at No Cost After USPSTF Recommendation, AIS Health, 7/11/2019 ACA Update: Next Steps for Employers, International Foundation, 1/7/2019 On and On It Goes: Preventive Care Coverage Updates Under the Affordable Care Act, Ogletree Deakins, 12/12/2018 Why Do I Keep Getting Billed for Preventive Health Services?, Mercer, 10/25/2018 ACA Regulations Watch: What to Expect This Fall, Health Affairs, 10/22/2018 The Affordable Care Act’s Contraceptive Mandate: A Loss in Massachusetts and Other Current Events, Mintz Levin, 3/20/2018 HHS Releases Notice of Benefit and Payment Parameters for 2019 Proposed Rule, Groom Law Group, 11/27/2017 How to Get Employees to Use Their Preventive Care, International Foundation, 7/21/2016 Preventive Services Tracker, Kaiser Family Foundation, 9/9/2015 Checklists Health Care Reform Compliance Checklist for Plan Sponsors, Snell & Wilmer, 9/24/2021 FAQs FAQs About Affordable Care Act Implementation Part 54, HHS, CMS, 7/28/2022 Are any substance abuse benefits considered preventive services that must be provided without cost-sharing?, International Foundation, 2/24/2017 Which contraceptives must be offered without cost sharing, International Foundation, 7/31/2015 Government Resources The Affordable Care Act and Its Accomplishments, HHS, 3/21/2022 FAQs About Affordable Care Act Implementation Part 50, Health Insurance Portability and Accountability Act and Coronavirus Aid, Relief, and Economic Security Act Implementation, CMS, 10/4/2021 Affordable Care Act Litigation Still on the Docket After California v. Texas, Congressional Research Service, 9/14/2021 FAQs About Affordable Care Act Implementation Part 48, DOL, EBSA, 8/16/2021 FAQs About Affordable Care Act Implementation Part 47, DOL, 7/19/2021 COVID-19 and Private Health Insurance Coverage: Frequently Asked Questions, Congressional Research Service, 8/24/2020 Federal Requirements on Private Health Insurance Plans, Congressional Research Service, 8/28/2018 Notice of Transition Relief Regarding the Application of Section 223 to Certain Health Plans Providing Benefits for Male Sterilization or Male Contraceptives, IRS, 3/6/2018 Notice by Issuer or TPA for Employer/Plan Sponsor of Revocation of the Accommodation for Certain Preventive Services, CCIIO, 11/30/2017 FAQs About ACA Implementation Part 36 , EBSA, 1/1/2017 Religious accommodation for contraceptive coverage, issued after the departments considered comments submitted after the Supreme Court's opinion in Zubik v. Burwell FAQs About ACA Implementation Part 35, EBSA, 12/20/2016 Qualified Small Employer Health Reimbursement Arrangements (QSEHRAs) and women's preventive services FAQs About ACA Implementation Part 34 , EBSA, 10/1/2016 Preventive services (tobacco cessation interventions), mental health and substance use disorder parity implementation FAQs About ACA Implementation Part 31, EBSA, 6/1/2016 Preventive services (colonoscopy, contraceptives), rescissions, out-of-network emergency services, clinical trials, out-of-pocket maximums, the Mental Health Parity and Addiction Equity Act (copays, coinsurance, disclosure, Medication Assisted Treatment for opioid use disorder) and the Women's Health and Cancer Rights Act (mastectomy coverage) FAQs About ACA Implementation Part XXIX, EBSA, 10/1/2015 Preventive services (lactation counseling, weight management, colonoscopy, BRCA testing), non-financial wellness incentives, and mental health parity disclosure and medical necessity criteria Coverage of Certain Preventive Service Under the ACA, HHS, 7/14/2015 Final rules provide an accommodation for certain closely held for-profit entities with religious objections to providing coverage for some or all contraceptive services; finalize the preventive services interim final rules from 2010 with few changes FAQs About ACA Implementation Part XXVI, EBSA, 5/1/2015 BRCA testing, contraceptives, colonoscopies, gender identity, well-woman preventive care for dependents Coverage of Certain Preventive Service Under the ACA, HHS, 8/27/2014 Interim final rule on process for religious nonprofits to notify HHS of an objection to contraceptive coverage Form 700, EBSA, 8/1/2014 Certification that an eligible organization has a religious objection to providing contraceptive coverage FAQs About ACA Implementation Part XX, EBSA, 7/1/2014 Notice requirements for a health plan that will cease providing coverage for some or all contraceptive services mid-plan year FAQs About ACA Implementation Part XIX, EBSA, 5/1/2014 Model COBRA notices, out-of-pocket (OOP) maximums, reference-based pricing, preventive coverage for tobacco cessation interventions, FSA carryovers FAQs About ACA Implementation Part XVIII, EBSA, 1/9/2014 Preventive services (breast cancer), expatriate plans, wellness program reasonable alternatives, tobacco surcharges, fixed indemnity insurance, and the effect of ACA on the Mental Health Parity and Addiction Equity Act of 2008. Self-only annual limits on cost sharing apply to each individual, regardless of whether the individual is enrolled in self-only coverage or other than self-only Coverage of Certain Preventive Service Under the ACA, HHS, 7/2/2013 Final rule states group health plans of religious employers are exempt from having to provide coverage for contraceptive services, provides accommodation for eligible non-profit religious organizations that object to providing contraceptive services coverage on religious grounds FAQs About ACA Implementation Part XII, EBSA, 2/20/2013 Limits on cost-sharing (deductibles, out-of-pocket maximums), out-of-network preventive services, prescribed over-the-counter medications, BRCA testing, colonoscopy, women's preventive services, breastfeeding, lactation counseling Interim Final Rules for Group Health Plans and Health Insurance Coverage of Preventive Services , IRS, EBSA, HHS, 7/19/2010 Implements coverage of preventive services without cost-sharing