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On Tuesday, the Department of Health and Human Services clarified what private insurers must cover under the guidance on preventive care for women, including screening and counseling for the 2023 plan, without copays or deductibles.
This Guidelines for the Management of Health Resources and Services Designed to help clinicians decide which preventive services to offer their patients. The Affordable Care Act also requires insurance companies to cover recommended services without cost-sharing.
“These updated guidelines help ensure we deliver critical services to keep families healthy, based on the latest science and data available. The Biden-Harris administration will continue to build on the Affordable Care Act to provide access to as many Americans as possible. Preventive care is as nationwide as possible,” Health and Human Services Secretary Xavier Becerra said in a statement. statement.
Here are 6 things covered in the guide.
1. Guidance says that electric breast pumps for breastfeeding parents should be the priority and not depend on previous failures of manual breast pumps. The guidelines also call for breastfeeding support services before and after pregnancy.
2. HRSA said for the first time that clinicians need to counsel overweight or normal-weight women in their 40s to 60s on how to prevent obesity.
3. The agency has revised guidance on preventive well visit coverage, saying they can be done annually or over time to ensure all necessary services are provided.
4. HRSA emphasizes that contraceptive care includes screening, education, counseling, and actual delivery of contraceptives. The new guidelines no longer include surgical sterilization with implants as one of the approved contraceptive methods, although it notes that the list of approved methods included is not exhaustive.
5. In addition, HRSA changed HIV screening guidelines to state that women over 15 should be tested for the virus at least once in their lifetime, and recommended risk assessment and prevention education starting at age 13 and continuing based on the patient’s level of risk .
6. Separate HRSA guideAlso released Tuesday, adds a general risk of suicide screening to the current depression screening policy for 12- to 21-year-olds, as well as new screening categories for cardiac arrest and hepatitis B infection risk assessment in pediatric patients .
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