Health Affairs November 20, 2023
On October 4, 2023, the Departments of Health and Human Services, Labor, and the Treasury issued an Request for Information (RFI) aimed at garnering input on enhanced coverage and access to over-the-counter (OTC) preventive services. It seeks to understand the potential benefits and challenges of mandating insurance plans to cover costs for recommended OTC items like contraceptives, tobacco cessation products, and breastfeeding supplies, among others, without cost-sharing and without necessitating a prescription.
The Patient Protection and Affordable Care Act (ACA) significantly advanced the substantive requirements for health insurance in the United States. Among those advancements was the requirement that payors provide “first dollar” coverage of certain recommended preventive services. Specifically, the ACA’s addition of Section 2713 of the Public Health...
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