Lexology January 31, 2025
Coverage of preventive care services has been a cornerstone of health care since implementation of Section 2713 of the Public Health Service (PHS) Act, as added by the Affordable Care Act (ACA). The law requires non-grandfathered group health plans to cover specific preventive health services without cost-sharing (e.g., copayments, deductibles, or other out-of-pocket costs). These services are determined by recommendations from three key agencies—the U.S. Preventive Services Task Force (USPSTF), the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention, and the Health Resources and Services Administration (HRSA).
Updates to these recommendations are made to align with the latest medical research and public health priorities. These updates generally take effect beginning with the plan year...
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