ACA Implementations of Market Reform Provisions

Understanding the ACA can be complex, and even that title might excite a little stress and require some digestion of what these reform provisions might include. On October 23 of this year, the DOL published some FAQ’s regarding these additions relating to coverage of preventative services. You can find the entire article here. The article was prepared jointly by the Department of Labor, Health and Human Services, and the Treasury. They also list some other FAQ articles that they’ve written on prior questions. These FAQ’s can help people understand the laws and how to benefit from the provisions written into the ACA. They do a really good job in explaining it for a normal person to understand.

This FAQ article covers the following items:

  • Coverage of Preventative Services
    • in regards to preventative services, this section goes over non-grandfathered group plans and health insurance coverage offered by the marketplace to cover without cost-sharing implications. Some of the items listed are:
      • routine immunizations for kids, teens and adults
      • preventative health care and screenings
      • lactation support and equipment
      • weight management services for adult obesity
      • colonoscopy, mammogram, and other preventative screenings
  • Coverage of BRCA Testing
    • testing, screening and counseling for women with an increased risk of carrying breast cancer susceptibility genes (BRCA 1 or BRCA 2).
  • Wellness Programs
  • Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA)

Happy Reading!