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Affordable Care Act Coverage

The 2010 Patient Protection and Affordable Care Act (ACA) will expand coverage of smoking cessation treatments substantially. Some of the key provisions that impact benefits are:

  • Effective October 1, 2010, state Medicaid programs are required to provide cessation coverage to pregnant Medicaid enrollees with no cost sharing.
  • Effective January 1, 2014, state Medicaid programs are prohibited from excluding FDA-approved cessation medications, including over-the-counter medications, from Medicaid drug coverage.
  • Effective September 2010, non-grandfa­thered private health plans are required to offer cessation coverage without cost sharing.
  • Effective 2014, states will create health insurance exchanges and products will include 10 components; states will have flexibility to set benchmarks for essential benefits.
  • For a summary of ACA provisions that relate to tobacco cessation, see University of Wisconsin's Center for Tobacco Research and Interventions's summary
  • For other provisions that impact the healthcare delivery system and tobacco, visit our Health Policy section

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