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What Physicians Should Know About Benefits for Women

Posted by Drew Hudson March 24, 2011 at 8:01 AM

As part of our NPA Webinar Series: Understanding the ACA, Lisa Codispoti, Senior Counsel to the National Women’s Law Center gave this 15 minute presentation. You can see the webinar below.

Lisa and Sharon Phillips, MD, NPA-NY Director, also answered questions on the benefits of the Patient Protection and Affordable Care Act at this page, and will continue to answer questions this week.

Got a question about the ACA and women? Leave a comment here and Lisa Codispoti and our panel of experts will answer it.

4 Responses to “What Physicians Should Know About Benefits for Women”

  1. William Jordan says:

    I’m interested in knowing about coverage for mammograms under the ACA, and specifically how this fits in with the existing National Breast and Cervical Cancer Early Detection Program (NBCCEDP).

    • The CDC National Breast and Cervical Cancer Early Detection Program (NBCCEDP) provides breast and cervical cancer screening for women under 250% of poverty who are uninsured or underinsured. Certainly when the major provisions of the Affordable Care Act take effect in 2014, more women will be eligible for Medicaid (up to 133% of poverty) and subsidized private insurance coverage (up to 400% of poverty). And new plans are required to cover preventive screenings recommended by the USPSTF without a co-pay. So certainly there is some reason to hope that the need for such a screening assistance program will be reduced. But I say reduced – not eliminated- because despite the law’s expanded coverage, there will be women who will remain uninsured after 2014. So even after 2014, NBCCEDP and other vital programs will continue to play an important part of the health care safety net. It certainly raises an important reminder for advocates to vigilant that funding for programs like this and others are not reduced or eliminated under the mistaken belief that they will no longer be needed once the Affordable Care Act is fully implemented. It is likewise unclear what states will do regarding Medicaid eligibility to cover treatment for uninsured women who are found to have breast or cervical cancer from this screening program. Currently, all states have opted to extend Medicaid coverage for breast or cervical cancer treatment for any uninsured woman screened in this program. While Medicaid expansion under the ACA is up to 133% of poverty –Medicaid eligibility for this program goes up to 250%.

  2. The ACA specifically covers certain preventive care services, including all those designated as grade “A” or “B” by the USPSTF. Although mammograms for women under age 50 are no longer category “B,” the law also explicitly directs that mammograms be covered with no cost-sharing for all women 40 and up.

    The NBCCEDP, which helps fund cervical and breast cancer screenings for poor, uninsured women, should be required less and less as the ACA goes into effect, as many more women will be eligible for Medicaid or subsidized insurance, which will now be required to pay for these screenings. I’d like to see if Lisa can address this more specifically.

  3. […] This webinar has been completed, a recording available soon. To learn more or  join the discussion – click here […]

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