The HHS Well being Sources and Providers Administration (HRSA) has issued up to date preventive companies tips for girls, which it accepted on December 30, 2021. As a reminder, non-grandfathered group well being plans and insurers should cowl with out cost-sharing sure preventive companies specified by HRSA, the United State Preventive Providers Activity Power (USPSTF), and the CDC (see our Checkpoint article). Suggestions and tips are up to date periodically, and plans usually should cowl newly beneficial companies in plan years starting on or after the date that’s one 12 months after the rule is issued. (A current exception required protection inside 15 days of the CDC’s suggestions concerning COVID-19 vaccinations (see our Checkpoint article).)
Updates relevant to the ladies’s preventive companies that should be lined with out cost-sharing in plan years starting on or after December 30, 2022, embrace—
Counseling to forestall weight problems in ladies aged 40 to 60 years with regular or obese physique mass index;
Double electrical breast pumps, pump components and upkeep, and breast milk storage provides;
Screening for HIV an infection for all adolescent and grownup ladies aged 15 and older not less than as soon as throughout their lifetime, and threat evaluation and prevention schooling starting at age 13; and
Pre-pregnancy, prenatal, postpartum, and interpregnancy well-woman visits.
EBIA Remark: HRSA maintains a helpful desk evaluating present and up to date tips. Sponsors, directors, and advisors of non-grandfathered plans ought to preserve abreast of the periodic updates and guarantee plan protection and documentation are revised by the required deadlines. For extra data, see EBIA’s Group Well being Plan Mandates guide at Part XIV (“Protection of Preventive Well being Providers”), EBIA’s Well being Care Reform guide at Part XII.C (“Protection of Preventive Well being Providers”), and EBIA’s Self-Insured Well being Plans guide at Part XIII.C.1 (“Preventive Well being Providers”). You might also be considering our upcoming webinar “Group Well being Plans Quarterly Replace: Q1 2022” (dwell on 3/24/2022).
Contributing Editors: EBIA Workers.
