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Affordable Care Act Timeline

  • October 2, 2018: New regulations take effect to expand plans that are not required to cover preventive services or smoking cessation interventions. 
  • May 2, 2014: The Departments of Labor, Health and Human Services and Treasury issue FAQ guidance about what constitutes preventive coverage for tobacco cessation interventions
  • January 1, 2014: Tobacco cessation medications can no longer be excluded from state Medicaid coverage
  • January 1, 2014: Coverage for millions of Americans began through state health insurance marketplaces. These plans are required to cover preventive services, including tobacco cessation.
  • January 1, 2014: Medicaid eligibility expands to 138 percent of the federal poverty level in states that chose to implement Medicaid expansion. New Medicaid enrollees must have access to tobacco cessation treatments.
  • January 1, 2013: Medicaid programs that cover preventive services, including tobacco cessation, receive an increase in Medicaid federal matching funds
  • March 15, 2012: CDC launches the Tips from Former Smokers campaign, funded by the Prevention and Public Health Fund
  • February 2, 2012: Prevention and Public Health Fund raided. Cut by $6.25 billion in the Middle Class Tax Relief and Job Creation Act
  • January 1, 2011: Grant program implemented to explore ways to encourage Medicaid enrollees to participate in programs that prevent chronic disease, including smoking cessation interventions
  • January 1, 2011: Medicare prescription drug "donut hole" begins to close, making tobacco cessation medications more affordable for seniors who want to quit
  • January 1, 2011: Medicare enrollees eligible for a new prevention and wellness visit, which can include tobacco cessation treatment
  • October 1, 2010: All Medicaid programs required to cover tobacco cessation for pregnant women
  • September 23, 2010: New private plans required to cover preventive services, including tobacco cessationSeptember 23, 2010: New private plans required to cover preventive services, including tobacco cessation
  • March 23, 2010: President Obama signs the Patient Protection and Aff­ordable Care Act into law

    Last updated July 25, 2017.

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