Affordable Care Act Tobacco Cessation Guidance Toolkit
On May 2, 2014, the U.S. Departments of Health and Human Services, Labor and Treasury issued guidance on insurance coverage of tobacco cessation as a preventive service under the Affordable Care Act. The guidance clarifies that insurance plans should offer access to all U.S. Public Health Service recommended tobacco cessation medications and counseling without cost sharing or prior authorization. This long-awaited guidance offers a great opportunity to ensure that more tobacco users have access to a comprehensive tobacco cessation benefit.
Below are a number of materials, including template letters, and resources created and compiled by the American Lung Association to explain this new guidance, and help you utilize the guidance to help smokers quit in your state.
Factsheets & Materials
- Cessation FAQ basics
- 2015 USPSTF Factsheet
- Covering Tobacco Cessation as Preventive Service: Who is Making the Decisions?
- Tobacco Cessation Coverage: What is Required?
- What Works to Help Smokers Quit
- How to Design a Tobacco Cessation Benefit
- Return on Investment Factsheet
- FAQ about the cessation guidance
- Map of states that have taken action on the federal cessation guidance
Model/Template Policy Language
- Template Bulletin from State Health Insurance Regulator to Plans
- Template Letter from Public Health Groups to Plans (REVISED)
- Template Letter from Public Health Groups to Health Insurance Commissioners (REVISED)
- Template Consumer Alert/Press Release from State Health Insurance Regulator to Consumers
- Model Summary Plan Document language
State Insurance Guidance Examples (External Resources)
- Oklahoma Alert to Consumers
- Illinois Bulletin to Health Insurers
- Washington Coalition Letter to Health Insurance Commissioner
- Washington Health Insurance Commissioner Response Letter
- Tobacco Cessation and Private Insurance under ACA: New Opportunities for Public Health (September 25, 2014) - Watch Now
- Download Webinar Slides (Please cite the American Lung Association and/or Clearway Minnesota when using the information presented in the slides.)
- Video Post: Policymakers & Health Insurance Commissioners – Watch Now
- Video Post: Insurance Plans & Employers – Watch Now
- NAIC: Ensuring Coverage of Tobacco Cessation as a Preventive Service
Other Important Links
- Cessation FAQ (see Q5)
- Tobacco Cessation Coverage in State Marketplace Plans
- Federal Employees Health Benefit Program materials:
- Helping Smokers Quit-Opportunities Afforded by the Affordable Care Act from the New England Journal of Medicine (NEJM)
Last updated July 25, 2017.