The affordable care act and state coverage of clinical preventive health services for working-age adults

Jennifer L. Pomeranz, Y. Tony Yang

Research output: Contribution to journalArticlepeer-review


Significant public health challenges facing the United States stem from preventable disease. The Patient Protection and Affordable Care Act dedicated substantial resources toward prevention. Among other reforms, the Affordable Care Act requires Medicaid and private health insurers to cover clinical preventive services for adults, pursuant to recommendations by the U.S. Preventive Service Task Force. This article examines the infrastructure upon which these recommendations are based, the requirements related to risk factors for leading causes of preventable disease in adults associated with tobacco and alcohol use, unhealthy diet, and inactivity, and coverage requirements for private plans and Medicaid. The article provides and assesses data comparing the health statuses of populations in and preventive services offered by states taking the Affordable Care Act Medicaid expansion versus those in states declining to expand coverage. The article suggests legislative and other methods to increase preventive clinical service requirements and notes outstanding issues for future research.

Original languageEnglish (US)
Pages (from-to)87-95
Number of pages9
JournalJournal of Public Health Management and Practice
Issue number1
StatePublished - Dec 11 2015


  • Affordable Care Act
  • Clinical preventive services
  • Medicaid expansion
  • Prevention
  • State law
  • Working-age adults

ASJC Scopus subject areas

  • Health Policy
  • Public Health, Environmental and Occupational Health

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