Affordable Care Act Impact on Medicaid Coverage of Smoking-Cessation Treatments

McMenamin, Sara B.; Yoeun, Sara W.; Halpin, Helen Ann

doi:10.1016/j.amepre.2018.01.016

Cited by 12 publications

(11 citation statements)

References 12 publications

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“…The increase in the number of states covering all seven FDA-approved cessation medications might have resulted, in part, from a federal requirement that traditional state Medicaid programs cover these medications ( 8 ). §§ State Medicaid programs can maximize the impact of this coverage by placing cessation medications on preferred drug lists, removing barriers to access, and adding notices of coverage to public plan documents.…”

Section: Discussionmentioning

confidence: 99%

State Medicaid Coverage for Tobacco Cessation Treatments and Barriers to Accessing Treatments — United States, 2015–2017

DiGiulio¹,

Jump²,

Yu³

et al. 2018

MMWR Morb. Mortal. Wkly. Rep.

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Section: Discussionmentioning

confidence: 99%

State Medicaid Coverage for Tobacco Cessation Treatments and Barriers to Accessing Treatments — United States, 2015–2017

DiGiulio¹,

Jump²,

Yu³

et al. 2018

MMWR Morb. Mortal. Wkly. Rep.

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“…All 51 Medicaid programs replied for a 100 percent response rate. Additional details regarding study methodology are reported elsewhere (McMenamin et al, 2018).…”

Section: Methodsmentioning

confidence: 99%

“…Previous research has documented that the ACA led to an expansion in Medicaid coverage for smoking cessation treatments in 47 states (McMenamin et al, 2018). In addition, the number of Medicaid programs offering coverage for all of the USPSTF recommended treatments increased from seven in 2009 to 28 in 2017 (McMenamin et al, 2018). Yet, nearly half of Medicaid programs were not in full compliance with the ACA provisions for benefit coverage for smoking cessation treatments.…”

Section: Introductionmentioning

confidence: 99%

Exploring Factors Associated With Full Implementation of the Affordable Care Act's Medicaid Tobacco Cessation Provisions

McMenamin¹,

Yoeun²

2021

World Med & Health Policy

Self Cite

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Medicaid enrollees use tobacco at rates more than double that of the general population. To address this disparity, the Affordable Care Act (ACA) contained provisions to increase access to tobacco cessation treatments for Medicaid enrollees. There have been relatively low levels of implementation of these provisions by Medicaid programs. This research aims to evaluate the potential political, economic, and policy factors associated with implementation of each of the four tobacco‐cessation‐related ACA provisions. In 2017, UC San Diego researchers collected survey data from 51 Medicaid programs on tobacco cessation treatment policies and state‐level variables from publicly available sources. Implementation of these provisions was associated with state‐level variables such as having a budget shortfall during the recession years, Democratic control of the Governorship or legislature, and higher state cigarette taxes. Further guidance from the Centers for Medicare and Medicaid Services will be necessary to achieve full implementation of these ACA provisions.

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“…Specific provisions of the ACA address expanding Medicaid coverage for smoking cessation services. 15 Smokers in states that expanded Medicaid had higher rates of smoking cessation medication utilization than in states that did not (12% vs. 7%). 16 According to National Health Interview Survey data between 2011 and 2015, 52 -59.9% of smokers in the general population received advice on quitting smoking from a health professional, vs. 32.7 -44.1% of uninsured smokers.…”

Section: Introductionmentioning

confidence: 94%

Association of Medicaid Expansion and Health Insurance with Receipt of Smoking Cessation Services and Smoking Behaviors in Substance Use Disorder Treatment

Yip

Gubner

et al. 2019

J Behav Health Serv Res

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This study examined whether living in a Medicaid-expanded state or having health insurance were associated with receipt of smoking cessation services or smoking behaviors among substance use disorder (SUD) treatment clients. In 2015 and 2016, 1,702 SUD clients in 14 states were surveyed for health insurance status, smoking cessation services received in their treatment program, and smoking behaviors. Services and behaviors were then compared by state Medicaid expansion and health insurance status independently. Clients in Medicaid-expanded states were more likely to be insured (89.9% vs. 54.4%, p < .001) and to have quit smoking during treatment (AOR = 3.77, 95% CI = 2.47, 5.76). Insured clients had higher odds of being screened for smoking status in their treatment program and making quit attempts in the past year. Medicaid expansion supports greater health insurance coverage of individuals in SUD treatment and may enhance smoking cessation.

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Affordable Care Act Impact on Medicaid Coverage of Smoking-Cessation Treatments

Cited by 12 publications

References 12 publications

State Medicaid Coverage for Tobacco Cessation Treatments and Barriers to Accessing Treatments — United States, 2015–2017

State Medicaid Coverage for Tobacco Cessation Treatments and Barriers to Accessing Treatments — United States, 2015–2017

Exploring Factors Associated With Full Implementation of the Affordable Care Act's Medicaid Tobacco Cessation Provisions

Association of Medicaid Expansion and Health Insurance with Receipt of Smoking Cessation Services and Smoking Behaviors in Substance Use Disorder Treatment

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