At a glance
The Affordable Care Act (ACA) includes several provisions aimed at improving coverage of, and access to, certain tuberculosis preventive health services. These services and the health insurance plans that cover them without cost-sharing are summarized here in these Preventive Services Coverage Tables.
Tuberculosis testing
* Optional for adults, depending on state policy; however, preventive services for children are often covered as part of the Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) benefit for children.
Recommending Authority: USPSTF (Grade "B"; May 2023)
Eligible Populations and Service Specifics
- Screen for latent tuberculosis infection (LTBI) in adult populations at increased risk.[1]
(See Latent Tuberculosis Infection: Screening for additional details.)
Plans That Cover Without Cost-Sharing
- Non-grandfathered private health insurance plans
- Medicaid expansion plans
- Traditional Medicaid plans*
Recommending Authority: Bright Futures/AAP Recommendations for Pediatric Preventive Health Care (March 2020)
Eligible Populations and Service Specifics
- Test adolescents and children <= 21 years of age based on recognition of high-risk factors[2].
(See Recommendations for Preventive Pediatric Health Care for additional information.)
Plans That Cover Without Cost-Sharing
- Non-grandfathered private health insurance plans
- Medicaid expansion plans
- Traditional Medicaid plans
Content Source:
- Latent Tuberculosis Infection: Screening; U.S. Preventive Services Task Force. May 2023.
- Bright Futures/AAP Recommendations for Pediatric Preventive Health Care; American Academy of Pediatrics. March 2020.