title: Medicaid coverage of tobacco-dependence treatment for pregnant women: impact of the Affordable Care Act.
abstract: BACKGROUND
  Twenty percent of pregnant women enrolled in Medicaid use tobacco products. The Affordable Care Act (ACA) requires Medicaid to cover tobacco-dependence treatments for pregnant women beginning in 2010.
  
  
  OBJECTIVE
  To summarize the impact of the ACA provisions on Medicaid coverage of tobacco-dependence treatments for pregnant women.
  
  
  METHODS
  Medicaid programs were surveyed regarding their coverage for tobacco-dependence treatments after the ACA provisions went into effect.
  
  
  RESULTS
  From 2009 to 2010, coverage for tobacco-dependence treatments increased from 43 to 51 programs covering pharmacotherapy treatments and from 30 to 38 programs covering tobacco-cessation counseling. States added additional coverage for counseling in 2011 and 2012.
  
  
  CONCLUSIONS
  To maximize these benefits, Medicaid programs need to conduct outreach to inform Medicaid-enrolled pregnant smokers of this coverage.
authors.affiliation: Center for Health and Public Policy Studies, School of Public Health, University of California-Berkeley, CA 94720, USA. saram@berkeley.edu
authors.forename: Sara B
authors.initials: SB
authors.lastname: McMenamin
authors.forename: Helen Ann
authors.initials: HA
authors.lastname: Halpin
authors.forename: Theodore G
authors.initials: TG
authors.lastname: Ganiats
mesh_terms: D037001:Directive Counseling / Q000191:economics / Q000379:methods; D005260:Female; D006801:Humans; D008484:Medicaid / Q000191:economics / Q000639:trends*; D058991:Patient Protection and Affordable Care Act / Q000331:legislation & jurisprudence*; D011247:Pregnancy; D016540:Smoking Cessation / Q000191:economics / Q000379:methods*; D061485:Tobacco Use Cessation Devices / Q000191:economics; D014029:Tobacco Use Disorder / Q000191:economics / Q000534:rehabilitation*; D014481:United States