The Department of Health and Human Services (HHS) announced guidelines that require new health insurance plans to cover women’s preventive services such as well-woman visits, breastfeeding support, and contraception without charging a co-payment, co-insurance, or a deductible.

The guidelines were developed by the independent Institute of Medicine. They give women access to a full range of recommended preventive services without cost sharing, including:

• well-woman visits;
• screening for gestational diabetes;
• human papillomavirus (HPV) DNA testing for women 30 years and older;
• sexually-transmitted infection counseling;
• human immunodeficiency virus (HIV) screening and counseling;
• FDA-approved contraception methods and contraceptive counseling;
• breastfeeding support, supplies, and counseling; and
• domestic violence screening and counseling.

New health plans will need to include these services without cost sharing for insurance policies with plan years beginning on or after August 1, 2012. The rules governing coverage of preventive services which allow plans to use reasonable medical management to help define the nature of the covered service apply to women’s preventive services. Plans will retain the flexibility to control costs and promote efficient delivery of care by, for example, continuing to charge cost-sharing for branded drugs if a generic version is available and is just as effective and safe for the patient to use.

The administration also released an amendment to the prevention regulation that allows religious institutions that offer insurance to their employees the choice of whether or not to cover contraception services. HHS welcomes comment on this policy.

Information on the HHS guidelines for expanding women’s preventive services is available on www.healthcare.gov.