US Preventive Services Task Force
USPSTF A + B recommendations are required to be covered at $0 cost-sharing under ACA §2713. The strongest single cite for preventive coverage appeals.
What this society is
USPSTF is an independent panel of preventive-care experts that grades recommendations as A (strongly recommended), B (recommended), C (selectively recommended), D (recommended against), and I (insufficient evidence). A+B recommendations get federally required $0 cost-sharing under ACA §2713.
Authority basis
Federally codified — ACA §2713 requires non-grandfathered plans to cover USPSTF A + B services with no cost-sharing. The strongest possible authority for preventive coverage appeals.
Citation tips
Cite: 'USPSTF [topic] Recommendation Statement [year], Grade [A/B].' Pair with ACA §2713 + 45 CFR §147.130. ACA §2713 requires coverage of the screening — applying cost-sharing to USPSTF A or B service is illegal.
Example guidelines
- USPSTF Colorectal Cancer Screening (Grade A 45-75)
- USPSTF Lung Cancer Screening (Grade B)
- USPSTF PrEP Recommendation (Grade A)
Frequently asked questions
What is the US Preventive Services Task Force?
USPSTF is an independent panel of preventive-care experts that grades recommendations as A (strongly recommended), B (recommended), C (selectively recommended), D (recommended against), and I (insufficient evidence). A+B recommendations get federally required $0 cost-sharing under ACA §2713.
Why is it authoritative?
Federally codified — ACA §2713 requires non-grandfathered plans to cover USPSTF A + B services with no cost-sharing. The strongest possible authority for preventive coverage appeals.
How do I cite specific guidelines?
Cite: 'USPSTF [topic] Recommendation Statement [year], Grade [A/B].' Pair with ACA §2713 + 45 CFR §147.130. ACA §2713 requires coverage of the screening — applying cost-sharing to USPSTF A or B service is illegal.
Other societies
- AASLD-IDSA — Hepatitis C treatmentAASLD-IDSA HCV Guidance opposes fibrosis-stage and sobriety restrictions on HCV
- AACE — Endocrinology — diabetes, thyroid, obesity, osteoporosisAACE/ACE Clinical Practice Guidelines for endocrine conditions. Strong on obesit
- ACR — Rheumatology — RA, lupus, vasculitis, psoriatic arthritisACR Guidelines are the US standard for rheumatology. Biologic recommendations dr
- ADA — Diabetes careADA Standards of Care in Diabetes is the most-cited diabetes guideline globally.
- AGA — Gastroenterology — IBD, IBS, hep C, colorectal screeningAGA Clinical Practice Guidelines for GI conditions. IBD biologic guidelines are
- AHA/ACC — Cardiology + cardiovascular medicineAHA/ACC Joint Guidelines are the dominant US cardiology standard. Class I + IIa
Visit USPSTF
Visit https://www.uspreventiveservicestaskforce.org for the full guidelines list.
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