OAC Action Center

Access to Care Issues

Access to Care Issues

Treat and Reduce Obesity Act

ISSUE: The Treat and Reduce Obesity Act (TROA) will provide Medicare beneficiaries and their healthcare providers with meaningful tools to reduce obesity by improving access to weight-loss counseling and new prescription medications for chronic weight management. While the legislation is focused on improving access to obesity treatments for Medicare beneficiaries, it is important to remember that often times private and employer based insurance plans base their coverage on matching Medicare coverage. Therefore, this legislation is important to all Americans.

OUR ASK: Urge Congress to support the passage of the Treat and Reduce Obesity Act.

DEADLINE: December 31, 2018

ACTION ITEM: Please urge both of your Senators as well as your House of Representatives member to cosponsor and support final passage of this important legislation.

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Obesity Doesn’t Discriminate

ISSUE: Obesity currently impacts more than two-thirds of Americans nationwide. While this is a significant part of the population, many individuals still find themselves severely limited when trying to access evidence-based obesity care options, such as obesity medications, bariatric surgery, behavioral therapy and more.

OUR ASK: Urge Fair Coverage of Obesity Treatment Services

DEADLINE: Ongoing

ACTION ITEM: Sign Our Petition Urging Fair Coverage of Obesity Treatment Services

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Essential Benefit Coverage of Bariatric Surgery

ISSUE: 27 States do not cover bariatric surgery under the state’s essential health benefit (EHB) benchmark plan. EHB plans are the standard plans sold under the Affordable Care Act (ACA often called “Obamacare”) in healthcare exchanges and on both the individual and small business market. This, in effect, means that most individuals and small businesses can’t buy coverage for bariatric surgery.

OUR ASK: Urge the Governor to support essential benefit coverage of bariatric surgery

WHO: Residents of Alabama, Alaska, Arkansas, Connecticut, Florida, Georgia, Idaho, Indiana, Kansas, Kentucky, Louisiana, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nebraska, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Virginia, Washington and Wisconsin.

DEADLINE: December 31, 2018

ACTION ITEM: Urge your Governor to make obesity care an essential benefit.

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State Employee Coverage Fails to Cover Any Obesity Care

ISSUE: 6 States do not cover comprehensive obesity care including the recommended counseling visits, medications and bariatric surgery.

OUR ASK: Urge the Governor to support obesity care coverage

WHO: Residents of Georgia, Idaho, Louisiana, Montana, South Carolina and Wisconsin.

DEADLINE: December 31, 2018

ACTION ITEM: Urge your Governor to provide comprehensive obesity care for state employees.

TAKE ACTION

 

State Employee Coverage Fails to Cover Obesity Counseling and Medications

ISSUE: 19 States do not cover comprehensive obesity care including the recommended counseling visits and medications. These states do cover bariatric surgery but not comprehensive care.

OUR ASK: Urge the Governor to support comprehensive obesity care coverage

WHO: Residents of Alabama, Arizona, Arkansas, Colorado, Delaware, Florida, Indiana, Iowa, Maryland, Mississippi, Nebraska, New Hampshire, Ohio, Pennsylvania, Texas, Utah, Vermont, Washington or West Virginia.

DEADLINE: December 31, 2018

ACTION ITEM: Urge your Governor to provide comprehensive obesity care for state employees.

TAKE ACTION

 

Medicaid Coverage of Bariatric Surgery and Comprehensive Obesity Care

ISSUE: Only 2 states do not cover bariatric surgery as well as the recommended number of counseling visits and medications for obesity under Medicaid.

OUR ASK: Urge the Governor to support comprehensive obesity care including bariatric surgery under Medicaid

WHO: Residents of Mississippi and Montana

DEADLINE: December 31, 2018

ACTION ITEM: Urge your Governor to make obesity care available under Medicaid.

TAKE ACTION

 

Medicaid Coverage of Obesity Counseling and Medications

ISSUE: 30 states do not cover the recommended number of counseling visits and medications for obesity under their Medicaid programs.

OUR ASK: Urge the Governor to support comprehensive obesity care under Medicaid

WHO: Residents of Alaska, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kentucky, Maine, Maryland, Massachusetts, Minnesota, Missouri, Nebraska, Nevada, New Mexico, New York, North Carolina, Ohio, Oklahoma, Pennsylvania, South Dakota, Tennessee, Texas, Utah, Vermont, Washington, West Virginia or Wyoming.

DEADLINE: December 31, 2018

ACTION ITEM: Urge your Governor to make comprehensive obesity care available under Medicaid.

TAKE ACTION

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