Chlamydia Screening
In the United States, Chlamydia is the most common bacterial sexually transmitted disease (STD), particularly among sexually active adolescents and young adults. In 2006, over one million cases of Chlamydia were reported, and it is estimated that more than 2 million people ages 14-39 in the U.S. are infected.1 If not detected and treated, Chlamydia can lead to pelvic infection, infertility and tubal pregnancies in women, and increases risk for HIV infection.2 Babies born to women infected with Chlamydia can get infections in their eyes and respiratory tracts, and some evidence suggests that Chlamydia can cause early delivery in pregnant women.3 The CDC recommends that sexually active women under the age of 25 be screened for Chlamydia yearly. Screening for Chlamydia is also recommended for older women in high-risk categories, including those who have a new partner or multiple partners, and all pregnant women.4 States can expand access to this key preventive screening by requiring coverage in private insurance.
Health plans are required to cover, without copayments, the preventive services recommended by the United States Preventive Services Task Force (USPSTF), including Chlamydia testing. This provision took effect in September 2010. Additionally, the list of free required preventive services will be updated in 2011 to ensure that services women in particular need are included. "Grandfathered" plans--those that existed before the Affordable Care Act was passed--are exempt from this requirement, but plans will lose their grandfathered status if they significantly cut benefits, increase out-of-pocket spending, or change insurance carriers.
Does the state require private insurers to cover screening tests for chlamydia?
States that require private insurers to cover recommended screening for chlamydia receive a "meets policy." States receive a "weak policy" if they only require insurers to offer coverage of chlamydia screening as a benefit in health insurance plans, but have not required that it be a covered benefit in insurance plans. States with no such requirements receive a "no policy."
| State | Strength of Policy | Change from 2007 |
|---|---|---|
| Alabama | No Policy | Same |
| Alaska | No Policy | Same |
| Arizona | No Policy | Same |
| Arkansas | No Policy | Same |
| California | No Policy | Same |
| Colorado | No Policy | Same |
| Connecticut | No Policy | Same |
| Delaware | No Policy | Same |
| District of Columbia | No Policy | Same |
| Florida | No Policy | Same |
| Georgia | Meets Policy | Same |
| Hawaii | No Policy | Same |
| Idaho | No Policy | Same |
| Illinois | No Policy | Same |
| Indiana | No Policy | Same |
| Iowa | No Policy | Same |
| Kansas | No Policy | Same |
| Kentucky | No Policy | Same |
| Louisiana | No Policy | Same |
| Maine | No Policy | Same |
| Maryland | Meets Policy | Same |
| Massachusetts | No Policy | Same |
| Michigan | No Policy | Same |
| Minnesota | No Policy | Same |
| Mississippi | No Policy | Same |
| Missouri | No Policy | Same |
| Montana | No Policy | Same |
| Nebraska | No Policy | Same |
| Nevada | No Policy | Same |
| New Hampshire | No Policy | Same |
| New Jersey | No Policy | Same |
| New Mexico | No Policy | Same |
| New York | No Policy | Same |
| North Carolina | No Policy | Same |
| North Dakota | No Policy | Same |
| Ohio | No Policy | Same |
| Oklahoma | No Policy | Same |
| Oregon | No Policy | Same |
| Pennsylvania | No Policy | Same |
| Rhode Island | No Policy | Same |
| South Carolina | No Policy | Same |
| South Dakota | No Policy | Same |
| Tennessee | Weak Policy | Same |
| Texas | No Policy | Same |
| Utah | No Policy | Same |
| Vermont | No Policy | Same |
| Virginia | No Policy | Same |
| Washington | No Policy | Same |
| West Virginia | No Policy | Same |
| Wisconsin | No Policy | Same |
| Wyoming | No Policy | Same |
Data Source: Susan S. Laudicina and others, State Legislative Health Care and Insurance Issues: 2009 Survey of Plans, (Washington, D.C.: BlueCross BlueShield Association, December 2009).
Footnotes
1 Centers for Disease Control and Prevention, “CDC Fact Sheet: Chlamydia,” December 2007, available at http://www.cdc.gov/std/Chlamydia/Chlamydia-Fact-Sheet.pdf, accessed September 21, 2010.
2 U.S. Preventive Services Task Force, Screening for Chlamydial Infection (Rockville: U.S. Preventive Services Task Force, June 2007), available at http://www.uspreventiveservicestaskforce.org/uspstf/uspschlm.htm, accessed September 21, 2010. .
3 Ibid.
4 See supra note 1.




