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

Policy Indicator Counts
Meets Policy: 
2
Limited Policy: 
0
Weak Policy: 
1
No/Harmful Policy: 
48
Better: 
0
Same: 
51
Worse: 
0

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.

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