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As the Affordable Care Act (ACA) continues to change the landscape of health care access by requiring free STD screening, it is also significantly impacting insurance and billing throughout the country. A major policy issue for publicly funded health care facilities is whether or not they are able to bill a third-party payor or the patient themselves for services rendered. Many of these laws and policies vary across states, so as the ACA takes effect, there are questions as to whether health departments are authorized by state law to provide free STD treatment services, and whether state law expressly prohibits third-party billing for STD services. Third parties that may be billed for services rendered may include insurance companies and the government.  


Related Resources

National Coalition of STD Directors: Guide to third party billing practices for public health STD services

LawAtlas Interactive Map: Provider Immunity

LawAtlas Interactive Map: Communicable Disease Intervention Protocol

Insurance Billing for Sensitive Health Services Report 


This project is supported by Cooperative Agreement Number 93.283 from the Centers for Disease Control and Prevention to the National Network of Public Health Institutes (NNPHI). Its contents are solely the responsibility of the authors and do not necessarily represent the official views of the Centers for Disease Control and Prevention or NNPHI.

Did you know?

Forty-seven states have laws regarding free health care services.

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Map Legend: State Included in research.