Section 4107 In ACA

From the precursor of the 1960 Medicaid program, the Kerr-Mills Act, to the establishment of the Medicare and Medicaid in 1965, and the implementation of today’s Patient Protection and Affordable Care Act, the process signified our national leaders worked vigorously to pave the way creating accessible healthcare coverage for the citizen. The Affordable Care Act (ACA), change the structure in the delivery of health care, reduce health care cost and improve quality of care.
Title IV, Section 4107 in ACA (2010) provide comprehensive smoking cessation coverage in the population of Medicaid covered pregnant enrollees. Starting October 1, 2010, any qualified health care providers can offer smoking or tobacco cessation counseling services and related

Therefore, the provision improves the access to care among Mediciad covered pregnant enrollees associated with smoking cessecion and tobacco dependency. In addition, the success rates for smoking cessation increase substantially with adequate interventions and supports, and consequetly, improve the general health and reduce the perinatal and neonatal complications in this population, which in turn decrease health costs and reduce medical expenditures (Maciosek et al., 2006). Finally, by removing the barriers and limitations, health care providers are able to prescribe necessary medications and provide smoking cessation counseling, and inevidently impove the quality of care and treatment success (Reda, A., Kotz, D., Evers, S. M., van Schayck, C. P.,

As the result of this provision enactment, more pregnant enrollees were able to receive personalized counseling for smoking cessation (McMenamin, Halpin, & Ganiats, 2012). This is important because the safety profile of drug therapy applied to this population needs futher research. Smoking cessation during pregnancy reduces the risk of giving low birth-weight babies and perinatal complications (Moran, Thorndike, Armstrong, & Rigotti, 2003). Survey was done to report the progress since the implemataton of this provision, but the findings were equivocal and were limited because the outcomes were based on self-report and the variables were defined differetly among the states (CDC, 2004b; McMenamin et al., 2012). Nonetheless, the findings were consistent on the deficit on the assimilation of informaiton about the available services to the pregnant enrollees. Thus, imporvement is needed to inform the pregnant enrollees with Medicaid regarding the comprehensive services that are offered to