Skip to main content
Back to Top


Health Reform and the Implications for Cancer Screening

Content on this page is provided for reference purposes only. It is no longer maintained and may now be outdated.
The American Cancer Society and American Cancer Society Cancer Action Network (ACS CAN) recently released a study that estimates the number of women who could remain uninsured and continue to meet the eligibility requirements for the Centers for Disease Control and Prevention’s (CDC) National Breast and Cervical Cancer Early Detection Program (NBCCEDP).  This study is an update of a 2010 study on the impact of the Affordable Care Act on the CDC Cancer Control & Screening programs.
The report, Health Reform and the Implications for Cancer Screening, provides national and state-specific estimates of the number of uninsured women in 2017 based on three scenarios:
1.       Medicaid expansions as of April 2015,
2.       No state Medicaid expansions, and
3.       All states expanding Medicaid, as provided under the ACA.
The report estimates that, overall, 2.6 million or 13.5 percent of women aged 40-64 will remain uninsured and eligible for breast cancer screening services through the NBCCEDP program in 2017. Similarly, 5.7 million or 14.6 percent of women (age 21-64) will remain uninsured in 2017 and will be eligible for cervical cancer screening through NBCCEDP. Notably, by 2017, women in non-Medicaid expansion states will be over three times as likely to be uninsured (23.3 percent) as women in expansion states (8 percent).
A full copy of the report can be found via this link-  STUDY: HEALTH REFORM AND THE IMPLICATIONS FOR CANCER SCREENING
You can also access an interactive map and data tables (updated to reflect Medicaid expansion decisions as of January 2016) via this link -
We hope that you find the study and the maps/tables useful as you perform your work.
ACS CAN is committed to helping educate federal and state policymakers and the public about the BCCEDP and we will continue to fight for the preservation of program funding and eligibility. 
If you have any questions, please be in touch. 
Thank you!


Citseko - thanks so much for

Citseko - thanks so much for your post.  Interestingly, it follows on the topic of our February cyber-seminar with Florence Tangka and Jennifer Redmond who spoke about how economic valuations can help in cancer control advocacy.  Certainly this is a powerful example of such work.

R2R is most interested in hearing stories of coalitions, advocates and others who have used (or are interested in using) this data and these reports.  Please let us know about your work!  

Followers of this discussion

Followers of this discussion might be particularly interested in the release of a new toolkit titled “Medicaid Prevention Pathways” for state Medicaid officials and managed care organizations. The toolkit illustrates the range of Medicaid and CHIP options that states can use to sustain approaches that link clinic to community prevention to address chronic disease and how best to successfully put these strategies in place on the ground. It will bring to light how states have successfully created sustainable financing through Medicaid and CHIP for preventing chronic disease including childhood obesity at both the individual and population levels.  The toolkit can help states get started or continue their prevention efforts through a roadmap with a range of options (40 examples from 23 states) showing innovative interventions, planning tools for states, three in-depth case studies and a white paper.

I appreciate that the political environment in this country is changing, but believe the toolkit will remain relevant by showing states how they can accelerate the innovative efforts already underway to strengthen prevention.

The “Medicaid Prevention Pathways” toolkit, developed by Nemours and funded by the Robert Wood Johnson Foundation, is intended for states and their partners.  It can be found at:  The following resources are included: 
  • A Roadmap of Medicaid Prevention Pathways and other planning tools for states such as Medicaid authorities for prevention, state planning document, matrix of best practices and more (Roadmap);
  • A White Paper synthesizing the project findings titled “Realizing the Promise of Medicaid Prevention and Population Health”; and
  • 3 case studies (also to be posted on National Academy of Medicine’s Perspectives website as part of the Roundtable on Population Health Improvement) –
  • “Oregon:  The Case for Medicaid and Public Health Collaboration;”
  • “Nationwide Children’s Hospital:  An MCO Going Upstream to Address Population Health;” and
  • “Washington:  Improving Population and Individual Health through Health System Transformation.”