CPMA Collaborates on Development of ACA Provider Non-Discrimination Provision Toolkit


The California Podiatric Medical Association (CPMA) has collaborated with the APMA (American Podiatric Medical Association) to create an  ACA Provider Non-Discrimination Provision toolkit to educate members on the provision and CPMA/APMA’s advocacy efforts. The toolkit also includes draft language that members can use to communicate with health plans in order to resolve conflicts involving the provision.

The provision prohibits discrimination “with respect to participation under the plan or coverage against any health care provider who is acting within the scope of that provider’s license or certification under applicable State law.” It is CPMA's and APMA’s position that pursuant to the provision, the following practices are prohibited:

  1. Discriminating in terms of coverage based on the licensure or certification of the provider furnishing the service, through both explicit exclusion practices
  2. Any policies that result in a discriminatory impact

CPMA and APMA will continue to advocate for members and will provide additional updates, as they become available.

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