Skip to main content

Main menu

  • HOME
  • ARTICLES
    • Current Issue
    • Abstracts In Press
    • Archives
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • Other Publications
    • abfm

User menu

  • Log out

Search

  • Advanced search
American Board of Family Medicine
  • Other Publications
    • abfm
  • Log out
American Board of Family Medicine

American Board of Family Medicine

Advanced Search

  • HOME
  • ARTICLES
    • Current Issue
    • Abstracts In Press
    • Archives
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • JABFM on Bluesky
  • JABFM On Facebook
  • JABFM On Twitter
  • JABFM On YouTube
Research ArticleHealth Policy

Policy Considerations for Routine Screening for Adverse Childhood Events (ACEs)

Riti Shimkhada, Jacqueline Miller, Elizabeth Magnan, Marykate Miller, Janet Coffman and Garen Corbett
The Journal of the American Board of Family Medicine July 2022, 35 (4) 862-866; DOI: https://doi.org/10.3122/jabfm.2022.04.210454
Riti Shimkhada
From Center for Health Policy Research, University of California, Los Angeles (RS); Institute for Health Policy Studies, University of California, San Francisco (JM, JC); Department of Family and Community Medicine and Center for Healthcare Policy and Research, University of California, Davis (EM); Center for Healthcare Policy and Research, University of California, Davis (MM); California Health Benefits Review Program, University of California, Berkeley (GC).
PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Jacqueline Miller
From Center for Health Policy Research, University of California, Los Angeles (RS); Institute for Health Policy Studies, University of California, San Francisco (JM, JC); Department of Family and Community Medicine and Center for Healthcare Policy and Research, University of California, Davis (EM); Center for Healthcare Policy and Research, University of California, Davis (MM); California Health Benefits Review Program, University of California, Berkeley (GC).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Elizabeth Magnan
From Center for Health Policy Research, University of California, Los Angeles (RS); Institute for Health Policy Studies, University of California, San Francisco (JM, JC); Department of Family and Community Medicine and Center for Healthcare Policy and Research, University of California, Davis (EM); Center for Healthcare Policy and Research, University of California, Davis (MM); California Health Benefits Review Program, University of California, Berkeley (GC).
MD, PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Marykate Miller
From Center for Health Policy Research, University of California, Los Angeles (RS); Institute for Health Policy Studies, University of California, San Francisco (JM, JC); Department of Family and Community Medicine and Center for Healthcare Policy and Research, University of California, Davis (EM); Center for Healthcare Policy and Research, University of California, Davis (MM); California Health Benefits Review Program, University of California, Berkeley (GC).
MS
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Janet Coffman
From Center for Health Policy Research, University of California, Los Angeles (RS); Institute for Health Policy Studies, University of California, San Francisco (JM, JC); Department of Family and Community Medicine and Center for Healthcare Policy and Research, University of California, Davis (EM); Center for Healthcare Policy and Research, University of California, Davis (MM); California Health Benefits Review Program, University of California, Berkeley (GC).
MA, MPP, PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Garen Corbett
From Center for Health Policy Research, University of California, Los Angeles (RS); Institute for Health Policy Studies, University of California, San Francisco (JM, JC); Department of Family and Community Medicine and Center for Healthcare Policy and Research, University of California, Davis (EM); Center for Healthcare Policy and Research, University of California, Davis (MM); California Health Benefits Review Program, University of California, Berkeley (GC).
MS
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • References
  • Info & Metrics
  • PDF
Loading

Abstract

In October of 2021, California enacted SB 428, the ACEs Equity Act, which mandates commercial insurance coverage of adverse childhood experiences (ACEs) screening in addition to ACEs screening already covered for the state's Medicaid enrollees. California is the first state to expand ACEs screening coverage, but it is possible other states may follow similar paths given the increasing interest in policy action to address ACEs. Increase in stress and trauma among Americans and evidence of the disproportionate impact ACEs have on historically marginalized and disadvantaged communities has increased the urgency with which policy makers, clinicians and researchers have sought to address ACEs and encourage trauma-informed care delivery to better meet the needs of patients. Family practice and other primary care providers are at the core of prevention and are arguably the largest group of stakeholders at the forefront of movements toward increasing ACEs screenings. However, debate persists among policy makers, clinicians, and researchers on whether the ACEs screening approach improves outcomes and avoids harms. In this health policy article, we describe key issues under debate with regards to ACEs screening and estimate potential change in screening utilization and expenditures due to the new ACEs legislation in California. The lessons being learned in California are applicable to other states and the US as a whole.

  • Adverse Childhood Experiences
  • California
  • Family Medicine
  • Health Policy
  • Primary Health Care
View Full Text
PreviousNext
Back to top

In this issue

The Journal of the American Board of Family     Medicine: 35 (4)
The Journal of the American Board of Family Medicine
Vol. 35, Issue 4
July/August 2022
  • Table of Contents
  • Table of Contents (PDF)
  • Cover (PDF)
  • Index by author
  • Back Matter (PDF)
  • Front Matter (PDF)
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on American Board of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Policy Considerations for Routine Screening for Adverse Childhood Events (ACEs)
(Your Name) has sent you a message from American Board of Family Medicine
(Your Name) thought you would like to see the American Board of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
6 + 2 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
Policy Considerations for Routine Screening for Adverse Childhood Events (ACEs)
Riti Shimkhada, Jacqueline Miller, Elizabeth Magnan, Marykate Miller, Janet Coffman, Garen Corbett
The Journal of the American Board of Family Medicine Jul 2022, 35 (4) 862-866; DOI: 10.3122/jabfm.2022.04.210454

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Policy Considerations for Routine Screening for Adverse Childhood Events (ACEs)
Riti Shimkhada, Jacqueline Miller, Elizabeth Magnan, Marykate Miller, Janet Coffman, Garen Corbett
The Journal of the American Board of Family Medicine Jul 2022, 35 (4) 862-866; DOI: 10.3122/jabfm.2022.04.210454
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • Purpose of ACEs Screening
    • ACEs Screening Tools
    • California's ACEs Screening Program
    • Potential Harms of ACEs Screening
    • ACEs Screening and Health Equity
    • Future Directions
    • Notes
    • References
  • References
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Integrating Adverse Childhood Experiences and Social Risks Screening in Adult Primary Care
  • Family Medicine Researchers Explore the Social Determinants of Health, COVID-19 Issues, and Cancer Survivor Care
  • Google Scholar

More in this TOC Section

  • Primary Care and Public Health – Both Essential for National Health Security and Population Health
  • Primary Health Care As a Common Good
  • National Academies of Sciences, Engineering, and Medicine Standing Committee on Primary Care: An Objective Venue to Inform Policy
Show more Health Policy

Similar Articles

Keywords

  • Adverse Childhood Experiences
  • California
  • Family Medicine
  • Health Policy
  • Primary Health Care

Navigate

  • Home
  • Current Issue
  • Past Issues

Authors & Reviewers

  • Info For Authors
  • Info For Reviewers
  • Submit A Manuscript/Review

Other Services

  • Get Email Alerts
  • Classifieds
  • Reprints and Permissions

Other Resources

  • Forms
  • Contact Us
  • ABFM News

© 2025 American Board of Family Medicine

Powered by HighWire