Alcohol screening is a few questions about drinking, asked during a visit, followed by a short conversation when the answers show risky drinking. It is one of the plainest preventive services a practice offers, and one of the easiest to market badly. A page can shame the reader, promise that a few minutes of counseling will stop a drinking problem, treat a screening visit as a court or license assessment it is not, or sell a quick fix with no source. A reminder can tell a spouse, a parent or an employer more than a patient wanted to share. This guide covers how a primary care practice, a community health center, an OB-GYN practice, a behavioral health program or an employer clinic can invite patients to alcohol screening on the USPSTF recommendation as written, keep screening apart from treatment and from court or license assessments, keep the recommendation apart from coverage, and write calm, private pages and messages.
Ten related topics have their own guides and are not repeated here. The practices that screen are covered in our guides to primary care practice marketing, community health center marketing, OB-GYN practice marketing and corporate wellness program marketing. Care after a positive screen is covered in our guides to behavioral health integration outreach, addiction treatment marketing and therapist private practice marketing. The screening that sits next to it is covered in our guides to depression screening outreach and annual wellness visit outreach, and Medicare patients in our guide to marketing to Medicare patients.
This is general information, not legal or medical advice. Sources cited were checked on October 30, 2026: the USPSTF recommendation Unhealthy Alcohol Use in Adolescents and Adults: Screening and Behavioral Counseling Interventions (November 13, 2018), its draft update (posted August 5, 2025) and the USPSTF list of recommendations in progress, the NIAAA pages Screen and Assess: Use Quick, Effective Methods, Understanding Alcohol Drinking Patterns (updated January 2026) and Understanding the Dangers of Alcohol Overdose (updated December 2025), the CDC page Alcohol Use and Your Health (updated January 14, 2025, read through an archived copy), the MedlinePlus page Alcohol Use Disorder (last updated July 27, 2026), the Medicare.gov page Alcohol misuse screenings and counseling, the 988 Lifeline site, the Bright Futures periodicity schedule (updated February 2025), 42 CFR Part 2 and 42 U.S.C. 300gg-13. Medical advertising rules are also set state by state. Check them with your counsel before a campaign runs.
What the federal sources say
The USPSTF rates screening, NIAAA publishes the clinician guidance and the public definitions, CDC describes the health effects, and CMS sets Medicare coverage. The points that shape alcohol screening outreach:
- The USPSTF recommendation Unhealthy Alcohol Use in Adolescents and Adults: Screening and Behavioral Counseling Interventions (November 13, 2018) recommends screening for unhealthy alcohol use in primary care settings in adults 18 years or older, including pregnant women, and providing persons engaged in risky or hazardous drinking with brief behavioral counseling interventions to reduce unhealthy alcohol use, a B grade. For adolescents aged 12 to 17 years it found the evidence insufficient, an I statement. It says the recommendation does not apply to persons who have a current diagnosis of, or who are seeking evaluation or treatment for, alcohol abuse or dependence.
- The USPSTF draft update was posted for comment on August 5, 2025, with comments taken through September 2, 2025. The Task Force bulletin on the draft says it keeps a B grade for screening all adults, including those who are pregnant, and offering brief counseling to those who engage in risky or hazardous drinking, and an I statement for adolescents. The same bulletin says counseling includes discussing a patient’s alcohol use and readiness to change, developing goals, creating an action plan and determining follow-up care, and that people with a more serious drinking problem may need more extensive treatment, which is not the focus of the recommendation.
- The NIAAA page Screen and Assess: Use Quick, Effective Methods (checked October 30, 2026) says screening can be done easily and effectively when it is a routine part of care, that any healthcare professional in medical or mental health fields can screen as part of a health history, and that integrating results into the patient’s chart can support collaborative care. It tells clinicians to avoid yes or no and leading questions.
- The NIAAA page Understanding Alcohol Drinking Patterns (updated January 2026) defines binge drinking and heavy drinking and says alcohol misuse, which includes both, increases the risk of alcohol use disorder over time. The CDC page Alcohol Use and Your Health (updated January 14, 2025, read through an archived copy) says excessive drinking includes binge drinking, heavy drinking, and any drinking during pregnancy or by people younger than 21, and that drinking alcohol increases the risk of several types of cancer.
- The MedlinePlus page Alcohol Use Disorder (last updated July 27, 2026) says the disorder can range from mild to severe, depending on the symptoms.
- The Medicare.gov page Alcohol misuse screenings and counseling (checked October 30, 2026) says Part B covers an alcohol misuse screening once a year for an adult who uses alcohol but does not meet the medical conditions for alcohol dependency, and up to 4 brief, face-to-face counseling sessions each year if the provider determines the person is misusing alcohol. It says the counseling must take place in a primary care setting, such as a doctor’s office, and that the patient pays nothing if the provider accepts assignment.
- For adolescents, the Bright Futures periodicity schedule (updated February 2025) lists a tobacco, alcohol, or drug use assessment among the items for adolescent visits. The USPSTF I statement for adolescents is a finding about evidence, not a recommendation against asking.
We checked for changes before writing. On October 30, 2026, the USPSTF page still showed the November 13, 2018 recommendation as final and linked the draft update posted August 5, 2025; we found no final version of the update. The CDC page cited here was read through an archived copy, since the CDC site did not answer our direct requests, and we could not confirm developments after that date. A practice page should quote the recommendation in force on the day it is written, say a draft update exists if it still does, and record that date in its review notes.
The Task Force itself has changed. In Kennedy v. Braidwood Management, decided June 27, 2025, the Supreme Court held that Task Force members are inferior officers whose appointment by the Secretary of HHS is consistent with the Appointments Clause. On September 17, 2026, HHS announced eight new members who join the eight already serving. The draft update was written before that change and is not yet final, so check the USPSTF page again before a campaign runs.
Two points shape the marketing. First, screening and brief counseling are not treatment: the USPSTF describes a few questions and a short conversation for adults who drink in a risky way, and says people with a more serious problem may need more extensive treatment. A page that sells screening as a cure, or treatment as a quick chat, overstates one or the other. Second, screening is not a court, motor vehicle or employer assessment: those are set by the court, the state agency or the employer, and a preventive visit should not be advertised as one.
Alcohol screening pages and claims that need rewriting
Google’s search suggestions, which we checked on October 30, 2026, offer “alcohol screening test”, “alcohol screening near me”, “alcohol screening questionnaire”, “alcohol screening services” and “alcohol screening with a licensed counselor” to a person who types “alcohol screening”, and “what does an alcohol screening consist of” and “how does an alcohol screening test work” to a person who types “alcohol screening in primary care”. For “medicare alcohol screening” they offer “medicare annual alcohol misuse screening”, and for “alcohol counseling near” they offer “alcohol counseling near me”, “alcohol counseling near me free” and “alcohol counseling near me outpatient”. Suggestions with code terms belong to the billing staff, not the patient page. The pattern is clear: people want to know what the screening involves, where to get it, what it costs and where counseling is offered.
A page that holds up says screening is a few questions asked by the care team during a visit, says what happens if the answers show risky drinking, says the practice does not judge and keeps answers in the medical record, keeps screening apart from treatment and from court, license and employer assessments, states coverage with its conditions, gives the crisis and emergency lines, and offers the page in the languages the practice’s patients speak.
Phrases that need rewriting:
- “Do you have a drinking problem? Find out in 2 minutes.” It addresses the reader as a person with a problem and promises a verdict. Say the care team asks a few questions about drinking during a visit, as the USPSTF recommends for adults, and talks through the answers with the patient.
- “One talk with our doctor will stop your drinking.” A promise with no source. Say the USPSTF recommends brief counseling for adults who drink in a risky way, and that the clinician and the patient decide together what comes next.
- “We cure alcoholism.” A treatment promise with no source, and a word that labels the reader. Say the practice screens, offers brief counseling and connects patients who need more care to treatment, and name no medicine.
- “DUI and court alcohol evaluations done here.” A court or motor vehicle assessment follows the rules set by the court or the state agency, set state by state. Say this only if the practice is approved to perform them, on a separate page from preventive screening.
- “Safe drinking limits for your heart.” CDC says drinking alcohol increases the risk of several types of cancer, and the NIAAA definitions describe risk, not safety. Do not promise that any amount is safe or healthy; quote the federal definitions with their dates.
- “Free alcohol screening.” Coverage depends on the payer, the plan and the visit. State the conditions, such as Medicare’s rules, or say the practice checks coverage first.
- “Detox at home with our program.” Withdrawal can be a medical matter, and MedlinePlus lists withdrawal symptoms among the signs of alcohol use disorder. Do not advertise home withdrawal; say a clinician assesses each patient.
- “Hundreds of patients have cut back with us.” Numbers with no source. Remove them unless they come from the practice’s own documented and reviewed records, with their date and limits stated.
Under 15 U.S.C. 45, deceptive acts or practices in commerce are unlawful, and 15 U.S.C. 52 prohibits false advertisements likely to induce the purchase of drugs, devices, services or cosmetics. The FTC staff Health Products Compliance Guidance says claims about the health benefits or safety of health-related products require competent and reliable scientific evidence, and that an advertiser is responsible for the claims its ads convey, including implied ones. Quoting the federal sources as written, with each one named and dated, stays inside that standard; turning a federal statement into a promise to a patient does not.
Crisis, overdose signs, 988 and 911 on every page and in every tool
A screening page is for adults who want to talk about their drinking, and should say so. It also reaches people in a crisis and people worried about someone who drank too much. Put two plain lines on the page, on flyers, in reminders and in the footer of the booking page: if you are in crisis or thinking about harming yourself, call or text 988; if someone may have an alcohol overdose, call 911.
The 988 line follows the 988 Lifeline site (checked October 30, 2026), which says its counselors help people facing mental health struggles, emotional distress or alcohol or drug use concerns, by call, text or chat, at any hour. The 911 line follows the NIAAA page Understanding the Dangers of Alcohol Overdose (updated December 2025), which lists mental confusion or stupor, difficulty remaining conscious or inability to wake up, vomiting, seizures, slow or irregular breathing, slow heart rate, clammy skin, dulled responses and extremely low body temperature, bluish skin color or paleness as critical signs, and says to call 911 for help immediately if you suspect someone has an alcohol overdose. Keep the wording close to those sources and give no other hotline numbers; the clinician sets the rest of the triage script.
The same wording belongs in voicemail, after-hours greetings, portal replies, text replies, chat and AI front desk tools. A tool should send any message about overdose signs to 911 at once and alert staff, give 988 to any message about a crisis or self-harm and alert the on-call clinician, route questions about stopping drinking or withdrawal to a clinician before booking, and never tell a person whether their drinking is safe or whether they have a disorder. Our guides to the AI chatbot on a practice website and answering service versus AI receptionist cover how tools hand off these messages.
Who to invite: adults, pregnancy, teens and court or work assessments
Patients arrive for different reasons, and each group needs its own wording.
Keep these points:
- Adults 18 and older: invite on the USPSTF recommendation, as part of a routine visit or an annual wellness visit, with the screening described as questions every adult patient is asked. Do not single out a group by age, job, neighborhood or background in public ads.
- Pregnancy and planning a pregnancy: the USPSTF includes pregnant women in the B recommendation, and CDC counts any drinking during pregnancy as excessive drinking. Ask as part of prenatal care in calm words, without blame, and leave the clinical conversation to the clinician.
- Adolescents 12 to 17: the USPSTF found the evidence insufficient, and the Bright Futures schedule lists a tobacco, alcohol, or drug use assessment for adolescent visits. Leave adolescent screening decisions to the clinician and the practice’s own protocol, and do not market alcohol screening to teens or to parents as a test of a child.
- People who already have a diagnosis or are seeking treatment: the USPSTF says the recommendation does not apply to them. Point them to the practice’s treatment services or to a treatment program, not to a screening slot.
- Court, motor vehicle and employer assessments: these are set by the court, the state agency or the employer, set state by state. A practice that performs them should say so on a separate page, with its approval stated, and keep them out of preventive screening campaigns.
Our guides to OB-GYN practice marketing, annual wellness visit outreach and corporate wellness program marketing cover the wider rules for those pages.
After the screening: brief counseling, follow-up and referral
A positive screen leads to a conversation, not a label. The draft update bulletin describes counseling as discussing a patient’s alcohol use and readiness to change, developing goals, creating an action plan and determining follow-up care, and NIAAA says a quick assessment can show whether the patient has alcohol use disorder and guide the next steps. A page should describe this in plain words and in the practice’s own terms: who talks with the patient, how long the conversation takes at the practice, whether a follow-up visit is offered, and that the patient decides with the clinician what comes next.
Some patients need more care than brief counseling. The page can say the practice connects patients to treatment, either within the practice, through its behavioral health team, or with an outside program the patient chooses. Do not name medicines or treatment courses on a marketing page, and do not promise a result or a timeline; treatment choices belong to the clinician and the patient. Our guides to behavioral health integration outreach and addiction treatment marketing cover those services.
Coverage: preventive screening, Medicare and free screening days
Under 42 U.S.C. 300gg-13, group health plans and health insurers must cover, without cost sharing, services with a USPSTF A or B rating. Screening adults and brief counseling for risky drinking has a B rating, so that coverage applies to the service the recommendation describes for adults. It does not follow that treatment, a court or license assessment, or adolescent screening is covered at no cost; the adolescent finding is an I statement, which carries no such requirement, though pediatric preventive coverage can follow the HRSA-supported Bright Futures guidelines under the same statute. Medicare coverage follows the Medicare.gov rules above, and Medicaid coverage is set state by state. Keep the recommendation and the coverage apart on the page, say the practice checks coverage before the visit, and do not write “free under the ACA”. Cash prices follow our guides to advertising cash prices and good faith estimates for self-pay patients.
A free screening day at a workplace, a campus or a community event, or a gift for coming in, follows 16 CFR 251.1, which says a free offer must not be recouped through a raised price or a reduced quantity or quality elsewhere, and that the terms of the offer should be stated at the outset. Under 42 U.S.C. 1320a-7a(a)(5), civil penalties can apply to a person who offers or transfers remuneration to a Medicare or state health care program beneficiary that the person knows or should know is likely to influence the beneficiary to order or receive items or services from a particular provider, practitioner or supplier. A gift card for coming in needs counsel’s review before it runs. A screening event also needs a private space for the questions, a plan for who talks with a person who screens positive, and the 988 and 911 lines on its materials. Our guide to health fair and screening event marketing covers event rules.
Home tests, supplements and products sold alongside
People search for home alcohol tests, and a practice may be offered breath devices, hangover products or supplements to sell next to its screening program. A screening is a conversation with a clinician, not a reading from a device. The FDA Questions and Answers on Dietary Supplements (content current as of August 27, 2026) says FDA does not have the authority to approve dietary supplements before they are marketed. Name no product, make no claim that a supplement, a food or a device prevents harm from drinking, treats alcohol use disorder or eases withdrawal, and follow our guide to selling supplements in a medical practice.
Recall texts, letters and reminders
Alcohol screening reaches patients through visit reminders: an annual visit, a wellness visit or a follow-up visit after a counseling conversation. Under 45 CFR 164.501, a communication about the practice’s own treatment for an individual, such as a reminder to come in for a recommended service, can fall outside the definition of marketing, while a message that promotes a third party’s product or service generally needs a signed authorization under 45 CFR 164.508.
The words in the message matter as much as the rule. A text, a postcard or a voicemail can be seen by a spouse, a parent, a roommate or an employer. Keep these points:
- Invite to the visit, not to the topic: “[Practice name]: you are due for a yearly visit. Call [phone] or reply to book.” A reminder for a follow-up visit should not say what the visit is about.
- Never put alcohol, drinking, a screening result, counseling or a diagnosis in a text, a postcard, a voicemail or an email subject line.
- Use the contact method and number the patient chose, and keep the caller ID and the sender name neutral.
- For a minor, follow the practice’s protocol and 45 CFR 164.502(g), which defers to state and other law on when a parent acts as a minor’s personal representative; minor consent rules for substance use care are set state by state.
- Give every message an easy opt-out, and honor it.
Our guides to text message appointment reminders and the patient recall system cover consent, timing and opt-outs.
Families, employers and 42 CFR Part 2
Relatives book visits, and a spouse or a parent may call to ask whether a patient was screened. Under 45 CFR 164.510(b), a covered entity may share information relevant to a family member’s or friend’s involvement in a patient’s care when the patient agrees or does not object, or, when the patient is not present or cannot agree, when the professional judges it is in the patient’s best interest. The intake team should ask the patient what may be shared and with whom. An employer is not a family member involved in care, and a request from an employer, a court or a motor vehicle agency goes to the privacy officer, not to the front desk.
Substance use records can carry a second set of federal rules. Under 42 CFR 2.11, a program covered by Part 2 is a person or unit that holds itself out as providing, and provides, substance use disorder diagnosis, treatment or referral for treatment, with separate wording for a general medical facility, and 42 CFR 2.12 sets out when the rules apply, including to private practitioners who hold themselves out as providing those services. HHS revised Part 2 in a final rule published February 16, 2024 and effective April 16, 2024. Whether a practice’s screening, its behavioral health team or a program it refers to is covered by Part 2 is a question for counsel, and so is how records received from a Part 2 program may be used. A marketing page should not say how Part 2 applies to the practice unless counsel has confirmed it in writing.
Partners, sponsors and referral payments
Under 42 U.S.C. 1320a-7b(b), the federal anti-kickback statute, it is a crime to knowingly and willfully offer, pay, solicit or receive any remuneration to induce or reward referrals of items or services payable by a federal health care program. Rules on referral fees, and on patient brokering for substance use treatment, are also set state by state.
For an alcohol screening program, keep these points:
- Do not accept payment from a treatment program, a recovery residence, a lab or a product maker for the patients the practice sends them, and do not pay an employer, a campus group or a community group per person screened or referred, without counsel’s review.
- Employer screening accounts follow the rules in our guide to corporate wellness program marketing; an employer receives only what the patient agreed in writing to share.
- Give patients more than one treatment option where they exist, and tell them they can choose; our guide to patient and physician referrals covers referral rules.
Privacy, pixels and ads
A booking for a counseling visit, a result page in the portal or a page about alcohol use disorder can say something sensitive about a person’s health. Keep form answers, bookings and page clicks out of tracking pixels and ad platform tools unless a written agreement covers them; our guide to tracking pixels on practice websites covers the setup. The Google Ads personalized advertising policy lists health among its sensitive interest categories and restricts targeting based on it. Ads can target by place, language settings and search terms such as “alcohol screening near me”, and should not be built from a list of patients who screened positive, patients in counseling or patients with a diagnosis taken from the practice’s records. Ad copy should not address the reader as a person who drinks too much or has a disorder.
Tone, access and patient stories
Drinking carries stigma, and a person who feels judged may skip the visit or answer less than honestly. Present screening as routine care asked of every adult patient, use calm words, and keep out shame and alarm: no images of bottles or people passed out, no “are you an alcoholic?”, no wording that blames the reader or a group. Write in plain words, offer the page in the languages the practice’s patients speak, and link the translated versions of federal pages where they exist; NIAAA offers its overdose fact sheet in other languages. The Department of Justice Guidance on Web Accessibility and the ADA describes website features such as text alternatives, enough color contrast and the ability to resize text that help people with disabilities use a site; our guide to Spanish language medical marketing covers translation.
A patient’s story about cutting back can help others. Under 16 CFR 255.2, an ad that shows one person’s result on a key attribute is likely to be read as what others will generally achieve, unless the advertiser has substantiation for that or clearly and conspicuously discloses what people can generally expect. Use a story only if the patient chose to share it in writing, get a signed authorization under 45 CFR 164.508 where the practice is a covered entity, check with counsel whether Part 2 also applies, leave out the employer, the family and any legal matter, say if the patient received anything for taking part, let them review the final version, and let them withdraw it later. Our guides to patient photo consent and testimonials and before and after photos cover the full rules.
Illustration: two alcohol screening messages
Illustration: a flyer reads “Drinking too much? Find out in 2 minutes if you’re an alcoholic. One talk with our doctor will stop your drinking, and our home detox plan gets you sober fast. DUI evaluations done here. Free screening! Hundreds of patients have quit with us.” It labels and shames the reader, promises a verdict and a result, advertises home withdrawal, mixes a court assessment into a preventive campaign, makes a free claim with no conditions, gives no crisis or emergency line, and uses numbers with no source.
Illustration: a second flyer for the same practice reads “At [Practice name], we ask every adult patient a few questions about alcohol during a visit, as the U.S. Preventive Services Task Force recommends. If your answers show a risk, your clinician talks it through with you and you decide together what comes next. Your answers stay in your medical record. We check your coverage first; Medicare Part B covers a yearly screening with conditions. If you are in crisis, call or text 988. If someone may have an alcohol overdose, call 911. To book, call [phone], [days and hours].” It quotes the source, describes the screening plainly, keeps the patient in charge of the next step, states the coverage conditions and gives the crisis and emergency lines.
Checklist before an alcohol screening campaign goes live
- Copy built on the USPSTF 2018 recommendation, with the August 5, 2025 draft update named as a draft, and on the NIAAA, CDC and Medicare.gov pages, each named and dated; the sources checked again on the day the page is written, with the date recorded.
- Screening and brief counseling kept apart from treatment and from court, motor vehicle and employer assessments; no cure, quick-fix or home withdrawal claims and no medicine names.
- No wording that labels, shames or singles out the reader or a group; no claim that any amount of alcohol is safe or healthy.
- The 988 and 911 lines on pages, flyers, voicemail, after-hours greetings, portal replies, text replies, chat and AI front desk tools, with no other hotline numbers; withdrawal questions routed to a clinician.
- Adults invited on the B recommendation; pregnancy handled in prenatal care without blame; adolescents left to the clinician’s protocol and not targeted.
- Coverage described as 42 U.S.C. 300gg-13 and Medicare.gov state it, with plan coverage checked per patient; free screening days and gifts reviewed under 16 CFR 251.1 and 42 U.S.C. 1320a-7a(a)(5).
- Reminders, postcards, caller ID names, voicemails and subject lines carry no mention of alcohol, drinking, results or counseling.
- Family, employer, court and agency requests sent to the privacy officer; Part 2 questions answered by counsel in writing before any page describes them.
- No device, hangover product or supplement claims and no brand names; no payments to or from treatment programs, recovery residences, labs or community partners without counsel’s review; patient stories with signed authorizations and counsel’s Part 2 check.
- Patient lists and results stay out of ad audiences and tracking tools; the page offered in the languages the practice’s patients speak and checked against the ADA web guidance.
Screening adults for unhealthy drug use, SBIRT and its Medicare codes, and when a practice falls under 42 CFR Part 2 are covered in our guide to drug use screening outreach.
How we help
We build websites, local search, Google Ads and AI front desk tools for independent practices and health businesses, including primary care practices, community health centers, OB-GYN practices and behavioral health programs. For an alcohol screening program, that means a site that builds its pages on the USPSTF recommendation and the NIAAA and CDC pages as written and dated, keeps screening apart from treatment and from court or work assessments and all of them apart from coverage, and answers “alcohol screening near me” and “what does an alcohol screening consist of” searches calmly and honestly, plus appointment request pages that book a visit without asking about drinking on the web and keep answers away from tracking tools. Our front desk tools send any message about overdose signs to 911 and alert staff, give 988 to any message about a crisis, route withdrawal questions to a clinician, and do not tell anyone whether their drinking is safe. We do not decide who should be screened or treated; your clinicians and patients do. Our tools are built with HIPAA in mind. We confirm in writing what a BAA covers before any patient information flows through a tool, and if it is not covered, we do not route patient information through it. We are not a healthcare provider and we do not give legal or medical advice. We do not sell lead lists and we do not pay for referrals. For the wider rules, see our healthcare marketing rules hub.
Who does the USPSTF recommend screening for unhealthy alcohol use?
The USPSTF recommendation of November 13, 2018 gives a B grade to screening adults 18 or older in primary care, including pregnant women, and to brief counseling for those who drink in a risky or hazardous way. For adolescents 12 to 17 it found the evidence insufficient. A draft update posted August 5, 2025 keeps the same grades and is not yet final.
Is brief counseling the same as treatment?
No. The USPSTF describes brief counseling for risky drinking, and the draft update bulletin says people with a more serious drinking problem may need more extensive treatment, which is not the focus of the recommendation. Say the practice connects patients who need more care to treatment.
Does Medicare cover alcohol screening?
Medicare.gov says Part B covers a screening once a year for an adult who uses alcohol but does not meet the medical conditions for dependency, and up to 4 brief counseling sessions a year in a primary care setting, with nothing to pay if the provider accepts assignment. State those conditions on the page.
Which crisis and emergency lines should our page show?
Show 988 for a crisis, since the 988 Lifeline says its counselors help with alcohol or drug use concerns by call, text or chat, and 911 for a possible alcohol overdose, as NIAAA advises. Give no other hotline numbers, and put both lines in every tool that answers patients.
Can we advertise court or license alcohol evaluations?
Only if the practice is approved to perform them under the rules of the court or the state agency, set state by state, and on a separate page. Keep them out of preventive screening campaigns.
Can our reminder text mention the screening?
No. Invite the patient to a visit, and never put alcohol, drinking, a result or counseling in a text, postcard, voicemail or subject line. Use the contact method the patient chose.
Sources
- USPSTF: Unhealthy Alcohol Use in Adolescents and Adults: Screening and Behavioral Counseling Interventions (November 13, 2018)
- USPSTF: Draft update summary, unhealthy alcohol use (checked October 30, 2026)
- USPSTF: Draft recommendation bulletin, unhealthy alcohol use (August 5, 2025)
- USPSTF: Recommendations in progress (checked October 30, 2026)
- HHS: Secretary Kennedy Announces New Appointments to U.S. Preventive Services Task Force (September 17, 2026)
- Kennedy v. Braidwood Management, Inc. (U.S. Supreme Court, decided June 27, 2025)
- NIAAA: Screen and Assess: Use Quick, Effective Methods (checked October 30, 2026)
- NIAAA: Understanding Alcohol Drinking Patterns (updated January 2026)
- NIAAA: Understanding the Dangers of Alcohol Overdose (updated December 2025)
- CDC: Alcohol Use and Your Health (updated January 14, 2025)
- MedlinePlus: Alcohol Use Disorder (last updated July 27, 2026)
- Medicare.gov: Alcohol misuse screenings and counseling (checked October 30, 2026)
- 988 Suicide and Crisis Lifeline (checked October 30, 2026)
- Bright Futures: Recommendations for Preventive Pediatric Health Care, periodicity schedule (updated February 2025)
- FDA: Questions and Answers on Dietary Supplements (content current as of August 27, 2026)
- 42 CFR 2.11: Definitions
- 42 CFR 2.12: Applicability
- HHS: Confidentiality of Substance Use Disorder (SUD) Patient Records, final rule, 89 FR 12472 (February 16, 2024)
- 42 U.S.C. 300gg-13: Coverage of preventive health services
- 45 CFR 164.501: Definitions
- 45 CFR 164.502: Uses and disclosures of protected health information: General rules
- 45 CFR 164.508: Uses and disclosures for which an authorization is required
- 45 CFR 164.510: Uses and disclosures requiring an opportunity for the individual to agree or to object
- 15 U.S.C. 45: Unfair methods of competition unlawful
- 15 U.S.C. 52: Dissemination of false advertisements
- FTC: Health Products Compliance Guidance (December 2022)
- 16 CFR 251.1: Guide concerning use of the word free and similar representations
- 42 U.S.C. 1320a-7a: Civil monetary penalties
- 42 U.S.C. 1320a-7b: Criminal penalties for acts involving Federal health care programs
- 16 CFR 255.2: Consumer endorsements
- Google Ads: Personalized advertising policy
- U.S. Department of Justice: Guidance on Web Accessibility and the ADA
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