The Affordable Care Act's changes to preventive services for Medicare beneficiaries can be described as:

• A. Not true
• B. The act did not affect preventive services
• C. It increased cost sharing
• D. True

Answer: (D)

Expanding access to preventive care by removing out-of-pocket costs for Medicare beneficiaries is the key idea. The ACA extended Medicare preventive benefits, making many services free at the point of use and adding new covered items like the annual wellness visit and more vaccines. This shows the changes did occur and reduced cost-sharing for preventive care, which is why this statement is true.

The other options don’t fit because they imply no change or increased costs, which isn’t what happened.