Bright Futures

Image of 4 childrenHRSA’s Bright Futures Program aims to improve health outcomes for the nation’s infants, children, and adolescents by increasing the quality of primary and preventive care through maintenance and dissemination of age-specific, evidence-driven clinical guidelines. HRSA launched the Bright Futures program in 1990 to address a need for unified guidance on how to design the most modern, efficient, and comprehensive pediatric checkup.

One component of the Bright Futures Guidelines is the Periodicity Schedule, a tool describing which preventive services and screenings should be delivered at each of 32 well visits from prenatal to 21 years of age. On December 28, 2020, HRSA accepted the current version of the Bright Futures Periodicity Schedule for purposes of Section 2713 of the Public Health Service Act (42 U.S.C. § 300gg-13) and 45 CFR Part 147). The Federal Register Notice describes the update. The updated Bright Futures Periodicity Schedule will be made publicly available on the awardee’s webpage Exit Disclaimer in March 2021. All non-grandfathered group health plans and health insurance issuers offering group or individual health insurance coverage must cover the services and screenings listed on the current Bright Futures Periodicity Schedule for plan years (in the individual market, policy years) beginning on or after December 28, 2021.


The program's objectives include:

  • Reviewing new scientific evidence on an ongoing basis and annually publishing relevant updates to Bright Futures periodicity schedule and related resources.
  • Ensuring that accredited pediatric residency programs integrate Bright Futures Guidelines within training.
  • Training practicing primary care clinicians on the use of Bright Futures Guidelines and resources within clinical preventive services.
  • Providing annual training to each of the 59 state maternal and child health (MCH) programs on the use of Bright Futures resources.
  • Providing families with Bright Futures resources to help them prepare for preventive checkup visits with their primary care clinician.

To learn more about Bright Futures, visit the current awardee’s webpage Exit Disclaimer.

Opportunity for Public Comment on Proposed Update to the Bright Futures Periodicity Schedule

A Federal Register Notice seeks public comments for a period of 30 days, beginning on September 13, 2021, on a proposed update to the current Bright Futures Periodicity Schedule.

The proposed updates to the Bright Futures Periodicity Schedule that affect clinical practice are:

  • a new category for sudden cardiac arrest and sudden cardiac death risk assessment
  • a new category for hepatitis B virus infection risk assessment
  • suicide risk as an element of universal screening for children ages 12-21
  • update of Psychosocial/Behavioral Assessment to Behavioral/Social/Emotional Screening. The updated category title will be "Behavioral/Social/Emotional Screening" with no revision to the ages in which the screening occurs (newborn to 21 years).

A panel of pediatric primary care experts will consider these comments as part of their evidence review and development of proposed updates to the Periodicity Schedule. HRSA will also consider these public comments as part of its review and possible acceptance of the proposed updates to the Bright Futures Periodicity Schedule.

Submit your comments on this proposed update to the American Academy of Pediatrics. Exit Disclaimer

Contact Us

Bethany D. Miller, MSW, M.Ed.
Bright Futures Project Officer

Bright Futures Resources

Related Resources

Improving Young Adult Health: State & Local Strategies for Success Exit Disclaimer (PDF - 7. 1 MB)

Bright Futures: Oral Health—Pocket Guide, 3rd edition Exit Disclaimer

Date Last Reviewed:  September 2021