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.

Date Last Reviewed:  December 2020

Contact Us

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

Related Resource

Improving Young Adult Health: State & Local Strategies for Success (PDF - 7. 14 MB) HRSA Exit Disclaimer

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