The U.S. Preventive Services Task Force on Sunday issued new guidance for the use of cholesterol-busting statin drugs. The report greatly expands the universe of people who should be screened to see if they need the medication to everyone over age 40 regardless of whether they have a history of cardiovascular disease.

The recommendations also support the position of the American College of Cardiology and the American Heart Association, which in 2013 radically shifted their advice from suggesting that doctors focus on the level of a patient’s low-density lipoproteins (LDL) or “bad cholesterol” to looking at a more comprehensive picture of risk based on things such as weight and blood pressure, as well as lifestyle factors.