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Affordable Care Act (ACA) Updates
Supreme Court Upholds ACA Preventive‑Care Mandate
On Friday, June 27, 2025 the US Supreme Court upheld an element of the ACA regarding insurance carriers covering preventive care at no cost to insureds.
Key Points:
Mandate Preserved:
The Court unanimously rejected a challenge by Christian employers who argued that requiring insurers to cover preventive services—like cancer screenings, statins, HIV prevention (PrEP), contraception, and tobacco‑cessation—was unconstitutional because the U.S. Preventive Services Task Force (USPSTF) members weren’t Senate‑confirmed https://shorturl.at/mWGMl.Appointments Clause Addressed:
Justice Kavanaugh, writing for the majority, emphasized that USPSTF members serve “at will” of the HHS Secretary and their recommendations are reviewed and can be blocked by that Secretary—making them “inferior officers,” not requiring Senate confirmation https://shorturl.at/mWGMl.Scope of Coverage:
The mandate protects 150 million Americans with private insurance, ensuring free access to services rated “A” or “B” by USPSTF—spanning cancer screenings, cardiovascular checks, diabetes counseling, immunizations, HIV‑prevention medication (PrEP), and more https://shorturl.at/mWGM.Public‑Health Impact & Advocacy:
Health groups—including the American Heart Association, AMA, AAFP, ACP, and American Lung Association—applauded the decision, emphasizing that even small copays deter critical preventive care and that this mandate saves both lives and long‑term costs https://shorturl.at/ccwHO.Dissent & Oversight Concerns:
Justice Thomas (joined by Alito and Gorsuch) dissented, arguing that USPSTF members are “principal officers” needing Senate confirmation and that HHS oversight isn't sufficient https://shorturl.at/oezD8.
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