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๐ June 27, 2025 โ In a landmark decision, the U.S. Supreme Court upheld a central provision of the Affordable Care Act (ACA), affirming that health plans and issuers must continue covering the full range of recommended preventive care services without cost sharing.
โ๏ธ The Case: Kennedy v. Braidwood Management, Inc.
The ruling reverses a previous decision by the 5th Circuit Court and affirms that the ACAโs preventive care mandate is constitutional. As a result, health plans and issuers must continue offering free preventive servicesโincluding immunizations and screeningsโas long as they’re provided by in-network providers.
๐ก Reminder: These services must be offered without deductibles, copayments, or coinsurance.
๐ฉบ Whatโs Included in Preventive Care Coverage?
Under the ACA, non-grandfathered health plans are required to cover:
HHS Secretary Robert F. Kennedy Jr. announced that nearly 50 major insurers โ including Blue Cross Blue Shield, Cigna, Humana, UnitedHealthcare, and others โ are voluntarily committing to overhaul prior authorization, making it simpler, faster, and more transparent.
๐ Prior Authorization = insurer permission before care
โณ Known for delays and red tape