Pioneers in 5 Star Service • Ronstadt Insurance • Tucson, AZ • 520-721-4848

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๐Ÿ›๏ธ U.S. Supreme Court Upholds ACA Preventive Care Mandate

๐Ÿ“…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.

โš–๏ธ The Case: Kennedy v. Braidwood Management, Inc.
The ruling reverses a previous decision by the 5th Circuit Court and affirms that the ACAโ€™s preventive care mandate is constitutional. As a result, health plans and issuers must continue offering free preventive servicesโ€”including immunizations and screeningsโ€”as long as they’re provided by in-network providers.

๐Ÿ’ก Reminder: These services must be offered without deductibles, copayments, or coinsurance.

๐Ÿฉบ Whatโ€™s Included in Preventive Care Coverage?
Under the ACA, non-grandfathered health plans are required to cover:

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๐Ÿšจ Big News: HHS & Insurers Unite to Fix Prior Authorization!

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.

๐Ÿฉบ Whatโ€™s Changing?

๐Ÿ“Œ Prior Authorization = insurer permission before care
โณ Known for delays and red tape

๐Ÿ”‘ 6 Insurer Commitments:

  1. ๐Ÿ“ฒ Standardize electronic prior auth submissions
  2. โœ‚๏ธ Reduce services needing prior auth
  3. ๐Ÿ” Honor approvals when patients switch plans
  4. ๐Ÿ” Transparency in decisions and appeals
  5. โšก Faster approvals โ€” real-time when possible
  6. ๐Ÿ‘ฉโ€โš•๏ธ Medical professionals to review all denials

๐Ÿ“… Whatโ€™s Next?

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