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Millions may lose free preventive health care after ruling by federal judge in Texas

A federal judge in Texas has overturned the provision in the Affordable Care Act mandating insurers to cover preventive health care services without cost sharing. The ruling puts at risk access to preventive screenings, treatments, and medications recommended since 2010 for over 150 million Americans. The lawsuit, brought by Christian business owners, also challenged coverage of the HIV prevention drug PrEP. While some preventive services remain unaffected, insurers may regain discretion over certain services, pending the Biden administration's appeal. Despite the ruling, insurers have assured no immediate disruptions in care or coverage. Click here for article/podcast.


  • A federal judge in Texas has overturned the ACA provision requiring insurers to cover preventive health care services without cost sharing.

  • The ruling affects access to preventive screenings, treatments, and medications recommended since 2010 for over 150 million Americans.

  • The lawsuit, brought by Christian business owners, also contested coverage of the HIV prevention drug PrEP, which the judge ruled violated their religious beliefs.

  • Insurers may regain discretion over certain preventive services, pending the Biden administration's appeal, but they have assured no immediate disruptions in care or coverage.

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