Dallas, Tex./USA-10/26/14: The Earle Cabell Federal Bldg. houses the U.S. District Court for the Northern District of Texas, U.S. Attorneys Office and U.S. Bankruptcy Court..

A federal judge’s ruling in Texas has thrown into question whether millions of insured Americans will continue to receive some preventive medical services, such as cancer screenings and drugs that protect people from HIV infection, without making a copayment.

It’s the latest legal battle over the Affordable Care Act, and Wednesday’s ruling is almost certain to be appealed.

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