ACA document

As many as 10 million Americans could face higher out-of-pocket costs if a district court decision regarding preventive health coverage provisions of the Affordable Care Act is upheld on appeal, a KFF report found.

The ACA requires most private plans to cover in-network preventive services at no cost to enrollees. In March, however, the U.S. District Court in the Northern District of Texas ruled in the case of Braidwood Management v. Becerra that this mandate is partially unconstitutional. The decision excluded all preventive care recommendations issued by the United States Preventive Services Task Force on or before March 23, 2010, when the ACA was signed into law.

“As a result, the ruling could affect more services and people over time as new drugs and treatments are developed, recommended and adopted,” according to the report. “For example, this analysis — which relies on 2019 claims data to reflect utilization in a typical pre-pandemic year — does not consider the ruling’s impact on more recent preventive service recommendations, like PrEP for HIV.”

Complete your profile to continue reading and get FREE access to, part of your ALM digital membership.

Your access to unlimited content isn’t changing.
Once you are an ALM digital member, you’ll receive:

  • Critical information including cutting edge post-reform success strategies, access to educational webcasts and videos, resources from industry leaders, and informative Newsletters.
  • Exclusive discounts on ALM, BenefitsPRO magazine and events.
  • Access to other award-winning ALM websites including and

Already have an account?


© 2023 ALM Global, LLC, All Rights Reserved. Request academic re-use from All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.


BenefitsPRO Broker Expo 2024Event

The premier educational and networking event for employee benefits brokers and agents.

Get More Information


Join BenefitsPRO

Don’t miss crucial news and insights you need to navigate the shifting employee benefits industry. Join now!

  • Unlimited access to - your roadmap to thriving in a disrupted environment
  • Access to other award-winning ALM websites including and
  • Exclusive discounts on and ALM events.

Already have an account? Sign In Now
Join BenefitsPRO

Copyright © 2023 ALM Global, LLC. All Rights Reserved.