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Supreme Court to Hear ACA Preventive Care Mandate Challenge

The case questions the constitutionality of the U.S. Preventive Services Task Force's authority, potentially impacting free access to screenings and medications for millions.

A doctor looks at two computer screens outside a CT scan room where a patient is moving through the scanning machine -- Health coverage from STAT
The Supreme Court building is seen at sunrise.
A sign directs people to an insurance company where they can sign up for the Affordable Care Act, also known as Obamacare, in Miami in 2015.
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Overview

  • Oral arguments in Kennedy v. Braidwood are scheduled for April 21, 2025, with the Supreme Court set to decide the future of the ACA's no-cost preventive care mandate.
  • The plaintiffs argue that the U.S. Preventive Services Task Force violates the Constitution’s Appointments Clause due to its members not being Senate-confirmed.
  • Nearly 40 million Americans currently benefit from free preventive services, such as cancer screenings and HIV prevention drugs, which could face cost-sharing if the mandate is overturned.
  • Health experts warn that even minor copays could reduce adherence to preventive care, potentially leading to higher rates of advanced-stage disease diagnoses and new HIV infections.
  • The Trump administration, in a shift from its earlier stance, is defending the ACA mandate, citing Health and Human Services oversight as sufficient to uphold its constitutionality.