On June 27, 2025, the U.S. Supreme Court upheld a key component of the Affordable Care Act’s (ACA) preventive care mandate. As background, the ACA requires non-grandfathered health plans and health insurance issuers to cover a set of recommended preventive services without imposing cost-sharing requirements, such as deductibles, copayments or coinsurance, when the services are provided by in-network providers. The recommended preventive care services covered by these requirements include evidence-based items or services with an A or B rating in the U.S. Preventive Services Task Force (USPSTF) recommendations.
The plaintiffs in this case had religious objections to the ACA’s preventive care mandate and challenged its legality on various grounds, including the USPSTF’s recommendations being not constitutional because its members had not been validly appointed. The lower courts agreed with the plaintiffs; however, health plans and issuers were required to fully comply with the ACA’s preventive care mandate without interruption while the lawsuit proceeded.
The Supreme Court reversed the lower court’s decision and upheld the constitutionality of the USPSTF’s recommendations. Due to the Court’s ruling, the ACA’s preventive care mandate remains in full effect and health plans and issuers are required to continue covering the entire range of recommended preventive care services without cost sharing.
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