Affordable Care Act, Preventive Health Care, Health Insurance

SCOTUS Allows Enforcement of ACA’s Preventive-Care Mandates But Opens Door for Political Influence: Key Points for Group Health...

Fisher Phillips on 7/22/2025

The federal government may continue to enforce the Affordable Care Act’s preventive-care mandates, thanks to the Supreme Court’s recent decision in Kennedy v. Braidwood Management. In a 6-3 bipartisan opinion written by...more

Supreme Court Decision Leaves ACA Preventive Services Mandate Intact

Proskauer - Employee Benefits & Executive... on 7/10/2025

On the last day before the U.S. Supreme Court’s summer recess, the Court issued a decision that left in place the Affordable Care Act (“ACA”) mandate that requires non-grandfathered group health plans and issuers to cover,...more

Supreme Court affirms constitutionality of U.S. Preventive Services Task Force

Hogan Lovells on 7/9/2025

On June 27, 2025, the Supreme Court in Kennedy v. Braidwood Management, Inc. upheld the structure of the U.S. Preventive Services Task Force (USPSTF, or “Task Force”), overturning a Fifth Circuit decision that had ruled that...more

U.S. Supreme Court Preserves Preventive Care Coverage Under the ACA

Warner Norcross + Judd on 7/8/2025

On June 27, 2025, the U.S. Supreme Court issued its decision in Kennedy v. Braidwood Management, Inc., rejecting a constitutional challenge to the Affordable Care Act’s (ACA) preventive services mandate. The Supreme Court...more

SCOTUS on ACA Challenge: Seriously Guys, We’re Doing This Again?

Seyfarth Shaw LLP on 7/2/2025

In a closely watched decision, the Supreme Court has upheld the authority of the U.S. Preventive Services Task Force (Task Force), preserving the Affordable Care Act’s (ACA) requirement that health plans cover preventive...more

Year-End Compliance Checklist for Employee Benefit Plans

Schwabe, Williamson & Wyatt PC on 10/23/2023

As we come to the end of the year, it is a good time for employers with January 1st health plan renewals to review their plan documents and get ready for open enrollment. The following is a checklist that lists some of the...more

High Deductible Health Plan First Dollar Coverages in Flux

Foley & Lardner LLP on 7/21/2023

A recent string of lawsuits, regulatory guidance, and market trends have dramatically impacted the types of services that enjoy first dollar coverage under high deductible health plan (HDHP) and health savings account (HSA)...more

Preventive Care Rules Remain in Place for Now

Ballard Spahr LLP on 6/20/2023

The Fifth Circuit Court of Appeals has stayed the broad application of a district court decision that would have invalidated a number of preventive care requirements under the Affordable Care Act. As a result, health plans,...more

Navigating the Wild West of the New ACA Preventative Care Ruling

Sheppard Mullin Richter & Hampton LLP on 5/12/2023

On March 30, Judge Reed O’Connor of the U.S. District Court for the Northern District of Texas issued a decision in Braidwood Management Inc. v. Becerra (“Braidwood”), invalidating the Affordable Care Act’s (“ACA’s”) mandate...more

Federal Court Blocks Enforcement of Some ACA Preventive Health Service Requirements: What Plan Sponsors Should Consider

Dickinson Wright on 5/8/2023

In a March 2023 ruling, a Texas federal district court vacated all actions taken by the Departments of Labor (“DOL”), Health and Human Services (“HHS”), and Treasury (collectively, the “Departments”) to implement or enforce...more

FAQs Address ACA Preventive Care Questions Post-Braidwood

Seyfarth Shaw LLP on 4/24/2023

Seyfarth Synopsis: The Tri-Agencies issued Frequently Asked Questions addressing the impact of the Braidwood decision on the ACA’s preventive care mandate, including guidance on certain preventive care services that must...more

Departments Issue Guidance on Preventive Services under the ACA Following the Braidwood Decision

Bradley Arant Boult Cummings LLP on 4/21/2023

In light of the March 30 Braidwood Mgmt. Inc. v. Becerra decision, the Department of Labor, Department of Health and Human Services, and Department of the Treasury (the “departments”) have issued FAQ guidance on how the...more

Federal District Court’s Ruling on Affordable Care Act Preventive Care Eases Employer Burden—at Least for Now

Ogletree, Deakins, Nash, Smoak & Stewart,... on 4/20/2023

Employers, at least for now, may have some relief from some of the Affordable Care Act (ACA) requirements to cover preventive care services without cost sharing under a nationwide injunction issued March 30, 2023, by a...more

FAQs Provide Guidance on Preventive Care

Ballard Spahr LLP on 4/19/2023

Summary - The Departments of Labor, the Treasury, and Health and Human Services have jointly issued FAQs that address the requirement to cover the full cost of certain preventive care services in view of the recent ruling...more

Tri-Agencies Address Preventive Services Coverage in the Wake of Braidwood

McDermott Will & Schulte on 4/18/2023

In response to Braidwood Mgmt. Inc. v. Becerra, a recent case striking down part of the Affordable Care Act (ACA) preventive services mandate, the US Departments of Labor, Health and Human Services, and the Treasury...more

ACA Preventive Services Mandate Partially Vacated: What’s Affected, What’s Not, and What’s Next

Bradley Arant Boult Cummings LLP on 4/11/2023

A federal judge has struck down a provision of the Affordable Care Act (ACA) mandating group health plans and insurers to cover a long list of preventive services without cost-sharing from participants. The March 30 decision...more

Court Invalidates Certain Preventive Care Requirements

Ballard Spahr LLP on 4/4/2023

Summary - Health plans and insurance policies may no longer be required to cover the full cost of preventive care that carries an A or B rating by the U.S. Preventive Services Task Force (USPSTF), following a recent ruling...more

ACA Preventive Service Requirements Partially Vacated

Groom Law Group, Chartered on 4/3/2023

On March 30, 2023, the District Court for the Northern District of Texas issued an opinion and order in Braidwood Mgmt. Inc. v. Becerra that vacates the implementation and enforcement of certain preventive service provisions...more

Federal Agencies Issue HIV Preventive Services Guidance for Health Benefit Plans

Ogletree, Deakins, Nash, Smoak & Stewart,... on 8/26/2021

The U.S. Department of Labor, U.S. Department of Health and Human Services, and U.S. Department of the Treasury recently issued regulatory guidance on the requirement that health plans cover pre-exposure prophylaxis (PrEP)...more

Employer health plans must pay the cost of a COVID-19 vaccine

McAfee & Taft on 12/4/2020

As many have likely heard, multiple COVID-19 vaccine candidates have rapidly reached the final stages of development and are showing extraordinary effectiveness. The vaccines are beginning to be submitted to the FDA for...more

NJ Bills Preserve ACA Protections

Rivkin Radler LLP on 1/28/2020

New Jersey Governor Phil Murphy recently signed into law a package of nine bills that will preserve for state residents many of the provisions of the Affordable Care Act (ACA) even if the ACA itself is ultimately found...more

Hospital tries to stick ER nurse with $1 million in debt for her preemie’s care

Patrick Malone & Associates P.C. | DC Injury... on 11/11/2019

It’s the price and cost problem, stupid. That’s a fictitious but new tattoo that voters might want politicians to take up as they consider the many major problems with the American health care system, especially as yet more...more

Preventive Care Can Now Be Covered for Specified Chronic Conditions Before HDHP Deductible

Snell & Wilmer on 8/12/2019

On July 17, 2019 the IRS released Notice 2019-45 resolving a preventive care problem that has been plaguing many high deductible health plans (“HDHPs.”). The Affordable Care Act’s free preventive care mandate appears to be...more

IRS Expands Preventive Care Benefits Under High Deductible Health Plans

Burr & Forman on 7/25/2019

On July 17, 2019, the Internal Revenue Service (the “IRS”) released Notice 2019-45 which expands the list of permissible preventive care benefits for high deductible health plan (“HDHP”) purposes. Among other requirements, an...more

On and On It Goes: Preventive Care Coverage Updates Under the Affordable Care Act

Ogletree, Deakins, Nash, Smoak & Stewart,... on 12/13/2018

The Affordable Care Act (ACA) introduced mandatory coverage for a wide array of preventive care services. Section 2713 of the ACA requires most health plans to provide coverage for various preventive care services without...more

Patient Protection and Affordable Care Act (PPACA) › Preventive Health Care › Health Insurance

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