While we know the district court will issue a remedy regarding the services recommended by USPSTF, it is not yet clear how broadly the ruling will apply. The final briefs about the remedy were submitted to the court at the end of January 2023, and a decision is expected soon. The Court did not issue a remedy for the ruling, and as such, the preventive services coverage requirement remains in effect. District Court in the Northern District of Texas held that the ACA’s delegation to USPSTF is unconstitutional and the requirement to cover pre-exposure prophylaxis (PrEP) to prevent HIV violates the plaintiffs’ religious rights.

This preventive services mandate is currently being challenged in federal court in Braidwood Management v. These requirements apply to fully insured and self-insured health plans in the individual, small group, and fully and self-insured large group markets, except those that maintain “grandfathered” status. Preventive Services Task Force ( USPSTF) with an “A” or a “B” rating, the Advisory Committee on Immunization Practices ( ACIP), the Health Resources and Services Administration ( HRSA), or the HRSA-sponsored Women’s Preventive Services Initiative ( WPSI). Private health plans are required to cover preventive services recommended by the U.S. Preventive services covered without cost-sharing include screening tests and assessments, immunizations, behavioral counseling, contraceptives, and medications that can prevent the development or worsening of diseases and health conditions. The Affordable Care Act (ACA) requires most private health plans to cover in-network preventive services at $0 cost-sharing for enrollees.

Behavioral health pocket prep