In April, the US Supreme Court will argue for serious health and financial results for millions of Americans in all states. The problem is whether the Affordable Care Act requires the insurance company to guarantee free preventive treatment for the patient is the constitution.
If the ACA’s non -cost preventive clause is unconstitutional, Americans must pay or forget such treatment. Value-based Insurance Design Center (V-BID) At Michigan University.
For reporters, Kennedy V. Case of Braidwood Management The V-Bid Center says that millions of Americans have the potential to avoid prevention services, especially preventive services with financial barriers to preventive management services, especially financial barriers. If Americans avoid prevention treatment due to costs, health results will decrease and racial imbalances will increase, the center added.
February 24, Skokus said it would play On April 21, Robert F. Kennedy Jr. The previous case was called the former HHS assistant BECERRA vs. Breadwood Management.
And February 18, Federation The Ministry of Justice submitted something simple The insurance company says it will defend the ACA requirements that cover certain preventive services without sharing costs. Alice Miranda Ollstein reported For Politicopro.
In short, doj One of the legal questions is the member US Prevention Service Task Force (USPSTF) is a principal without unconstitutional appointment because it is valid as a so -called “inferior executive” or the president has not been appointed and the US Senate has not confirmed them.
“The answer is simple. The task force member is an inferior executive. The typical principal, HHS, is responsible for the final decision on whether the Task Force recommendation is legally binding to the insurance issuer and group health plan.” Briefs readThe minister pointed out that for any reason, the task force members could be removed.
DOJ also argued that Kennedy could command the task force to study certain services or drugs, to remove volunteers who did not comply with recommendations, ignore or delay their recommendations, or prevent them from seeing the light of the day.
“If the Trump administration spends a day, preventive treatment will still be handled, but you will doubt what it is qualified,” she added.
Why this case is important
Braidwood Management, a private company in Katy, Texas, says there is a religious opposition to Article 2713, one of the most popular provisions in the law.
In this section, hundreds of millions of Americans, including the recommended prevention services, including contraceptives, human papilloma virus (HPV) vaccines, and pre -exposure prevention (Prep), can buy health insurance to prevent HIV transmission and consult on the use of sexually transmitted diseases and drugs.
Other prevention services at risk include behavioral counseling, vaccination and cancer, diabetes and hypertension. ACCoRDING to V-BID Center. Section 2713 is increase Prevention service use, health results improve and reduce racial inconsistency in caring for millions of Americans.
In the courts’ briefings submitted on February 25, the lawyer general and Columbia special districts showed a similar point in 21 states (mostly blue). “Before the ACA, many insurers have claimed higher rates for women and excluded numerous women’s health services,” AGS pointed out.
Section 2713 affects millions
In ACA Section 2713 In order to provide more than 50 preventive services, including the “A” or “B” rating of the Prevention Service Task Force, it is necessary to provide more than 50 preventive services (except for grandfathers depending on ACA).
The other two agencies recommend preventive services Advisory Committee on CDC’s vaccination practicesAnd recommended federal health resources and services Prevention treatment and examination for women and childrenAccording to 2023 Health Department.
Most of the reports of this problem are estimated by about 150 million Americans who are free of charge for preventive treatment. However, it should be noted that journalists have a health insurance in 2020 that about 222.26 million Americans have a health insurance that guarantees preventive services at no cost. According to this report From HHS Health Policy Office Planning and HHS Assistant Secretary of ASPE.
Since then, more Americans have acquired personal health insurance and brought to the level of ACA insurance. Amanda Seitz reported For AP communication.
According to the ASPE report, 126 million Americans out of 22.26 million Americans were 155 million personal health insurance (58 million women, 50 million men and 30 million children) and 66 million adults with 20 million adults.
High value -added service for free cost
In January Prevention Service Task Force Recommended Selection of osteoporosis to prevent fractures of women over 65 years of age. Task Force also recommended fracture screening for menopause under 65 years of age as one or more risk factors for osteoporosis.
V-BID Center Director said that these two recommendations are important because it has been added 15 years after the parliament has passed the ACA. A. Mark Pendrick, MD. BRAIDWOOD lawyers have been added because they have been added since the parliamentary passed the ACA in 2010, so the recommendation of a task force with “A” or “B” is unconstitutional.
Another example of the importance of this case is a screening test for breast and colon rectal cancer, Pendrick said. Last year, Task Force recommended women to select breast cancer every year every year. At age 40 Not 50 years old. Between 50 and 45. These two recommendations have influenced about 40 million Americans.
I am looking for it in the future
If Scotus is in favor of the position of Braidwood Research of the Institute of Employment Benefits And the V-Bid Center will pay a significant amount for certain preventive services for some people with health insurance sponsored by the employer, but the employer will not be able to reduce the expenses due to the relatively low expenditures for preventive treatment.
“I hope that the payment person lacks great savings and the popularity of preventive treatment is to prevent repaying consumer costs even if the employer and health plan are voluntarily required.
resources
- Braidwood’s V-BID Center Resource,,, Background, Section 2713 influence, legal problem, future direction.
- AHCJ Health Beat, July 29, 2024.
- “Braidwood v BECERRA: The threat to preventive services has deteriorated.”Health work, June 24, 2024.
- AHCJ Health Beat, July 12, 2023.
- “The cost sharing of preventive services has a big impact on the qualified registrants, but it does not actually reduce the total employer health care expenditure. Braidwood Management Inc. v. Influence of BECERRA”EBRI FAST FACTS, June 23, 2023.
- Litigation to challenge ACA’s prevention service requirements: Braidwood Management Inc. v. BECERRAKFF, May 15, 2023.
- AHCJ Health Beat, May 10, 2023.
- Clinical impact on the decision of the braidwood: Use of the recommended task force before ACAHealth Problem, May 2, 2023.
- AHCJ Health Beat, September 15, 2022.
