Kennedy v. Braidwood: The Supreme Court Upheld ACA Preventive Services but That’s Not the End of the Story Laurie Sobel, Lindsey Dawson, and Alina Salganicoff Published: Jun 27, 2025

https://www.kff.org/policy-watch/kennedy-v-braidwood-the-supreme-court-upheld-aca-preventive-services-but-thats-not-the-end-of-the-story/?utm_campaign=KFF-Womens-Health-Policy&utm_medium=email&_hsenc=p2ANqtz--5xbtcksTtTPSbEPtKJ3y198n_38kvGq4pnH_VkBoVsF2NH7fWIzO9N3YFuMvAocFwH2KNkbCwEij72axcmYCrAa1UuA&_hsmi=368913835&utm_content=368913835&utm_source=hs_email The Supreme Court Case Examining ACA Preventive Service Requirements: Coverage Preserved for Now but More Challenges May Come In a new policy watch, KFF looks at the details of the Supreme Court’s ruling on Kennedy v. Braidwood Management, ruling the Affordable Care Act’s (ACA) coverage requirement for preventive services is constitutional. The ruling means that the services recommended by the U.S. Preventive Services Task Force (USPSTF) — such as cancer screening and pre-exposure prophylaxis (PrEP) — remain available without cost-sharing for most people with private insurance or eligible through Medicaid expansion programs. The Supreme Court decision has broad implications. The ruling clarifies authority given to the Trump administration to transform USPSTF membership and its recommendations moving forward. Given this and continuing litigation in the lower court, access to ACA preventive services is preserved for now but questions remain. The full case, which included challenges on religious grounds, is still moving through the lower courts and the Trump administration’s recent actions on vaccine recommendations issued by the newly appointed Advisory Committee on Immunization Practices could signal that more changes on preventive services could be coming. The Braidwood case is not likely to be the last word on the ACA preventive services coverage requirements. CONTACT: Mikhaila Richards | 202.654.1328 | MRichards@kff.org