Oliver Wyman July 17, 2024
A federal appeals court narrowed a lower court ruling on ACA preventive services and sent the case back for further review, allowing employers to continue coverage.
Editors note: This was originally published here.
The Affordable Care Act preventive services mandate continues to apply to all nongrandfathered group health plans – except for those of the plaintiffs – while litigation continues, following the Braidwood Management, Inc. et al. v. Becerra opinion from the Fifth Circuit Court of Appeals. For now, non-grandfathered group health plans must continue to provide ACA-mandated preventive services in-network without participant cost sharing. Specifically, these services are: (1) US Preventive Services Task Force evidence-based items or services with an “A” or “B” rating; (2) Advisory Committee on...
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