Health Affairs November 29, 2023
Richard Hughes IV, Naomi Seiler, Sara Rosenbaum

Free coverage of immunizations recommended by experts is on the line in Braidwood Management v Becerra, now pending in the United States Court of Appeals for the Fifth Circuit. The lower court decision struck down coverage recommendations by the United States Preventive Services Task Force (USPSTF) adopted after the date of ACA enactment. On appeal, however, plaintiffs have revived their initial claims and once again challenge all of the coverage recommendations made by multiple expert bodies, spanning women’s health, child health, and immunizations.

Were the Fifth Circuit to roll back preventive coverage to pre-enactment levels, such a ruling would eliminate hundreds of benefits adopted post-enactment. Here, we focus on what a ruling overturning the free immunization guarantee would mean. Given...

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Topics: ACA (Affordable Care Act), Govt Agencies, Insurance, Patient / Consumer, Provider
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