Supreme Court Issues Preventive Care Decision

July 9, 2025

EGWP marketplace medicaid Medicare

On June 27, the Supreme Court upheld Affordable Care Act (ACA) requirements for insurance coverage of preventive services recommended by the US Preventive Services Task Force (USPSTF), reversing the lower court’s decision. In a 6-to-3 decision written by Justice Brett Kavanaugh, the majority ruled that the appointment structure of the USPSTF, a panel of experts that recommends preventive health measures that, under the ACA, insurance companies must cover without cost-sharing, is constitutional.

The Court concluded that the USPSTF’s structure makes clear its members are inferior officers, whose appointments (and potential removal) by the Department of Health and Human Services (HHS) Secretary are consistent with the US Constitution’s Appointments Clause.

perspectives

Americans continue to be satisfied with employer-sponsored coverage

A new national survey commissioned by AHIP finds American workers hold consistently positive views of employer-sponsored health coverage, with nearly 9 in 10 expressing satisfaction with their plans and a decisive 96% valuing the financial security their coverage provides. Workers view employer-provided coverage as integral to their employment decisions, with 68% ranking health insurance as […]
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April 15, 2026

EGWP marketplace medicaid Medicare

Solutions

AHIP and BCBSA provide progress update on prior authorization commitments

On April 7, The Cigna Group joined other health plans in announcing an update on the industry’s progress implementing the voluntary prior authorization commitments made in partnership with the Department of Health and Human Services and CMS last year. Since June 2025, participating health plans have eliminated 11% of prior authorizations across a range of […]
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April 15, 2026

EGWP marketplace medicaid Medicare

legislation

Washington lawmakers pass tax increase impacting insurers

Since returning in January, Washington lawmakers have been busy advancing a variety of tax increases to help manage significant budget shortfalls and introduce new revenue streams. One new source of revenue approved by both the Senate and House and included in the state’s budget is HB 2487, which removes a tax exemption for health plan-affiliated […]
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April 15, 2026

EGWP marketplace medicaid Medicare

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