This article discusses how in March of 2023 a District Court in Texas enjoined the U.S. government from enforcing certain preventive care requirements under the ACA for private health insurers. The current order by the Court enjoined enforcement of the ACA preventive care requirements based on those recommendations made on or after the date of March 23, 2010, by the U.S. Preventive Services Task Force. This article discusses the Court’s analysis and the remedy the Court decided on after finding violations under the RFRA and Appointments Clause. The article also discusses the implications and effects of this decision on whether previously covered services that the ACA didn’t allow cost sharing for will now have cost sharing by private health insurers and how that will affect consumers. The article concludes that despite lack of enforcement, private health insurers should not require cost sharing for previously covered services that the ACA didn’t allow cost sharing for before this most recent decision. Cost sharing for previously covered services would increase costs for those enrolled in private health insurance plans and could lead to a reduction in access to preventive services and healthcare.

中文翻译：

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布雷德伍德管理。v. Becerra 和德克萨斯州地方法院决定停止执行 ACA 下的预防性护理保险要求

本文讨论了 2023 年 3 月德克萨斯州地方法院如何禁止美国政府根据《平价医疗法案》对私人健康保险公司执行某些预防性护理要求。法院当前的命令禁止执行基于美国预防服务工作组 2010 年 3 月 23 日或之后提出的建议的 ACA 预防保健要求。本文讨论了法院的分析以及法院在发现违反 RFRA 和任命条款的行为后决定采取的补救措施。本文还讨论了这一决定的影响和影响，即 ACA 之前不允许分摊费用的服务现在是否将由私人健康保险公司分摊费用，以及这将如何影响消费者。文章的结论是，尽管缺乏执行力，私人健康保险公司不应要求对之前承保的服务进行费用分摊，而在最近做出的决定之前，平价医疗法案不允许对这些服务进行费用分摊。以前承保服务的费用分摊将增加参加私人健康保险计划的人的费用，并可能导致获得预防性服务和医疗保健的机会减少。