June 27, 2025.

The Supreme Court has preserved a key part of the Affordable Care Act’s preventive health care coverage requirements, rejecting a challenge from Christian employers to the provision that affects 150 million Americans. Friday’s ruling comes in a Texas case over how the government decides which health care medications and services must be fully covered by private insurance under President Barack Obama’s signature law. The plaintiffs said the process is unconstitutional because a volunteer board of medical experts tasked with recommending which services are covered isn’t Senate approved. President Donald Trump’s administration defended the mandate, though the president has criticized his Democratic predecessor’s law. The Justice Department said board members don’t need Senate approval.