Affordable Care Act Nears its 15th Anniversary

March 23, 2025, marks the 15th anniversary of the Affordable Care Act’s (ACA) enactment date. A large part of the law’s impact was its requirement that non-grandfathered group health plans and health insurance issuers provide coverage of certain specified preventive services without cost sharing. Section 2713(a)(4) of the Public Health Services Act, as amended by the ACA, requires benefits for certain women's preventive health services as provided for in comprehensive guidelines supported by the Health Resources and Services Administration. Guidelines mandate coverage, without cost sharing, for several preventive services recommended by the National Academy of Medicine. This includes providing contraceptives to prevent unplanned pregnancies – which has been challenged with modifications adapted.  What might be next?

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