在管理。诉贝塞拉和德克萨斯州地方法院停止执行《平价医疗法》规定的预防性医疗保险要求的决定。

IF 0.5 4区 社会学 Q3 LAW American Journal of Law & Medicine Pub Date : 2023-03-01 DOI:10.1017/amj.2023.19
Sabrina Geisler
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引用次数: 0

摘要

本文讨论了2023年3月,德克萨斯州的一家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保健要求。根据美国预防服务工作组在2010年3月23日当日或之后提出的建议,法院目前的命令禁止执行ACA预防性保健要求。本文讨论了法院的分析以及法院在发现违反RFRA和任命条款后决定采取的补救措施。文章还讨论了这一决定的含义和影响,即以前ACA不允许成本分担的服务现在是否由私人健康保险公司分担成本,以及这将如何影响消费者。文章的结论是,尽管缺乏强制执行,私人健康保险公司不应该要求费用分摊以前覆盖的服务,ACA不允许在最近的决定之前的费用分摊。以前承保的服务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保健的机会减少。
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Braidwood Mgmt. v. Becerra & a Texas District Court's Decision to Stop Enforcement of Preventive Care Coverage Requirements under the ACA.

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.

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来源期刊
CiteScore
0.80
自引率
16.70%
发文量
8
期刊介绍: desde Enero 2004 Último Numero: Octubre 2008 AJLM will solicit blind comments from expert peer reviewers, including faculty members of our editorial board, as well as from other preeminent health law and public policy academics and professionals from across the country and around the world.
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