As part of its effort to transform the U.S. healthcare system from one that primarily treats disease and disability to one that promotes health, the Affordable Care Act (ACA) included a provision requiring most private health insurers to cover, without copayments, deductibles, or other cost-sharing, four sets of preventive services recommended by federal bodies:
- Services with a grade A or B from the U.S. Preventive Services Task Force (USPSTF)
- Vaccines recommended by the Advisory Committee on Immunization Practices (ACIP)
- Women’s preventive health services recommended by the Health Resources and Services Administration (HRSA)
- Preventive services for children and youth recommended by HRSA
These recommendations cover many life-saving preventive services, including HIV Pre-Exposure Prophylaxis (PrEP) and numerous cancer screenings.
In 2025, the Supreme Court affirmed the constitutionality of the ACA’s no-cost preventive care coverage rule. However, ongoing legal and policy threats to access to preventive care remain.
Our Approach
CHLPI works with partners to advance access to prevention for HIV, cancer, and other serious or chronic conditions. As part of this work, we have convened large groups of stakeholders, written amicus briefs, analyzed the preventive care policy landscape, and offered webinars and other community education materials. For information, see the following resources:
- Elizabeth Kaplan and Carmel Shachar, The Future of the USPSTF and Evidence-Based Preventive Services, New England Journal of Medicine (Sept. 5, 2026)
- US of Care and CHLPI, Protecting No-Cost Preventive Care: A State Legislative Framework (2026)
- Health Care in Motion: The Supreme Court’s Decision in Kennedy v. Braidwood: A Win for Now, But for How Long?
- Brief of Members of the Chronic Illness and Disability Partnership as Amici Curiae in Support of Petitioners and Reversal (2025)
- USPSTF A & B Recommendations as of January 2025, a chart analyzing all then-current USPSTF recommendations and their updates since 2010
- The Broken Link: Braidwood, the United States Preventive Services Task Force (USPSTF), and the Health Equity Implications of Losing Free Access to Preventive Care (2024)
- Brief of 35 Health Care Access Organizations as Amici Curiae in Support of Petition for Writ of Certiorari (2024)
- Kennedy v. Braidwood: Frequently Asked Questions for Healthcare Advocates and Providers (2025)
- Letter: An Act relevant to preserving preventative services without cost sharing (2023)
- Braidwood v. Becerra Storyboard Explainer (2023)