On Thursday, March 30, 2023, a Texas federal judge invalidated the Affordable Care Act (ACA) mandate requiring insurers to cover specific preventive services for free, such as certain cancer screenings and medicines for preventing heart disease. The ruling could affect over 150 million Americans’ out-of-pocket costs for these services. Immediate implications are unclear, and health experts don’t expect significant short-term changes. The Biden administration is expected to appeal the decision, which could lead to further legal proceedings.