The Supreme Court upholds free preventive care, but its future now rests in RFK Jr.’s hands

The Affordable Care Act has survived its fourth Supreme Court challenge. Ted Eytan via Wikimedia Commons, CC BY

On June 26, 2025, the U.S. Supreme Court handed down a 6-3 ruling that preserves free preventive care under the Affordable Care Act, a popular benefit that helps approximately 150 million Americans stay healthy.

The case, Kennedy v. Braidwood, was the fourth major legal challenge to the Affordable Care Act. The decision, written by Justice Brett Kavanaugh with the support of Justices Amy Coney Barrett, Elena Kagan, Ketanji Brown Jackson and Sonia Sotomayor, ruled that insurers must continue to cover at no cost any preventive care approved by a federal panel called the U.S. Preventive Services Task Force.