The ruling jeopardizes free coverage of a wide range of preventive care services. Credit: John Raby / AP

A federal judge on Thursday struck down a key provision of the Affordable Care Act, jeopardizing free coverage of a wide range of preventive services including mammograms, colonoscopies and mental health screenings for nearly 168 million people on employer health insurance and on Obamacare’s individual market.

District Court Judge Reed O’Connor, the author of several previous rulings against Obamacare, sided with conservative employers and individuals in Texas who argued that the U.S. Preventive Services Task Force that set those requirements has been acting unconstitutionally since 2010. The decision blocks enforcement of the rules nationwide.

O’Connor, a President George W. Bush appointee to the U.S. District Court for the Northern District of Texas, also ruled that the requirement to cover the HIV prevention drug PrEP violated the religious rights of the employers and could not be enforced against them.

The employers and individuals had standing to sue, O’Connor wrote, because “compulsory coverage for those services violates their religious beliefs […]

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