A federal district court last week ruled that health insurers are no longer required by the Affordable Care Act to provide "free" preventative care for services identified as important by the Preventative Services Task Force. Judge Reed O'Connor ruled that the volunteer members of that task force are officers of the United States and need to be appointed by the president or at least by the head of a governmental department. What Congress thought was a feature in the ACA — insulating these difficult decisions from political pressure — has turned out to be a constitutional bug. The decision may well stand up on appeal. Since the ACA was enacted in 2010, the Supreme Court has reemphas
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