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WASHINGTON — A federal judge Thursday reversed a major Obamacare provision requiring plans to cover preventive care ranging from cancer and chronic disease screenings to pregnancy care and certain drugs.

The ruling could deal a massive blow to President Joe Biden’s moonshot goal of slashing cancer rates through early screenings . It also leaves the door open for insurers to refuse coverage of statins, drugs preventing HIV transmission known as PrEP, and a vast range of health screenings recommended by federal officials. It could also eventually threaten the  Biden administration’s efforts to lower maternal and infant mortality rates and bolster reproductive rights in the wake of Roe’s overturn. 

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Judge Reed O’Connor of the U.S. District Court for the Northern District of Texas said the Affordable Care Act requirement for insurers to cover care and products recommended by the U.S. Preventive Services Task Force is unconstitutional because members of that panel — 16 volunteers, typically doctors and scientists — were not appointed by the president and approved by the Senate, violating the U.S. Constitution’s appointments clause.

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