The U.S. Supreme Court upheld a central pillar of the Affordable Care Act, ruling 6–3 that members of the U.S. Preventive Services Task Force are constitutionally appointed “inferior officers.” The decision in Kennedy v. Braidwood Management reverses a lower-court finding that had threatened insurers’ obligation to provide no-cost preventive care, including cancer screenings, vaccinations and HIV-prevention medication. Writing for the majority, Justice Brett Kavanaugh said task-force members are removable at will by the Health and Human Services secretary and that their recommendations are subject to the secretary’s review, preserving the required chain of political accountability. Chief Justice John Roberts, Justice Amy Coney Barrett and the Court’s three liberal justices joined the opinion. Public-health advocates had warned that striking down the task force would jeopardize free preventive benefits for roughly 150 million Americans with private insurance. By affirming the panel’s structure, the Court leaves those services in place, at least for now, and averts the prospect of new cost-sharing that could discourage early detection and treatment. The ruling nonetheless enhances executive influence over the task force, giving Secretary Robert F. Kennedy Jr. clear authority to veto or revise its recommendations—an outcome observers say could reshape the list of covered benefits in future administrations. Justices Clarence Thomas, Samuel Alito and Neil Gorsuch dissented, arguing the panel wields power that requires presidential nomination and Senate confirmation. The case marks the latest unsuccessful bid to weaken the 2010 health-care law, which has repeatedly survived Supreme Court scrutiny.