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The Potential Effects of Braidwood Management v. Becerra and Impact on Community Health Centers

Rebecca Morris1, Peter Shin1, Feygele Jacobs1

  • 1Milken Institute School of Public Health, George Washington University.

American Journal of Law & Medicine
|July 30, 2026
PubMed

Insights

The Braidwood v. Becerra case could eliminate 75% of preventive services under the Affordable Care Act. This threatens access to essential care for millions in underserved communities relying on health centers.

Area of Science:

  • Public Health
  • Health Policy
  • Preventive Medicine

Background:

  • Community health centers serve over 30 million underserved individuals.
  • These centers rely on insurance revenue, particularly Medicaid and marketplace subsidies.
  • The Braidwood Management, Inc. v. Becerra case challenges the Affordable Care Act's preventive care coverage mandate.

Purpose of the Study:

  • To analyze the potential impact of the Braidwood v. Becerra case on preventive services offered by community health centers.
  • To quantify the number of preventive services at risk and their importance to underserved populations.

Main Methods:

  • Developed an analytic model to crosswalk affected preventive services with services mandated for health centers.
  • Assessed the role of health centers in providing services potentially impacted by the lawsuit.

Main Results:

  • If the Braidwood plaintiffs prevail, only 48 out of 193 preventive services may remain covered.
  • Community health centers are the primary providers of nearly 150 affected preventive services for underserved communities.
  • Significant negative impacts on access, quality, patient health, and health center finances are anticipated.

Conclusions:

  • The Braidwood v. Becerra case poses a substantial threat to preventive care access for millions in medically underserved areas.
  • Community health centers are critical infrastructure for delivering preventive services, and their financial stability is jeopardized.
  • The ruling could lead to significant declines in population health and increased healthcare disparities.

Keywords:
Medicaidcommunity health centerpreventive care

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