The US Supreme Court on Friday upheld a key provision of the Affordable Care Act that requires health plans to fully cover many preventive health care services recommended by a federal panel.

The ruling means that tens of millions of Americans can continue getting a variety of preventive services for free under their plans. Those cost-free services include an array of screenings, such as cancer screenings like mammograms and colonoscopies, as well as screens for obesity, lead exposure in children, high blood pressure, diabetes, and some sexually transmitted diseases, to name a few. The free services also include recommended vaccines for children and adults, well-baby and well-child doctor visits, birth control, statins, PrEP HIV prevention drugs, and fluoride supplements and varnishes for children's teeth.

The ruling stems from a lawsuit brought by a group of conservative Christians, represented by Braidwood Management, who objected to having to cover PrEP medication, which they claim can "encourage and facilitate homosexual behavior."

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The Supreme Court today reversed a ruling that threatened the future of the Federal Communications Commission's Universal Service Fund. In a 6–3 opinion, the high court said the US Court of Appeals for the 5th Circuit erred when it found that Universal Service fees on phone bills are an illegal tax.

Universal Service is an $8 billion-a-year system that is used to expand telecom networks and make access more affordable through programs such as Lifeline discounts and deployment grants for Internet service providers. The program was challenged in multiple circuits by Consumers' Research, a nonprofit that fights "woke corporations," and a mobile virtual network operator called Cause Based Commerce.

The 5th Circuit ruling focused on Congress delegating its taxing power to the FCC and the FCC then subdelegating that taxing power to the Universal Service Administrative Company (USAC), a private organization that administers the fund. In a 9–7 en banc ruling, the 5th Circuit found that "the combination of Congress's sweeping delegation to FCC and FCC's unauthorized subdelegation to USAC violates the Legislative Vesting Clause in Article I, § 1."

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The Supreme Court today upheld a Texas law that requires age verification on porn sites, finding that the state's age-gating law doesn't violate the First Amendment.

The 6–3 decision delivered by Justice Clarence Thomas rejected an appeal by the Free Speech Coalition, an adult-industry lobby group. Pornhub disabled its website in Texas last year because of the state law.

The Supreme Court's conservative majority decided that the law should be reviewed under the standard of intermediate scrutiny "because it only incidentally burdens the protected speech of adults." The law "survives intermediate scrutiny because it 'advances important governmental interests unrelated to the suppression of free speech and does not burden substantially more speech than necessary to further those interests,'" the court said.

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