On September 7, U.S. District Judge Reed O’Connor ruled in Braidwood Management v. Becerra against a provision of the Affordable Care Act that requires employers to provide insurance coverage for PrEP (Pre-exposure prophylaxis), a medication that prevents the transmission of HIV. The judge ruled that the ACA mandate violates employers’ rights under the Religious Freedom Restoration Act. Read the ruling in the case (courtesy of Chris Geidner) here.
Ivy Hill (they/them pronouns), Community Health Program Director of the Campaign for Southern Equality, said today:
“This ruling is about imposing extreme religious beliefs – not, as it purports, about protecting religious freedom: Far right extremist judges are attacking privacy and access to health care.”
“We must be increasing access to life-saving medications like PrEP, not using it as the latest political wedge to attack LGBTQ people in the South. Whether it’s access to abortion, trans-affirming care, birth control, or PrEP, we are seeing dangerous action from activist courts intervening in Americans’ healthcare decisions – and we must push back.”
PrEP is a daily pill used widely for HIV prevention by individuals who are HIV-negative but at high risk for exposure, including men who have sex with men, people who are in a sexual relationship with an HIV-positive partner, and people who have recently injected drugs. Daily PrEP use can reduce the risk of HIV infection from sex by more than 90 percent.
PrEP is an especially critical strategy for HIV prevention in the South, the epicenter of the modern HIV crisis in the United States. According to 2016- 2017 CDC data, one-half of all HIV diagnoses occur in the South, 47 percent of HIV related deaths happened in the South, and 46 percent of people living with HIV live in the South. In the Campaign for Southern Equality’s Report of the 2019 Southern LGBTQ Health Survey, we found that respondents’ reported rates of living with HIV more than 15 times higher than the national rate, with 5 percent of respondents saying they are living with HIV and 10.4 percent saying that they don’t know their status.
Judge O’Connor has a long history of ruling against the Affordable Care Act, and a history of rulings that harm the LGBTQ community, including opinions that overreached on marriage rights for same-sex couples and a decision on anti-LGBTQ workplace discrimination that blatantly violated the U.S. Supreme Court’s ruling in Bostock v. Clayton County.