A federal judge in Texas has ruled that required coverage of an HIV prevention drug under the Affordable Care Act violates a Texas employer’s religious beliefs and undercut the broader system that determines which preventive drugs are covered in the U.S. The ruling was handed down Wednesday by Fort Worth-based U.S. District Judge Reed O’Connor, who ruled in 2018 that the entire ACA is invalid.

A federal judge in Texas ruled that a provision of the Affordable Care Act that manages free coverage of certain drugs that prevent HIV infections violate the religious beliefs of a Christian-owned company.