Modern Healthcare

Another ACA contracept­ion case may be headed to Supreme Court

- —Lisa Schencker

A federal appeals court last week sided for the first time against the Obama administra­tion’s policy intended to ensure that employees of not-forprofit religious organizati­ons can get birth control at no cost.

The case is one of many challengin­g parts of the Affordable Care Act’s mandate that female contracept­ion be considered a preventive healthcare service covered at no out-of-pocket cost.

The U.S. Supreme Court has already granted stays in a number of the contracept­ion coverage cases that have come out of the circuit courts, temporaril­y halting the government from enforcing the mandate.

The White House has said not-forprofit religious organizati­ons could instead submit a form to their thirdparty administra­tor or provide informatio­n to HHS so the government could arrange contracept­ion coverage for their employees.

Many religious organizati­ons, however, argue that would still violate their beliefs.

Judge Roger Wollman of the 8th U.S. Circuit Court of Appeals, writing for the panel, said the mandate “is a substantia­l burden” on the religious organizati­ons.

Seven other circuit courts have ruled in similar cases, but all of them have sided with the government.

“Even though it’s 7-to-1, it becomes nearly certain that the Supreme Court will take one of these cases,” said Douglas Laycock, a law professor at the University of Virginia.

The plaintiffs in the other cases have already petitioned the Supreme Court for review.

The court’s next term begins in October, at which point the justices will meet in conference behind closed doors to decide which cases to hear. Only four of the nine justices must vote to hear a case in order for the court to take it.

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