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Supreme Court agrees to rule on birth control insurance mandate

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The Supreme Court once again will settle a dispute over the Affordable Care Act's 'contraceptive mandate'(Photo: Carolyn Kaster, AP)


WASHINGTON — The Supreme Court agreed Friday to settle a widespread<span style="color: Red;">*</span>dispute between the Obama administration and religious non-profits over insurance coverage for birth control, which is sure to elevate issues of<span style="color: Red;">*</span>religious freedom and reproductive rights in next year's<span style="color: Red;">*</span>presidential campaign.
The justices agreed to hear a challenge<span style="color: Red;">*</span>to the Affordable Care Act from seven different non-profit organizations claiming religious objections, marking the second time in three years the so-called "contraceptive mandate" has come before the court —<span style="color: Red;">*</span>and the fourth time in five years it has faced off against President Obama's signature health care law.
Sixteen months after ruling narrowly that private companies<span style="color: Red;">*</span>with religious objections cannot be forced to pay for employees' contraceptives,<span style="color: Red;">*</span>the high court has been met with a chorus of cries from religious charities, schools and hospitals seeking to get out of the birth control business altogether.<span style="color: Red;">*</span>The new challenge asks the justices<span style="color: Red;">*</span>to overturn federal appeals court decisions that would force the non-profit groups to take action to opt out of the requirement, rather than receiving the blanket exclusion granted churches and other solely religious institutions.
On one hand, the court has saved Obamacare from legal destruction twice, in 2012 and again this year. But it ruled last year that closely-held corporations, such as arts-and-crafts chain Hobby Lobby<span style="color: Red;">*</span>whose owners object to contraception, could hand off providing free coverage of birth control to insurers or others.
USA TODAY
Justices rule for Hobby Lobby on contraception mandate




The solution, the court said, would be for those companies to inform<span style="color: Red;">*</span>the government or their insurance providers in writing that they would not pay for birth control, at which point the insurer would pay for it directly. Religious non-profits already had been granted such an accommodation after lengthy negotiations, but they<span style="color: Red;">*</span>say even writing a letter or filling out a form makes them complicit.
The petitions to a court generally protective<span style="color: Red;">*</span>of religious rights have come mostly from Catholic leaders in New York,<span style="color: Red;">*</span>Washington, D.C., and elsewhere,<span style="color: Red;">*</span>as well as<span style="color: Red;">*</span>religious schools, universities, hospitals and charities. Some object to paying for any contraceptives, others just for those they equate with abortion.
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Nuns from the Little Sisters of the Poor gathered in New York in September for Pope Francis' visit.<span style="color: Red;">*</span>(Photo: Timothy A. Clary, AFP/Getty Images)

Lawyers for the Little Sisters of the Poor argued in their petition that "the<span style="color: Red;">*</span>government has put them to the impossible choice of either violating the law or violating the faith upon which their lives and ministry are based." It said<span style="color: Red;">*</span>the nuns believe that the opt-out method offered as a solution "would make them morally complicit in grave sin."
Mark Rienzi, senior counsel at the Becket Fund for Religious Liberty, which represents Little Sisters, noted the Obama administration had recommended the court grant only one case, filed in Washington, D.C. Instead, the justices accepted all the cases pending before them, which will be consolidated for oral argument, most likely in March.
"The government's<span style="color: Red;">*</span>on a bit of a losing streak at the Supreme Court<span style="color: Red;">*</span>on this issue,” Rienzi said.
Until last month, none of the federal appeals courts to hear the complaints sided with the non-profits' claim that the Religious Freedom Restoration Act shields them from complying with the law. The U.S. Court of Appeals for the District of Columbia Circuit, in a case brought by the Archbishop of Washington, said<span style="color: Red;">*</span>those who opt out "are excused from playing any role in the provision of contraceptive services, and they remain free to condemn contraception in the clearest terms."
Perhaps tipping its<span style="color: Red;">*</span>hand, the Supreme Court in several cases blocked those rulings from taking effect until the appeals process plays out. Otherwise, non-profits could have been liable for fines of up to $100 per day for each uncovered worker.
Then in September,<span style="color: Red;">*</span>the 8th Circuit Court of Appeals came down on the other side, placing what the objectors believe above<span style="color: Red;">*</span>what the opt-out method provides.<span style="color: Red;">*</span>"We conclude that compelling their participation in the accommodation process by threat of severe monetary penalty is a substantial burden on their exercise of religion," the court said.
That ruling created a split among appeals courts that the Supreme Court has<span style="color: Red;">*</span>to resolve. Even the Obama administration, which had been on a winning streak in lower courts, urged the justices to take up the issue.
The battle, like the Hobby Lobby case that preceded it, pits reproductive rights against religious liberty.
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Activists supporting the owners of companies Hobby Lobby and Conestoga Wood Specialties rallied outside the Supreme Court in during oral arguments in March 2014.<span style="color: Red;">*</span>(Photo: Michael Reynolds, EPA)

More than<span style="color: Red;">*</span>99% of sexually active women<span style="color: Red;">*</span>ages<span style="color: Red;">*</span>15 to<span style="color: Red;">*</span>44 have used at least one type of birth control, according to the Guttmacher Institute, which conducts research on sexual and reproductive health and rights. It says about 43 million<span style="color: Red;">*</span>women are at risk of unintended pregnancies. Those women have saved more than $1 billion through the new benefit already, abortion rights advocates say.
Abortion rights groups say any additional obstacles placed in their way, including employer exemptions, raises the risk of unplanned and risky pregnancies. <span style="color: Red;">*</span>Religious freedom groups say the Obama administration can guarantee women coverage for contraceptives without forcing employers with religious objections to provide it.
Whatever the Supreme Court decides, it's not likely to end the dispute. A ruling for<span style="color: Red;">*</span>the non-profits could prompt<span style="color: Red;">*</span>for-profit corporations<span style="color: Red;">*</span>to seek the same deal. And a District of Columbia district judge ruled in August that the anti-abortion<span style="color: Red;">*</span>group March for Life did not have to comply with the law on moral, rather than religious, grounds.
USA TODAY
USA TODAY's 2015 Supreme Court Decision Tracker




Follow<span style="color: Red;">*</span>@richardjwolf<span style="color: Red;">*</span>on Twitter.




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