A federal appeals court has ruled against the Colorado-based Little Sisters of the Poor Home for the Aged, finding that employees of such religious nonprofits must be able to access contraceptive coverage in line with the Affordable Care Act (ACA).
Unlike last year’s controversial Supreme Court case, Burwell v. Hobby Lobby Stores, Inc., which successfully challenged the health care law’s birth control mandate in its entirety, this case targeted a federal accommodation for nonprofit organizations with religious objections to birth control. All those groups have to do, under the accommodation, is submit a formal objection to including contraceptive coverage in their employee health plans, so that their health insurance issuers or a third-party administrator can provide the coverage directly.
The Little Sisters of the Poor argued that even that work-around substantially burdened the group’s sincerely-held religious beliefs and should be blocked under the Religious Freedom Restoration Act (RFRA) — the same law at the heart of last year’s Hobby Lobby ruling, which found that closely-held for-profit corporations would not have to cover the cost of birth control if doing so violated those companies’ religious beliefs.
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A three-judge panel of the 10th Circuit Court of Appeals, however, disagreed. In a 2-1 decision released Tuesday, the court concluded that “the accommodation scheme relieves Plaintiffs of their obligations under the Mandate and does not substantially burden their religious exercise under RFRA or infringe upon their First Amendment rights.”
It is the sixth appeals court to find that the ACA accommodation poses no substantial burden to nonprofit groups’ religious beliefs, according to the ACLU.
“The court’s opinion is a huge victory for women,” said Brigitte Amiri, senior staff attorney for the American Civil Liberties Union’s Reproductive Freedom Project, in a statement. “Religious liberty is fundamental value, and one that we fight for here at the ACLU. But religious freedom doesn’t give the plaintiffs in these cases the right to discriminate against their female employees.”
Meanwhile, Mark Rienzi, senior counsel of the Becket Fund for Religious Liberty and lead attorney for the Little Sisters of the Poor, said he was “disappointed” with the decision.








