Hobby Lobby Decision Has Limited Impact in California
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She is a classically trained violinist and proud alum of the first symphony orchestra at Burning Man.","avatar":"https://secure.gravatar.com/avatar/ef92999be4ceb9ea60701e7dc276f813?s=600&d=blank&r=g","twitter":"adembosky","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"arts","roles":["author"]},{"site":"news","roles":["editor"]},{"site":"futureofyou","roles":["author"]},{"site":"stateofhealth","roles":["editor"]},{"site":"science","roles":["editor"]},{"site":"forum","roles":["editor"]}],"headData":{"title":"April Dembosky | KQED","description":"KQED Health Correspondent","ogImgSrc":"https://secure.gravatar.com/avatar/ef92999be4ceb9ea60701e7dc276f813?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/ef92999be4ceb9ea60701e7dc276f813?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/adembosky"},"state-of-health":{"type":"authors","id":"8344","meta":{"index":"authors_1591205172","id":"8344","found":true},"name":"State of Health","firstName":"State of 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Hobby Lobby Stores was announced Monday. (Chip Somodevilla/Getty Images)\" width=\"640\" height=\"420\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Anti-abortion advocates rally in front of the Supreme Court awaiting the decision in Burwell v. Hobby Lobby Stores was announced Monday. (Chip Somodevilla/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Most women in California won't be affected by Monday's U.S. Supreme Court \u003ca href=\"http://www.kaiserhealthnews.org/Stories/2014/June/30/Supreme-Court-Limits-Contraceptive-Mandate-For-Certain-Employers.aspx\" target=\"_blank\">landmark decision \u003c/a>in Sebelius v. Hobby Lobby. The Christian owners of the craft store chain challenged the Affordable Care Act's requirement that companies provide contraception coverage to their employees. The Court ruled that closely-held, for-profit companies can opt out if they object on religious grounds.\u003c/p>\n\u003cp>But it's not so easy in California. That’s because the ruling doesn’t apply to state laws. California has had the \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=199920000AB39&search_keywords=\" target=\"_blank\">Women's Contraceptive Equity Act\u003c/a> on the books since 1999. It requires health insurance companies that cover prescription drugs to also cover birth control.\u003c/p>\n\u003cp>“For most workers in California, nothing will change,” says Maggie Crosby, attorney with the ACLU of Northern California. “Women should feel secure that if they have birth control coverage today, they will have it tomorrow.”\u003c/p>\n\u003cp>She says the state law is still in full effect after Monday's Supreme Court ruling.\u003c!--more-->\u003c/p>\n\u003cp>“If there is anything that is not the boss’ business, it is whether an employee uses contraception,” she says. “That is the rule in California.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>More than two dozen\u003ca href=\"http://www.guttmacher.org/statecenter/spibs/spib_ICC.pdf\" target=\"_blank\"> other states have similar laws\u003c/a>, including Texas, Massachusetts, and New Jersey. Those state laws stick because of the legal reasoning on which the Court based its ruling. Lawyers for Hobby Lobby argued the company could claim religious rights under a federal law, the Religious Freedom Restoration Act, and the First Amendment of the Constitution.\u003c/p>\n\u003cp>“The Court decided not to rely on the First Amendment claim, but instead to rely on the statutory claim,” says Joel Paul, law professor at U.C. Hastings College of the Law. “That means the decision only applies to federal laws. If a state, like California, requires employers to provide contraceptive coverage, that law survives this decision.”\u003c/p>\n\u003cp>But there is an exception to the exception. Hobby Lobby is self-insured, meaning the company hires an insurer to manage care, but Hobby Lobby puts up the money to cover its employees’ claims and accepts all liability if the claims end up exceeding the money it initially sets aside.\u003c/p>\n\u003cp>Companies that self-insure are governed by a federal law known as ERISA, the Employee Retirement Income Security Act. They are not required to comply with state laws, like California’s contraceptive equity act. So Hobby Lobby, which has 26 locations in California, is not required to provide birth control coverage to those employees.\u003c/p>\n\u003cp>The company did not comment on the details of the state law, but issued a statement saying it was “overjoyed” by the court's decision.\u003c/p>\n\u003cp>“The nation’s highest court has re-affirmed the vital importance of religious liberty as one of our country's founding principles,\" said Barbara Green, co-founder of Hobby Lobby.\u003c/p>\n\u003cp>\u003ciframe width=\"100%\" height=\"166\" scrolling=\"no\" frameborder=\"no\" src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/156863156&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\">\u003c/iframe>\u003c/p>\n\u003cp>Most companies in California that choose to self-insure are large, public companies that do not fall into the category of companies the Court’s decision is limited to – \"closely held\" companies, where half the company is owned by five individuals or fewer.\u003c/p>\n\u003cp>Janice Rocco, a spokesperson for the California Department of Insurance, said the exact number of companies that fall into both categories - closely held and self insured - is unknown, but expected to be small.\u003c/p>\n\u003cp>“I’m not sure there would be a huge number of employers availing themselves of this decision,” she said. “At least in California, the applicability of the decision on employers is going to be minimal in terms of there being changes.”\u003c/p>\n\u003cp>But the California law has gaps and health care advocates plan to use political momentum against the court's ruling to push for further changes in the state law. The contraceptive equity act does not require companies to provide contraceptives at no charge to the patient, the way the Affordable Care Act does. A bill currently working its way through the state legislature would eliminate co-pays and other cost sharing for birth control. It would also prevent insurers from requiring women to “fail” cheaper birth control methods before paying for more expensive ones.\u003c/p>\n\u003cp>“There's one insurer in California that makes women take oral contraceptive pills for three months before she can get access to the ring, when the ring might be the best method for her,” said Susan Berke Fogel of the National Health Law Program. “Or, others are imposing cost sharing on IUDs [intra-uterine devices], which makes it absolutely unaffordable.”\u003c/p>\n\u003cp>She believes the Supreme Court decision in Hobby Lobby will embolden California lawmakers to pass the bill.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>And there's at least one more twist in the complicated interpretation of the court's decision. Julie Rovner reports for Kaiser Health News that large companies are subject to a year 2000 \u003ca href=\"http://www.eeoc.gov/policy/docs/decision-contraception.html\" target=\"_blank\">ruling from the Equal Employment Opportunity Commission\u003c/a>. \u003ca href=\"http://www.kaiserhealthnews.org/Stories/2014/June/30/contraception-mandate-state-laws-EEOC-pregnancy-discrimination-act.aspx\" target=\"_blank\">From KHN\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>[The ruling stated] that employers that fail to cover contraception as part of their health insurance benefit package are \u003ca href=\"http://www.npr.org/blogs/health/2012/02/10/146662285/rules-requiring-contraceptive-coverage-have-been-in-force-for-years\" target=\"_blank\">discriminating against women\u003c/a> in violation of the 1978 Pregnancy Discrimination Act. That law was itself an amendment to the 1964 Civil Rights Act.\u003c/p>\n\u003cp>So what happens now? “It depends,” said Brigitte Amiri, senior staff attorney at the ACLU.\u003c/p>\n\u003cp>Employers that don’t want to offer some or full contraceptive coverage could sue to block the state contraceptive laws, “but that would be harder given how long some of those laws have been in effect,” she said.\u003c/p>\n\u003cp>Meanwhile, \u003ca href=\"http://www.newrepublic.com/article/118303/hobby-lobby-case-what-if-court-strikes-down-contraception-mandate\" target=\"_blank\">others have suggested \u003c/a>that female employees of Hobby Lobby or other companies that stop offering contraceptive coverage could turn back to the courts for relief themselves, charging gender discrimination.\u003c/p>\n\u003cp>“There will be no shortage of exciting moments in the coming months,” said Amiri.\u003c/p>\u003c/blockquote>\n\n","blocks":[],"excerpt":"While a Calif. law on contraceptive equity supersedes the court's decision, that law has limits, too.","status":"publish","parent":0,"modified":1404237466,"stats":{"hasAudio":true,"hasVideo":false,"hasChartOrMap":true,"iframeSrcs":["https://w.soundcloud.com/player/"],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":26,"wordCount":1005},"headData":{"title":"Hobby Lobby Decision Has Limited Impact in California | KQED","description":"While a Calif. law on contraceptive equity supersedes the court's decision, that law has limits, too.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Hobby Lobby Decision Has Limited Impact in California","datePublished":"2014-07-01T16:32:47.000Z","dateModified":"2014-07-01T17:57:46.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"19901 http://blogs.kqed.org/stateofhealth/?p=19901","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/07/01/hobby-lobby-contraception-decision-has-limited-impact-in-california/","disqusTitle":"Hobby Lobby Decision Has Limited Impact in California","path":"/stateofhealth/19901/hobby-lobby-contraception-decision-has-limited-impact-in-california","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_19909\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/451505174.jpg\">\u003cimg class=\"size-large wp-image-19909\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/451505174-640x420.jpg\" alt=\" Anti-abortion advocates rally in front of the Supreme Court awaiting the decision in Burwell v. Hobby Lobby Stores was announced Monday. (Chip Somodevilla/Getty Images)\" width=\"640\" height=\"420\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Anti-abortion advocates rally in front of the Supreme Court awaiting the decision in Burwell v. Hobby Lobby Stores was announced Monday. (Chip Somodevilla/Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>Most women in California won't be affected by Monday's U.S. Supreme Court \u003ca href=\"http://www.kaiserhealthnews.org/Stories/2014/June/30/Supreme-Court-Limits-Contraceptive-Mandate-For-Certain-Employers.aspx\" target=\"_blank\">landmark decision \u003c/a>in Sebelius v. Hobby Lobby. The Christian owners of the craft store chain challenged the Affordable Care Act's requirement that companies provide contraception coverage to their employees. The Court ruled that closely-held, for-profit companies can opt out if they object on religious grounds.\u003c/p>\n\u003cp>But it's not so easy in California. That’s because the ruling doesn’t apply to state laws. California has had the \u003ca href=\"http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=199920000AB39&search_keywords=\" target=\"_blank\">Women's Contraceptive Equity Act\u003c/a> on the books since 1999. It requires health insurance companies that cover prescription drugs to also cover birth control.\u003c/p>\n\u003cp>“For most workers in California, nothing will change,” says Maggie Crosby, attorney with the ACLU of Northern California. “Women should feel secure that if they have birth control coverage today, they will have it tomorrow.”\u003c/p>\n\u003cp>She says the state law is still in full effect after Monday's Supreme Court ruling.\u003c!--more-->\u003c/p>\n\u003cp>“If there is anything that is not the boss’ business, it is whether an employee uses contraception,” she says. “That is the rule in California.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>More than two dozen\u003ca href=\"http://www.guttmacher.org/statecenter/spibs/spib_ICC.pdf\" target=\"_blank\"> other states have similar laws\u003c/a>, including Texas, Massachusetts, and New Jersey. Those state laws stick because of the legal reasoning on which the Court based its ruling. Lawyers for Hobby Lobby argued the company could claim religious rights under a federal law, the Religious Freedom Restoration Act, and the First Amendment of the Constitution.\u003c/p>\n\u003cp>“The Court decided not to rely on the First Amendment claim, but instead to rely on the statutory claim,” says Joel Paul, law professor at U.C. Hastings College of the Law. “That means the decision only applies to federal laws. If a state, like California, requires employers to provide contraceptive coverage, that law survives this decision.”\u003c/p>\n\u003cp>But there is an exception to the exception. Hobby Lobby is self-insured, meaning the company hires an insurer to manage care, but Hobby Lobby puts up the money to cover its employees’ claims and accepts all liability if the claims end up exceeding the money it initially sets aside.\u003c/p>\n\u003cp>Companies that self-insure are governed by a federal law known as ERISA, the Employee Retirement Income Security Act. They are not required to comply with state laws, like California’s contraceptive equity act. So Hobby Lobby, which has 26 locations in California, is not required to provide birth control coverage to those employees.\u003c/p>\n\u003cp>The company did not comment on the details of the state law, but issued a statement saying it was “overjoyed” by the court's decision.\u003c/p>\n\u003cp>“The nation’s highest court has re-affirmed the vital importance of religious liberty as one of our country's founding principles,\" said Barbara Green, co-founder of Hobby Lobby.\u003c/p>\n\u003cp>\u003ciframe width=\"100%\" height=\"166\" scrolling=\"no\" frameborder=\"no\" src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/156863156&color=ff5500&auto_play=false&hide_related=false&show_comments=true&show_user=true&show_reposts=false\">\u003c/iframe>\u003c/p>\n\u003cp>Most companies in California that choose to self-insure are large, public companies that do not fall into the category of companies the Court’s decision is limited to – \"closely held\" companies, where half the company is owned by five individuals or fewer.\u003c/p>\n\u003cp>Janice Rocco, a spokesperson for the California Department of Insurance, said the exact number of companies that fall into both categories - closely held and self insured - is unknown, but expected to be small.\u003c/p>\n\u003cp>“I’m not sure there would be a huge number of employers availing themselves of this decision,” she said. “At least in California, the applicability of the decision on employers is going to be minimal in terms of there being changes.”\u003c/p>\n\u003cp>But the California law has gaps and health care advocates plan to use political momentum against the court's ruling to push for further changes in the state law. The contraceptive equity act does not require companies to provide contraceptives at no charge to the patient, the way the Affordable Care Act does. A bill currently working its way through the state legislature would eliminate co-pays and other cost sharing for birth control. It would also prevent insurers from requiring women to “fail” cheaper birth control methods before paying for more expensive ones.\u003c/p>\n\u003cp>“There's one insurer in California that makes women take oral contraceptive pills for three months before she can get access to the ring, when the ring might be the best method for her,” said Susan Berke Fogel of the National Health Law Program. “Or, others are imposing cost sharing on IUDs [intra-uterine devices], which makes it absolutely unaffordable.”\u003c/p>\n\u003cp>She believes the Supreme Court decision in Hobby Lobby will embolden California lawmakers to pass the bill.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>And there's at least one more twist in the complicated interpretation of the court's decision. Julie Rovner reports for Kaiser Health News that large companies are subject to a year 2000 \u003ca href=\"http://www.eeoc.gov/policy/docs/decision-contraception.html\" target=\"_blank\">ruling from the Equal Employment Opportunity Commission\u003c/a>. \u003ca href=\"http://www.kaiserhealthnews.org/Stories/2014/June/30/contraception-mandate-state-laws-EEOC-pregnancy-discrimination-act.aspx\" target=\"_blank\">From KHN\u003c/a>:\u003c/p>\n\u003cblockquote>\u003cp>[The ruling stated] that employers that fail to cover contraception as part of their health insurance benefit package are \u003ca href=\"http://www.npr.org/blogs/health/2012/02/10/146662285/rules-requiring-contraceptive-coverage-have-been-in-force-for-years\" target=\"_blank\">discriminating against women\u003c/a> in violation of the 1978 Pregnancy Discrimination Act. That law was itself an amendment to the 1964 Civil Rights Act.\u003c/p>\n\u003cp>So what happens now? “It depends,” said Brigitte Amiri, senior staff attorney at the ACLU.\u003c/p>\n\u003cp>Employers that don’t want to offer some or full contraceptive coverage could sue to block the state contraceptive laws, “but that would be harder given how long some of those laws have been in effect,” she said.\u003c/p>\n\u003cp>Meanwhile, \u003ca href=\"http://www.newrepublic.com/article/118303/hobby-lobby-case-what-if-court-strikes-down-contraception-mandate\" target=\"_blank\">others have suggested \u003c/a>that female employees of Hobby Lobby or other companies that stop offering contraceptive coverage could turn back to the courts for relief themselves, charging gender discrimination.\u003c/p>\n\u003cp>“There will be no shortage of exciting moments in the coming months,” said Amiri.\u003c/p>\u003c/blockquote>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/19901/hobby-lobby-contraception-decision-has-limited-impact-in-california","authors":["3205"],"categories":["stateofhealth_15","stateofhealth_14"],"tags":["stateofhealth_747","stateofhealth_397"],"featImg":"stateofhealth_19909","label":"stateofhealth"},"stateofhealth_19532":{"type":"posts","id":"stateofhealth_19532","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"19532","score":null,"sort":[1402936592000]},"guestAuthors":[],"slug":"6-questions-about-contraception-coverage-and-the-supreme-court","title":"6 Questions About Contraceptives, the ACA, and the Supreme Court","publishDate":1402936592,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_19539\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/06/480530545-2.jpg\">\u003cimg class=\"size-large wp-image-19539\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/06/480530545-2-640x411.jpg\" alt=\"Customers entering a Hobby Lobby store in the San Francisco Bay Area community of Antioch. (Justin Sullivan/Getty Images).\" width=\"640\" height=\"411\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Customers entering a Hobby Lobby store in the San Francisco Bay Area community of Antioch. The owners of the company are evangelical Christians and object, on religious grounds, to providing certain types of birth control. (Justin Sullivan/Getty Images).\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Julie Rovner,\u003c/strong> \u003ca href=\"http://www.kaiserhealthnews.org/Stories/2014/June/13/Supreme-Court-Hobby-Lobby-contraception-birth-control.aspx\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cp>One of the \u003ca href=\"http://www.kaiserhealthnews.org/stories/2014/march/20/supreme-court-arguments-contraception-mandate.aspx\" target=\"_blank\">most watched issues\u003c/a> before the Supreme Court this term may turn on the question of religious freedom. But it will also likely determine how women will be able to access a key provision of the Affordable Care Act – one seeking to guarantee no-cost prescription contraception in most health insurance plans.\u003c/p>\n\u003cp>The justices' ruling on \u003ca href=\"http://www.scotusblog.com/case-files/cases/sebelius-v-hobby-lobby-stores-inc/\" target=\"_blank\">Sebelius v. Hobby Lobby Stores\u003c/a> and \u003ca href=\"http://www.scotusblog.com/case-files/cases/conestoga-wood-specialties-corp-v-sebelius/\" target=\"_blank\">Conestoga Wood Specialties Corp v. Sebelius\u003c/a>, two cases that are being considered together, is expected by the end of this month. The court will decide whether those companies, and potentially all other for-profit companies, must abide by the so-called contraceptive mandate. It's a complicated legal thicket, so here is some background.\u003c/p>\n\u003cp>\u003cstrong>1. What is the contraceptive mandate?\u003c/strong>\u003c/p>\n\u003cp>The health law requires that most insurance plans provide preventive care services without out-of-pocket expense to beneficiaries. The Obama administration included all contraceptives approved by the Food and Drug Administration as part of a package of \u003ca href=\"http://www.hrsa.gov/womensguidelines/\" target=\"_blank\">preventive services for women\u003c/a>.\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Interestingly, for many plans,\u003ca href=\"http://www.npr.org/blogs/health/2012/02/10/146662285/rules-requiring-contraceptive-coverage-have-been-in-force-for-years\" target=\"_blank\"> this wasn't new\u003c/a>. The Equal Employment Opportunity Commission ruled in 2000 that failure of employer health insurance plans to cover contraceptives was a violation of the 1978 Pregnancy Discrimination Act. But the new mandate extends that coverage to all plans, including those in the individual and small group markets, and it requires that the plans offer a specific array of contraceptive options for no cost.\u003c/p>\n\u003cp>More than half the states have their own \"\u003ca href=\"http://www.nwlc.org/resource/contraceptive-equity-laws-your-state-know-your-rights-use-your-rights-consumer-guide-0\" target=\"_blank\">contraceptive equity\u003c/a>\" laws on the books, many of which include religious exemptions that are similar to ones included in the federal regulation.\u003c/p>\n\u003cp>\u003cstrong>2. Who must comply with the mandate?\u003c/strong>\u003c/p>\n\u003cp>Most plans are covered by the mandate, but the federal regulation includes several exceptions. Churches and other strictly religious employers, who primarily employ those of the same faith and whose primary purpose is religious, are exempt from the requirement.\u003c/p>\n\u003cp>Nonprofit, religiously affiliated organizations, such as hospitals and universities, have a \u003ca href=\"http://www.cms.gov/CCIIO/Resources/Fact-Sheets-and-FAQs/womens-preven-02012013.html\" target=\"_blank\">separate set\u003c/a> of rules. They do not have to provide the contraceptives directly, but must make them available to employees through a third party. Catholic Church officials as well as some others have objected to this requirement. There are at least \u003ca href=\"http://www.nwlc.org/status-lawsuits-challenging-affordable-care-acts-birth-control-coverage-benefit\" target=\"_blank\">three dozen court cases\u003c/a> challenging those rules still pending, according to the National Women's Law Center.\u003c/p>\n\u003cp>For-profit companies, however, including the plaintiffs in the cases before the Supreme Court now, aren't exempt.\u003c/p>\n\u003cp>\u003cstrong>3. The owners of Hobby Lobby and Conestoga Wood are not Catholic and say they have no problem offering birth control. So what is their challenge to the mandate?\u003c/strong>\u003c/p>\n\u003cp>Most forms of artificial contraception are contrary to Catholic teaching. But the Green family, which owns the nationwide craft chain Hobby Lobby, are evangelical Christians. And the Hahn family that owns Pennsylvania cabinet-maker Conestoga Wood Specialties are Mennonites. Both families already offer most forms of birth control as part of their health plans.\u003c/p>\n\u003cp>The owners say they are opposed to some forms of birth control — particularly emergency contraceptives \u003ca href=\"http://ec.princeton.edu/pills/plan-b.html\" target=\"_blank\">Plan B\u003c/a> and \u003ca href=\"http://ec.princeton.edu/pills/ella.html\" target=\"_blank\">Ella\u003c/a>, which can be used to prevent pregnancy if taken within 24 hours to as much as five days after unprotected sex — because these contraceptives prevent a fertilized egg from implanting in a woman's uterus. That, they say, is tantamount to a very early abortion, which violates their religion, they argue. The Greens – but not the Hahns – also object to two types of intrauterine devices for the same reasons.\u003c/p>\n\u003cp>\"These abortion-causing pills go against our faith, and our family is now being forced to choose between following the laws of the land that we love or maintaining the religious beliefs that have made our business successful and supported our family and thousands of our employees and their families,\" Hobby Lobby founder David Green told reporters on a conference call when the lawsuit was originally filed.\u003c/p>\n\u003cp>\u003cstrong>4. Do those drugs and devices actually cause abortions?\u003c/strong>\u003c/p>\n\u003cp>Not according to the vast majority of medical and scientific opinion.\u003c/p>\n\u003cp>\"Federal law and State law – which do preclude funding for abortions – don't consider these particular forms of contraception to be abortion,\" said U.S. Solicitor General Donald Verilli during the oral arguments in the case on behalf of the Obama administration. \"We've got about 2 million women who rely on the IUD as a method of birth control in this country. I don't think they are engaged in abortion in doing that.\"\u003c/p>\n\u003cp>\u003ca href=\"http://sblog.s3.amazonaws.com/wp-content/uploads/2013/10/13-354-BRIEF-OF-AMICI-CURIAE-PHYSICIANS-FOR-REPRODUCTIVE-HEALTH-et-al....pdf\" target=\"_blank\">The brief\u003c/a> filed by 10 medical groups led by the American College of Obstetricians and Gynecologists noted that \"there is a scientific distinction between a contraceptive and an abortifacient and the scientific record demonstrates that none of the FDA-approved contraceptives covered by the Mandate are abortifacients.\"\u003c/p>\n\u003cp>That's because the standard medical definition of the \u003ca href=\"http://www.kaiserhealthnews.org/stories/2011/june/01/npr-abortion-legislation.aspx\" target=\"_blank\">start of pregnancy\u003c/a> is when a fertilized egg implants in a woman's uterus, not when sperm and egg first unite.\u003c/p>\n\u003cp>But while blocking implantation of a fertilized egg does not fit the medical definition of pregnancy, it does qualify as ending a life for many religious people.\u003c/p>\n\u003cp>\"As far as the science goes, the FDA has said these four drugs and devices can terminate a human embryo,\" said Lori Windham, senior counsel for the Becket Fund for Religious Liberty, which has been representing Hobby Lobby. She noted that the labels for the emergency contraceptives and IUDs say they can prevent implantation.\u003c/p>\n\u003cp>In the case of one and perhaps both of the emergency contraceptive pills, however, new research suggests they may not work that way at all – they much more likely \u003ca href=\"http://www.nytimes.com/2012/06/06/health/research/morning-after-pills-dont-block-implantation-science-suggests.html?pagewanted=all&_r=0\" target=\"_blank\">simply prevent the fertilization of the egg\u003c/a> in the first place.\u003c/p>\n\u003cp>\u003cstrong>5. Does whether these products cause abortion matter for purposes of this case?\u003c/strong>\u003c/p>\n\u003cp>Probably not. At the heart of the case is what the company owners believe, and no one doubts the sincerity of their views. At issue is whether the owners can exercise those religious objections via their corporations under a 1993 law called the \u003ca href=\"http://www.scotusblog.com/2014/02/symposium-why-is-rfra-still-valid-against-the-federal-government/\" target=\"_blank\">Religious Freedom Restoration Act\u003c/a> (RFRA). It says the government may not impose a \"substantial burden\" on the free exercise of religion unless that burden is the narrowest possible way to further a compelling governmental interest.\u003c/p>\n\u003cp>The federal government and advocates for the mandate say that corporations cannot exercise religious rights, only individuals may.\u003c/p>\n\u003cp>The \u003ca href=\"http://sblog.s3.amazonaws.com/wp-content/uploads/2014/01/01.12.14_brief_for_petitioners_doj.pdf\" target=\"_blank\">government's brief\u003c/a> in the case said Hobby Lobby and a subsidiary Christian book store, \"for-profit corporations conducting commercial enterprises, are not persons exercising religion within the meaning of RFRA.\"\u003c/p>\n\u003cp>\u003cstrong>6. What would happen if the court extended religious standing to for-profit corporations?\u003c/strong>\u003c/p>\n\u003cp>Lots of bad things, say those who are siding with the government in the case.\u003c/p>\n\u003cp>For example, said Barry Lynn, executive director of Americans United for Separation of Church and State, in health care alone, \"Scientology-believing employers could insist upon non-coverage of its nemesis, psychiatry. And Jehovah's' Witness corporations could demand exclusion of surgical coverage, under the theory that so many of such procedures require the use of whole blood products, forbidden by their faith.\"\u003c/p>\n\u003cp>The potential for using religion to escape the reach of federal law doesn't end with health, said Lynn. Corporations could also claim that they don't need to abide by equal pay laws \"because of male dominance in their scriptural social order,\" he said, or, for those who offer public accommodations, \"you can hear them say we don't believe marriage equality is biblical, so you, (gay and lesbian) travelers, cannot stay in our hotel or eat in our restaurant.\"\u003c/p>\n\u003cp>Windham of the Becket Fund finds all those scenarios far-fetched. \"We've had this law on the books for 25 years and none of those cases have happened,\" she said.\u003c/p>\n\u003cp>During the \u003ca href=\"http://www.supremecourt.gov/oral_arguments/argument_transcripts/13-354_5436.pdf\" target=\"_blank\">arguments before the Supreme Court\u003c/a>, Justice Samuel Alito said much the same thing. \"In all the years RFRA has been on the books,\" he asked, \"has any of these claims involving minimum wage, for example, been brought and have they succeeded?\"\u003c/p>\n\u003cp>\"Very few of these claims have been brought,\" responded Paul Clement, the attorney who argued Hobby Lobby's case at the high court.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>Justice Elena Kagan, however, said if the court upholds Hobby Lobby's claim, that might change. \"[T]hen you would see religious objectors come out of the woodwork with respect to these laws,\" she said.\u003c/p>\n\n","blocks":[],"excerpt":"The court will issue a decision this month that will determine the implementation of the Affordable Care Act's guarantee of no-cost prescription contraception.","status":"publish","parent":0,"modified":1403027717,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":37,"wordCount":1433},"headData":{"title":"6 Questions About Contraceptives, the ACA, and the Supreme Court | KQED","description":"The court will issue a decision this month that will determine the implementation of the Affordable Care Act's guarantee of no-cost prescription contraception.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"6 Questions About Contraceptives, the ACA, and the Supreme Court","datePublished":"2014-06-16T16:36:32.000Z","dateModified":"2014-06-17T17:55:17.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"19532 http://blogs.kqed.org/stateofhealth/?p=19532","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/06/16/6-questions-about-contraception-coverage-and-the-supreme-court/","disqusTitle":"6 Questions About Contraceptives, the ACA, and the Supreme Court","path":"/stateofhealth/19532/6-questions-about-contraception-coverage-and-the-supreme-court","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_19539\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/06/480530545-2.jpg\">\u003cimg class=\"size-large wp-image-19539\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/06/480530545-2-640x411.jpg\" alt=\"Customers entering a Hobby Lobby store in the San Francisco Bay Area community of Antioch. (Justin Sullivan/Getty Images).\" width=\"640\" height=\"411\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Customers entering a Hobby Lobby store in the San Francisco Bay Area community of Antioch. The owners of the company are evangelical Christians and object, on religious grounds, to providing certain types of birth control. (Justin Sullivan/Getty Images).\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Julie Rovner,\u003c/strong> \u003ca href=\"http://www.kaiserhealthnews.org/Stories/2014/June/13/Supreme-Court-Hobby-Lobby-contraception-birth-control.aspx\" target=\"_blank\">Kaiser Health News\u003c/a>\u003c/p>\n\u003cp>One of the \u003ca href=\"http://www.kaiserhealthnews.org/stories/2014/march/20/supreme-court-arguments-contraception-mandate.aspx\" target=\"_blank\">most watched issues\u003c/a> before the Supreme Court this term may turn on the question of religious freedom. But it will also likely determine how women will be able to access a key provision of the Affordable Care Act – one seeking to guarantee no-cost prescription contraception in most health insurance plans.\u003c/p>\n\u003cp>The justices' ruling on \u003ca href=\"http://www.scotusblog.com/case-files/cases/sebelius-v-hobby-lobby-stores-inc/\" target=\"_blank\">Sebelius v. Hobby Lobby Stores\u003c/a> and \u003ca href=\"http://www.scotusblog.com/case-files/cases/conestoga-wood-specialties-corp-v-sebelius/\" target=\"_blank\">Conestoga Wood Specialties Corp v. Sebelius\u003c/a>, two cases that are being considered together, is expected by the end of this month. The court will decide whether those companies, and potentially all other for-profit companies, must abide by the so-called contraceptive mandate. It's a complicated legal thicket, so here is some background.\u003c/p>\n\u003cp>\u003cstrong>1. What is the contraceptive mandate?\u003c/strong>\u003c/p>\n\u003cp>The health law requires that most insurance plans provide preventive care services without out-of-pocket expense to beneficiaries. The Obama administration included all contraceptives approved by the Food and Drug Administration as part of a package of \u003ca href=\"http://www.hrsa.gov/womensguidelines/\" target=\"_blank\">preventive services for women\u003c/a>.\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Interestingly, for many plans,\u003ca href=\"http://www.npr.org/blogs/health/2012/02/10/146662285/rules-requiring-contraceptive-coverage-have-been-in-force-for-years\" target=\"_blank\"> this wasn't new\u003c/a>. The Equal Employment Opportunity Commission ruled in 2000 that failure of employer health insurance plans to cover contraceptives was a violation of the 1978 Pregnancy Discrimination Act. But the new mandate extends that coverage to all plans, including those in the individual and small group markets, and it requires that the plans offer a specific array of contraceptive options for no cost.\u003c/p>\n\u003cp>More than half the states have their own \"\u003ca href=\"http://www.nwlc.org/resource/contraceptive-equity-laws-your-state-know-your-rights-use-your-rights-consumer-guide-0\" target=\"_blank\">contraceptive equity\u003c/a>\" laws on the books, many of which include religious exemptions that are similar to ones included in the federal regulation.\u003c/p>\n\u003cp>\u003cstrong>2. Who must comply with the mandate?\u003c/strong>\u003c/p>\n\u003cp>Most plans are covered by the mandate, but the federal regulation includes several exceptions. Churches and other strictly religious employers, who primarily employ those of the same faith and whose primary purpose is religious, are exempt from the requirement.\u003c/p>\n\u003cp>Nonprofit, religiously affiliated organizations, such as hospitals and universities, have a \u003ca href=\"http://www.cms.gov/CCIIO/Resources/Fact-Sheets-and-FAQs/womens-preven-02012013.html\" target=\"_blank\">separate set\u003c/a> of rules. They do not have to provide the contraceptives directly, but must make them available to employees through a third party. Catholic Church officials as well as some others have objected to this requirement. There are at least \u003ca href=\"http://www.nwlc.org/status-lawsuits-challenging-affordable-care-acts-birth-control-coverage-benefit\" target=\"_blank\">three dozen court cases\u003c/a> challenging those rules still pending, according to the National Women's Law Center.\u003c/p>\n\u003cp>For-profit companies, however, including the plaintiffs in the cases before the Supreme Court now, aren't exempt.\u003c/p>\n\u003cp>\u003cstrong>3. The owners of Hobby Lobby and Conestoga Wood are not Catholic and say they have no problem offering birth control. So what is their challenge to the mandate?\u003c/strong>\u003c/p>\n\u003cp>Most forms of artificial contraception are contrary to Catholic teaching. But the Green family, which owns the nationwide craft chain Hobby Lobby, are evangelical Christians. And the Hahn family that owns Pennsylvania cabinet-maker Conestoga Wood Specialties are Mennonites. Both families already offer most forms of birth control as part of their health plans.\u003c/p>\n\u003cp>The owners say they are opposed to some forms of birth control — particularly emergency contraceptives \u003ca href=\"http://ec.princeton.edu/pills/plan-b.html\" target=\"_blank\">Plan B\u003c/a> and \u003ca href=\"http://ec.princeton.edu/pills/ella.html\" target=\"_blank\">Ella\u003c/a>, which can be used to prevent pregnancy if taken within 24 hours to as much as five days after unprotected sex — because these contraceptives prevent a fertilized egg from implanting in a woman's uterus. That, they say, is tantamount to a very early abortion, which violates their religion, they argue. The Greens – but not the Hahns – also object to two types of intrauterine devices for the same reasons.\u003c/p>\n\u003cp>\"These abortion-causing pills go against our faith, and our family is now being forced to choose between following the laws of the land that we love or maintaining the religious beliefs that have made our business successful and supported our family and thousands of our employees and their families,\" Hobby Lobby founder David Green told reporters on a conference call when the lawsuit was originally filed.\u003c/p>\n\u003cp>\u003cstrong>4. Do those drugs and devices actually cause abortions?\u003c/strong>\u003c/p>\n\u003cp>Not according to the vast majority of medical and scientific opinion.\u003c/p>\n\u003cp>\"Federal law and State law – which do preclude funding for abortions – don't consider these particular forms of contraception to be abortion,\" said U.S. Solicitor General Donald Verilli during the oral arguments in the case on behalf of the Obama administration. \"We've got about 2 million women who rely on the IUD as a method of birth control in this country. I don't think they are engaged in abortion in doing that.\"\u003c/p>\n\u003cp>\u003ca href=\"http://sblog.s3.amazonaws.com/wp-content/uploads/2013/10/13-354-BRIEF-OF-AMICI-CURIAE-PHYSICIANS-FOR-REPRODUCTIVE-HEALTH-et-al....pdf\" target=\"_blank\">The brief\u003c/a> filed by 10 medical groups led by the American College of Obstetricians and Gynecologists noted that \"there is a scientific distinction between a contraceptive and an abortifacient and the scientific record demonstrates that none of the FDA-approved contraceptives covered by the Mandate are abortifacients.\"\u003c/p>\n\u003cp>That's because the standard medical definition of the \u003ca href=\"http://www.kaiserhealthnews.org/stories/2011/june/01/npr-abortion-legislation.aspx\" target=\"_blank\">start of pregnancy\u003c/a> is when a fertilized egg implants in a woman's uterus, not when sperm and egg first unite.\u003c/p>\n\u003cp>But while blocking implantation of a fertilized egg does not fit the medical definition of pregnancy, it does qualify as ending a life for many religious people.\u003c/p>\n\u003cp>\"As far as the science goes, the FDA has said these four drugs and devices can terminate a human embryo,\" said Lori Windham, senior counsel for the Becket Fund for Religious Liberty, which has been representing Hobby Lobby. She noted that the labels for the emergency contraceptives and IUDs say they can prevent implantation.\u003c/p>\n\u003cp>In the case of one and perhaps both of the emergency contraceptive pills, however, new research suggests they may not work that way at all – they much more likely \u003ca href=\"http://www.nytimes.com/2012/06/06/health/research/morning-after-pills-dont-block-implantation-science-suggests.html?pagewanted=all&_r=0\" target=\"_blank\">simply prevent the fertilization of the egg\u003c/a> in the first place.\u003c/p>\n\u003cp>\u003cstrong>5. Does whether these products cause abortion matter for purposes of this case?\u003c/strong>\u003c/p>\n\u003cp>Probably not. At the heart of the case is what the company owners believe, and no one doubts the sincerity of their views. At issue is whether the owners can exercise those religious objections via their corporations under a 1993 law called the \u003ca href=\"http://www.scotusblog.com/2014/02/symposium-why-is-rfra-still-valid-against-the-federal-government/\" target=\"_blank\">Religious Freedom Restoration Act\u003c/a> (RFRA). It says the government may not impose a \"substantial burden\" on the free exercise of religion unless that burden is the narrowest possible way to further a compelling governmental interest.\u003c/p>\n\u003cp>The federal government and advocates for the mandate say that corporations cannot exercise religious rights, only individuals may.\u003c/p>\n\u003cp>The \u003ca href=\"http://sblog.s3.amazonaws.com/wp-content/uploads/2014/01/01.12.14_brief_for_petitioners_doj.pdf\" target=\"_blank\">government's brief\u003c/a> in the case said Hobby Lobby and a subsidiary Christian book store, \"for-profit corporations conducting commercial enterprises, are not persons exercising religion within the meaning of RFRA.\"\u003c/p>\n\u003cp>\u003cstrong>6. What would happen if the court extended religious standing to for-profit corporations?\u003c/strong>\u003c/p>\n\u003cp>Lots of bad things, say those who are siding with the government in the case.\u003c/p>\n\u003cp>For example, said Barry Lynn, executive director of Americans United for Separation of Church and State, in health care alone, \"Scientology-believing employers could insist upon non-coverage of its nemesis, psychiatry. And Jehovah's' Witness corporations could demand exclusion of surgical coverage, under the theory that so many of such procedures require the use of whole blood products, forbidden by their faith.\"\u003c/p>\n\u003cp>The potential for using religion to escape the reach of federal law doesn't end with health, said Lynn. Corporations could also claim that they don't need to abide by equal pay laws \"because of male dominance in their scriptural social order,\" he said, or, for those who offer public accommodations, \"you can hear them say we don't believe marriage equality is biblical, so you, (gay and lesbian) travelers, cannot stay in our hotel or eat in our restaurant.\"\u003c/p>\n\u003cp>Windham of the Becket Fund finds all those scenarios far-fetched. \"We've had this law on the books for 25 years and none of those cases have happened,\" she said.\u003c/p>\n\u003cp>During the \u003ca href=\"http://www.supremecourt.gov/oral_arguments/argument_transcripts/13-354_5436.pdf\" target=\"_blank\">arguments before the Supreme Court\u003c/a>, Justice Samuel Alito said much the same thing. \"In all the years RFRA has been on the books,\" he asked, \"has any of these claims involving minimum wage, for example, been brought and have they succeeded?\"\u003c/p>\n\u003cp>\"Very few of these claims have been brought,\" responded Paul Clement, the attorney who argued Hobby Lobby's case at the high court.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Justice Elena Kagan, however, said if the court upholds Hobby Lobby's claim, that might change. \"[T]hen you would see religious objectors come out of the woodwork with respect to these laws,\" she said.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/19532/6-questions-about-contraception-coverage-and-the-supreme-court","authors":["8344"],"categories":["stateofhealth_11","stateofhealth_15","stateofhealth_14"],"tags":["stateofhealth_747"],"featImg":"stateofhealth_19539","label":"stateofhealth"},"stateofhealth_18305":{"type":"posts","id":"stateofhealth_18305","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"18305","score":null,"sort":[1395766076000]},"guestAuthors":[],"slug":"more-at-stake-than-contraception-in-obamacare-supreme-court-cases-hobby-lobby","title":"More at Stake than Contraception in Obamacare Supreme Court Cases","publishDate":1395766076,"format":"aside","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cfigure id=\"attachment_3857\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/SupremeCourt_KjetilRee-_03192012-e1395765855768.jpg\">\u003cimg class=\"size-large wp-image-3857\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/SupremeCourt_KjetilRee-_03192012-620x465.jpg\" alt=\"(Kjetil Ree: Flickr)\" width=\"620\" height=\"465\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Kjetil Ree: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>California officials are keeping a close eye on two cases before the U.S. Supreme Court Tuesday that challenge a piece of the Affordable Care Act. Two businesses -- including lead plaintiff Hobby Lobby, Inc -- say the law's requirement that their employee insurance plans pay for contraception violates the owners' religious beliefs.\u003c/p>\n\u003cp>California already requires insurance plans to include coverage for contraception. Gov. Gray Davis signed the Contraceptive Equity Act into law in 1999. It requires that private insurance plans which cover prescription drugs must also pay for contraceptives. That law will remain in place, not matter what the Supreme Court decides.\u003c/p>\n\u003cp>But California's attorney general's office says the bigger issue is whether corporations can claim religious rights the way people can. If so, that raises troubling questions for other state laws that govern land use, housing, and employment. \u003c!--more-->\u003c/p>\n\u003cp>Jill Habig is special assistant attorney general who helped write a legal brief on behalf of California and 15 other states in the Supreme Court cases.\u003c/p>\n\u003cp>She says if companies can claim it's against their religion to provide contraceptives, they might also claim it's against their religion to hire married women. Or to serve lesbian and gay customers. \"It would turn into a license to discriminate,\" she says. \"For example, wedding photographers could refuse access to LGBT couples for photography services.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The Court is expected to issue its final ruling in June.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"4nJyL1fB1jW9wGe5X7Wb8Gs5WFChQAuL\"]\u003c/p>\n\n","blocks":[],"excerpt":"A ruling for corporations could call laws that govern land use, housing or employment into question.","status":"publish","parent":0,"modified":1395766076,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":9,"wordCount":246},"headData":{"title":"More at Stake than Contraception in Obamacare Supreme Court Cases | KQED","description":"A ruling for corporations could call laws that govern land use, housing or employment into question.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"More at Stake than Contraception in Obamacare Supreme Court Cases","datePublished":"2014-03-25T16:47:56.000Z","dateModified":"2014-03-25T16:47:56.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"18305 http://blogs.kqed.org/stateofhealth/?p=18305","disqusUrl":"https://ww2.kqed.org/stateofhealth/2014/03/25/more-at-stake-than-contraception-in-obamacare-supreme-court-cases-hobby-lobby/","disqusTitle":"More at Stake than Contraception in Obamacare Supreme Court Cases","path":"/stateofhealth/18305/more-at-stake-than-contraception-in-obamacare-supreme-court-cases-hobby-lobby","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_3857\" class=\"wp-caption aligncenter\" style=\"max-width: 620px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/SupremeCourt_KjetilRee-_03192012-e1395765855768.jpg\">\u003cimg class=\"size-large wp-image-3857\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2012/03/SupremeCourt_KjetilRee-_03192012-620x465.jpg\" alt=\"(Kjetil Ree: Flickr)\" width=\"620\" height=\"465\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">(Kjetil Ree: Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>California officials are keeping a close eye on two cases before the U.S. Supreme Court Tuesday that challenge a piece of the Affordable Care Act. Two businesses -- including lead plaintiff Hobby Lobby, Inc -- say the law's requirement that their employee insurance plans pay for contraception violates the owners' religious beliefs.\u003c/p>\n\u003cp>California already requires insurance plans to include coverage for contraception. Gov. Gray Davis signed the Contraceptive Equity Act into law in 1999. It requires that private insurance plans which cover prescription drugs must also pay for contraceptives. That law will remain in place, not matter what the Supreme Court decides.\u003c/p>\n\u003cp>But California's attorney general's office says the bigger issue is whether corporations can claim religious rights the way people can. If so, that raises troubling questions for other state laws that govern land use, housing, and employment. \u003c!--more-->\u003c/p>\n\u003cp>Jill Habig is special assistant attorney general who helped write a legal brief on behalf of California and 15 other states in the Supreme Court cases.\u003c/p>\n\u003cp>She says if companies can claim it's against their religion to provide contraceptives, they might also claim it's against their religion to hire married women. Or to serve lesbian and gay customers. \"It would turn into a license to discriminate,\" she says. \"For example, wedding photographers could refuse access to LGBT couples for photography services.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The Court is expected to issue its final ruling in June.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>[contextly_auto_sidebar id=\"4nJyL1fB1jW9wGe5X7Wb8Gs5WFChQAuL\"]\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/18305/more-at-stake-than-contraception-in-obamacare-supreme-court-cases-hobby-lobby","authors":["3205"],"categories":["stateofhealth_15"],"tags":["stateofhealth_747"],"featImg":"stateofhealth_3857","label":"stateofhealth"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Possible-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. Michel Martin hosts on the weekends.","airtime":"MON-FRI 1pm-2pm, 4:30pm-6:30pm\u003cbr />SAT-SUN 5pm-6pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/All-Things-Considered-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.npr.org/programs/all-things-considered/","meta":{"site":"news","source":"npr"},"link":"/radio/program/all-things-considered"},"american-suburb-podcast":{"id":"american-suburb-podcast","title":"American Suburb: The Podcast","tagline":"The flip side of gentrification, told through one town","info":"Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/American-Suburb-Podcast-Tile-703x703-1.jpg","officialWebsiteLink":"/news/series/american-suburb-podcast","meta":{"site":"news","source":"kqed","order":"13"},"link":"/news/series/american-suburb-podcast/","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328","tuneIn":"https://tunein.com/radio/American-Suburb-p1086805/","rss":"https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"}},"baycurious":{"id":"baycurious","title":"Bay Curious","tagline":"Exploring the Bay Area, one question at a time","info":"KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. 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You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Mindshift-Podcast-Tile-703x703-1.jpg","imageAlt":"KQED MindShift: How We Will Learn","officialWebsiteLink":"/mindshift/","meta":{"site":"news","source":"kqed","order":"2"},"link":"/podcasts/mindshift","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/mindshift-podcast/id1078765985","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkM1NzY0NjAwNDI5","npr":"https://www.npr.org/podcasts/464615685/mind-shift-podcast","stitcher":"https://www.stitcher.com/podcast/kqed/stories-teachers-share","spotify":"https://open.spotify.com/show/0MxSpNYZKNprFLCl7eEtyx"}},"morning-edition":{"id":"morning-edition","title":"Morning Edition","info":"\u003cem>Morning Edition\u003c/em> takes listeners around the country and the world with multi-faceted stories and commentaries every weekday. 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On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. 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