The Trump administration’s effort to let companies with religious or moral objections opt out of Obama-era U.S. Department of Health and Human Services (HHS) requirements that they offer free contraception coverage in their employee health care plans’ preventive services package hit a road block in a California court on the eve of the new rules taking effect.
U.S. District Judge Haywood Gilliam in Oakland issued a preliminary injunction against the final rules for the new preventive services package exemption on Sunday, though he limited it to the 13 states that sued, plus the District of Columbia.
The decision, which may be appealed, ramps up the culture war triggered by President Donald Trump’s attempt to extend “religious freedom” rights from churches to companies — a move that in 2017 triggered litigation backed by rights groups and Democratic-led states.
“The law couldn’t be clearer – employers have no business interfering in women’s health care decisions,” California Attorney General Xavier Becerra, who led the state coalition, said in a statement. “Today’s court ruling stops another attempt by the Trump administration to trample on women’s access to basic reproductive care.”
The other states impacted by the ruling are Connecticut, Delaware, Hawaii, Illinois, Maryland, Minnesota, New York, North Carolina, Rhode Island, Vermont, Virginia, Washington.
“No American should be forced to violate his or her own conscience in order to abide by the laws and regulations governing our healthcare system,” Caitlin Oakley, an HHS spokeswoman, said in an email.
Gilliam said the states hadn’t met the high threshold required for granting a nationwide injunction, despite showing they face “potentially dire public health and fiscal consequences from the implementation of the final rules.” Still, he added that “the court fully recognizes that limiting the scope of this injunction to the Plaintiff States means that women in other states are at risk of losing access to cost-free contraceptives when the final rules take effect.”
There is still a chance that a nationwide injunction could be issued in a separate case by Pennsylvania Attorney General Josh Shapiro and his New Jersey counterpart, Gurbir Grewal. Leana Wen, a doctor and president of Planned Parenthood Federation of America, said the organization is waiting for that ruling to see if women in the rest of the country will have the same access to birth control under the HHS preventive services package.
The Affordable Care Act requires major medical plans to provide coverage for a basic package of preventive health services with no co-payments, deductibles or other patient cost-sharing costs.
Former HHS Secretary Kathleen Sebelius ruled in 2012, based on recommendations from a panel of experts, that the preventive services package should include coverage for contraceptive products and services.