contraceptive coverage under the aca
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Contraceptive Coverage Under the ACA. How We Got Where We Are Today. Leila Abolfazli and Hillary Schneller, National Women’s Law Center . LSRJ Training, June 13, 2014. Preventive Services Provision. Plans must c over without cost-sharing : - PowerPoint PPT PresentationTRANSCRIPT
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Contraceptive Coverage Under the
ACA
How We Got Where We Are Today
LSRJ Training, June 13, 2014
Leila Abolfazli and Hillary Schneller, National Women’s Law Center
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Preventive Services Provision
Plans must cover without cost-sharing:OVarious items or services for
adults and children, including immunizations, screenings, and counseling.
OBut Congress realized there was a gap.
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What about women’s specific preventive care needs?
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Why include birth control and education and counseling?
O Birth control prevents unintended pregnancy
O Allows women to plan and space their pregnancies
Improves public
health
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Who Doesn’t Have to Provide?
OChurches and other houses of worshipemployees do not get it
OCertain non-profitsemployees/students do get it (“accommodation”)
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Who Does Have to Provide?
For profit companies
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Two Lines of CasesO For-profit companies
O Two cases at Supreme Court
O Non-profit organizations eligible for the “accommodation” O Cases moving through district courts
and circuit courts of appeal
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Cases at the Supreme Court
OHobby LobbyO nationwide chain of arts and crafts
storesO over 13,000 employees
OConestoga Wood O wood cabinet and specialty goods
manufacturerO nearly 1000 employees
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Major Issues Before the Court: RFRA
O Is a for-profit company a person capable of exercising religion?
If yes, then:O Is there a “substantial burden” on
religious exercise?
If yes, then:O Is there a “compelling interest”?
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The Government’s Response
For-profit corporations are not capable of exercising religionNo substantial burden on religious exercise
O Too attenuated O Tax alternative
Even if there is a substantial burden, the rule is justified by compelling government interests in:
O Women’s healthO Women’s equality
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Amicus StrategyO What’s the point?
O Who should the Court hear from?
O Quality vs. quantity
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Amicus ArgumentsO Disrupts principles of corporate law -- corporate law
scholars O Employees’ religious freedom -- religious groups
O History of using religion to discriminate -- ACLU
O Compelling interests, burden on female employees -- NWLC
O Impact on LGBT persons & people with HIV -- Lambda
Legal
O Impact on other health care -- medical and health
groups
O Establishment Clause -- church-state scholars
O Intent of ACA & RFRA -- members of Congress
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Opinion Pieces In Support of Contraceptive Coverage
Requirement
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Questions from the Justices
O Effect on other health care services – vaccines, blood transfusions
O Impact on other federal law, including antidiscrimination laws
O Burden on employees O How some forms of contraceptives work O Whether there are alternative means by
which the government could ensure women’s access to contraceptives – e.g., Title X expansion
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Outside the Court