Trump Administration Issues Rules Protecting the Conscience Rights of All Americans

News Release

For immediate release

United States Department of Health and Human Services

The Departments of Health and Human Services, Treasury, and Labor are announcing two companion interim final rules that provide conscience protections to Americans who have a religious or moral objection to paying for health insurance that covers contraceptive/abortifacient services. Obamacare-compliant health insurance plans are required to cover “preventive services,” a term defined through regulation. Under the existing regulatory requirements created by the previous administration, employers, unless they qualify for an exemption, must offer health insurance that covers all FDA-approved contraception, which includes medications and devices that may act as abortifacients as well sterilization procedures.

Under the first of two companion rules released today, entities that have sincerely held religious beliefs against providing such services would no longer be required to do so. The second rule applies the same protections to organizations and small businesses that have objections on the basis of moral conviction which is not based in any particular religious belief.

In May, President Trump issued an “Executive Order Promoting Free Speech and Religious Liberty” in which the President directed the Secretaries of Health and Human Services, Labor and the Treasury to consider amending existing regulations relative to Obamacare’s preventive-care mandate in order to address conscience-based objections.

Key Facts about today’s interim final rules:

  • The regulations exempt entities only from providing an otherwise mandated item to which they object on the basis of their religious beliefs or moral conviction.
  • The regulation leaves in place preventive services coverage guidelines where no religious or moral objection exists – meaning that out of millions of employers in the U.S., these exemptions may impact only about 200 entities, the number that that filed lawsuits based on religious or moral objections.
    • These rules will not affect over 99.9% of the 165 million women in the United States.
  • Current law itself already exempts over 25 million people from the preventive-care mandate because they are insured through an entity that has a health insurance plan that existed prior to the Obamacare statute.
  • The regulations leave in place government programs that provide free or subsidized contraceptive coverage to low income women, such as through community health centers.
  • These regulations do not ban any drugs or devices.
  • The mandate as defined by the previous administration suffered defeats in court after court, including the Supreme Court, which ruled that the government cannot punish business owners for their faith.

The IFR can be found here:

https://www.federalregister.gov/d/2017-21852

https://www.federalregister.gov/d/2017-21851

To find a fact sheet on the IFRs, visit:  Religious and Moral Exemptions and Accommodations for Coverage of Certain Preventive Services Under the Affordable Care Act

Contact: HHS Press Office
202-690-6343
media@hhs.gov

 

Conscientious objection: Can a hospital refuse to provide treatment?

Baylor College of Medicine

Claire Horner

Canada recently legalized medical assistance in dying (MAiD), which allows patients to receive a lethal drug that they can self-administer, or be administered a lethal drug by an authorized clinician with consent of the patient. As provinces and territories work to create and clarify legal guidelines for providing MAiD, many Catholic hospitals have refused to offer it, citing opposition to physician-assisted suicide and euthanasia in Catholic moral teaching.

This controversy surrounding institutional conscience-based refusals raises an important question: Should a health care institution have the right to refuse to provide a particular treatment for conscience-based reasons? . . . [Full text]

Symposium: Conscience, conditions, and access to civil society

SCOTUSblog

Richard Garnett*

It is striking how easy it has become for a person to stumble into the status of a symbol – or, these days, a viral meme. Jack Phillips is, or was until fairly recently, a skilled cake artist with a small business, Masterpiece Cakeshop, in suburban Denver. Today, he is a litigant in the Supreme Court of the United States and regarded by many as embodying the tension – increasingly, the conflict – between religious conscience and equality. . . Can he be required, though – should he be required, is it necessary for him to be required – to say something he thinks is not true, to disavow what he believes or to act expressively in violation of his conscience? . . . [Full text]

In US Supreme Court Brief, Christian Doctors Cite Conscience Conflicts Similar to Creative Artists

News Release

Christian Medical Association

WASHINGTON, Sept. 11, 2017 – The nation’s largest faith-based professional association of health professionals, the Christian Medical Association (CMA, www.cmda.org), contends in a legal brief filed with the Supreme Court that its members’ conscience battles parallel those of creative artists sued for declining to participate in proceedings inconsistent with their conscience and convictions.

CMA has filed a brief with the Court in the case (Masterpiece Bakeshops v. Colorado Civil Rights Commission) of Jack Phillips, a cake artist sued for declining to participate in a same-sex wedding, an event that contradicts his moral persuasions. CMA contends in its brief that health professionals face similar challenges to their First Amendment freedoms in situations involving abortion and other matters involving ethical choices and professional medical judgment.

The brief contends, “To force Mr. Phillips to make this cake would threaten a core liberty that is of the greatest possible importance to medical professionals – protection against compelled speech contrary to conscience, including purely symbolic expression. [T]he implications for the rights of medical professionals in the practice of their professions are clear, and disturbing.”

CMA CEO Dr. David Stevens commented, “This case reminds us that a threat to the First Amendment freedoms of one group is a threat to the First Amendment freedoms of everyone. Regardless of where one stands on controversial issues, as Americans we can all agree that the government cannot be allowed to compel any one of us to express ourselves in a way that violates our deepest held beliefs.

“Preserving freedom of medical judgment for doctors is an essential protection for patients. Imagine if the government were to dictate every medical decision and decide every medical prescription and procedure apart from the medical judgment of the doctors who know and care for their patients best.”

Contact:

Margie Shealy, Christian Medical Association, 423-341-4254

U.S. bishops, other Catholic groups back conscience protection bill

Catholic News Service

WASHINGTON (CNS) — The U.S. Conference of Catholic Bishops and 32 other organizations have signed a joint letter of support for the Conscience Protection Act of 2017.

The bill, which has House and Senate versions, is intended to close loopholes that ignore the conscience rights of medical professionals on abortion, according to the signed letter.

“Even many ‘pro-choice’ Americans realize that the logic of their (opponents’) position requires them to respect a choice not to be involved in abortion,” said the letter, dated Sept. 6 and addressed to senators. . . [Full text]