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Ruth Bader Ginsburg Argues Obamacare Case Over Birth Control from Hospital

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The Supreme Court is hearing arguments in a dispute involving Trump administration rules that would allow more employers who cite a religious or moral objection to opt-out of providing no-cost birth control to women.

Arguments are again being conducted by telephone because of the coronavirus pandemic. And Justice Ruth Bader Ginsburg is joining in from the Maryland hospital where she’s being treated for an infection caused by a gallstone.

The court says Ginsburg is expected to be in the hospital for a day or two.

It’s the third day of phone arguments and live audio is available to the public.

The case stems from the Obama-era health law, under which most employers must cover birth control as a preventive service, at no charge to women in their insurance plans.

Under the Affordable Care Act, the Obama administration exempted houses of worship, such as churches, synagogues and mosques, from the requirement. It created a way by which religiously affiliated organizations including hospitals, universities and charities could opt out of paying for contraception, but women on their health plans would still get no-cost birth control. Some groups complained the opt-out process violated their religious beliefs.

Trump administration officials in 2017 announced a rule change that allows many companies and organization with religious or moral objections to opt out of covering birth control without providing an alternate avenue for coverage. The rules were finalized in 2018. The government has estimated that the change would impact approximately 70,500 women who would lose contraception coverage in one year as a result.

New Jersey and Pennsylvania challenged the rules in court, and a judge blocked them from going into effect. The judge found the Trump administration did not follow proper procedures for issuing the rules. An appeals court agreed, and the administration appealed to the Supreme Court to step in, as did the Little Sisters of the Poor. The order of Roman Catholic nuns had been instrumental in challenging the Obama administration rules.

Even though the Trump rules remain blocked, a ruling by a federal judge in Texas in June already allows most people who object to covering contraception to avoid doing so.

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