Professional Documents
Culture Documents
Priests For Life, Et Al., v. United States Department of Health and Human Services, Et Al.
Priests For Life, Et Al., v. United States Department of Health and Human Services, Et Al.
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Pl ai nt i f f s use t he wor d abor t i f aci ent t o r ef er t o dr ugs such
as Pl an B and El l a t hat t hey al l ege cause abor t i ons. See, e.g.,
Compl . 37. Pl ai nt i f f s do not al l ege t hat t he r egul at i ons wi l l
r equi r e t hemt o pr ovi de i nsur ance cover age f or t he medi cal
pr ocedur e of abor t i on.
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obj ect i ons. 78 Fed. Reg. at 39, 874. The gr oup heal t h pl an
i ssuer whi ch r ecei ves t he sel f - cer t i f i cat i on f or mmust ( 1)
excl ude cont r acept i ve cover age f r omt he gr oup heal t h i nsur ance
cover age pr ovi ded i n connect i on wi t h t he gr oup heal t h pl an, and
( 2) pr ovi de separ at e payment s f or any cont r acept i ve ser vi ces
r equi r ed t o be cover ed f or pl an par t i ci pant s and benef i ci ar i es.
The i ssuer may not i mpose any cost - shar i ng r equi r ement s ( such as
a copayment , coi nsur ance or a deduct i bl e) on pl an par t i ci pant s
or benef i ci ar i es. 78 Fed. Reg. at 39, 896. Li kewi se, t he i ssuer
i s pr ohi bi t ed f r omi mposi ng any pr emi um, f ee, or ot her char ge,
or any por t i on t her eof , di r ect l y or i ndi r ect l y, on t he el i gi bl e
or gani zat i on or t he gr oup heal t h pl an. Id. Fai l ur e t o sel f -
cer t i f y or ot her wi se compl y wi t h t he mandat e wi l l r esul t i n
Pr i est s f or Li f e s i ssuer i ncl udi ng cont r acept i ve ser vi ces
wi t hi n Pr i est s f or Li f e s heal t hcar e pol i cy, and char gi ng t he
or gani zat i on f or such cover age.
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Dur i ng t he i ni t i al br i ef i ng, t he par t i es st at ed t hat i f Pr i est s
f or Li f e r ef used t he accommodat i on, i t coul d be f i ned $100 per
empl oyee per day. 26 U. S. C. 4980D. At or al ar gument ,
however , t he gover nment i nf or med t he cour t t hat t he ACA i mposes
an i ndependent obl i gat i on on i nsur er s t o sel l pol i ci es whi ch
compl y wi t h t he l aw, i ncl udi ng, e.g., cover age f or cont r acept i ve
ser vi ces. See Def s. Suppl . Mem. at 1- 4 [ ECF No. 31] , citing 42
U. S. C. 300gg- 13; 300gg- 22; 76 Fed. Reg. 46, 621, 623 ( Aug. 3,
2011) . Thi s does not al t er t he anal ysi s, however . Under t he
st at ut e and r egul at i ons, i f Pr i est s f or Li f e r ef uses t he
accommodat i on, i t woul d t hen be pl aced i n t he posi t i on of
pr ovi di ng cont r acept i ve ser vi ces t o i t s empl oyees as par t of i t s
pl an of benef i t s, and payi ng f or such ser vi ces. As t hi s Ci r cui t
hel d i n Gilardi, t hi s ar r angement woul d subst ant i al l y bur den
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I n addi t i on, Pr i est s f or Li f e cl ai ms t hat i t wi l l be r equi r ed
t o i dent i f y i t s empl oyees t o i t s i nsur er f or t he di st i nct
pur pose of enabl i ng and f aci l i t at i ng t he gover nment s obj ect i ve
of pr omot i ng t he use of cont r acept i ve ser vi ces; Pl s. Mot . f or
Pr el i m. I nj . at 7 ( her ei naf t er Pl s. Mot . ) ; and coor di nat e
wi t h i t s i nsur er when addi ng or r emovi ng empl oyees and
benef i ci ar i es f r omi t s heal t h car e pl an t o ensur e t hat t hese
i ndi vi dual s r ecei ve cover age f or cont r acept i ve ser vi ces, id. at
8. Pl ai nt i f f s pr ovi de no suppor t f or t hei r cl ai mt hat t he
chal l enged r egul at i ons r equi r e ei t her of t hese t hi ngs, and
admi t t ed at or al ar gument t hat Pr i est s f or Li f e must i dent i f y
i t s empl oyees t o i t s i nsur er and coor di nat e wi t h i t s i nsur er
i n or der t o pr ovi de i t s cur r ent heal t h car e pl an t o i t s
empl oyees. Pr i est s f or Li f e al so suggest s, wi t hout suppor t ,
t hat i t wi l l ul t i mat el y have t o bear t he cost s of t he
cont r acept i ve ser vi ces mandat e, because t he i nsur ance compani es
wi l l somehow f i nd a way t o ei t her r ai se pr emi ums t o cover t he
cost of such cover age, or f ai l t o l ower pr emi ums t o r ef l ect t he
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A subst ant i al bur den exi st s when gover nment act i on put s
subst ant i al pr essur e on an adher ent t o modi f y hi s behavi or and
vi ol at e hi s bel i ef s. Gilardi, 733 F. 3d at 1216 ( quot i ng
Kaemmerling, 553 F. 3d at 678) ; see also Yoder, 406 U. S. at 218
( l aw subst ant i al l y bur dens t he exer ci se of r el i gi on i f i t
compel s i ndi vi dual s t o per f or mact s undeni abl y at odds wi t h
f undament al t enet s of t hei r r el i gi ous bel i ef s. ) An
i nconsequent i al or de minimis bur den on r el i gi ous pr act i ce does
not r i se t o t hi s l evel [ . ] Kaemmerling, 553 F. 3d at 678.
Fi nal l y, an adher ent i s not subst ant i al l y bur dened by l aws
r equi r i ng t hi r d par t i es t o conduct t hei r i nt er nal af f ai r s i n
ways t hat vi ol at e hi s bel i ef s. Id. at 679.
I n Kaemmerling, a f eder al pr i soner cl ai med t hat t he
st at ut or i l y mandat ed col l ect i on and use of hi s DNA f or pur poses
of a nat i onal l aw enf or cement dat abase subst ant i al l y bur dened
hi s f r ee exer ci se r i ght s. Kaemmer l i ng al l eged t hat t he
col l ect i on, st or age, and use of hi s DNA vi ol at ed hi s si ncer el y
hel d r el i gi ous bel i ef s. The D. C. Ci r cui t accept [ ed] as t r ue
t he f act ual al l egat i ons t hat Kaemmer l i ng s bel i ef s ar e si ncer e
and of a r el i gi ous nat ur e, 553 F. 3d at 679. The Cour t f ur t her
not ed t hat t he gover nment commanded compl i ance wi t h t he st at ut e;
f ai l ur e t o cooper at e wi t h col l ect i on of a f l ui d sampl e f r om
whi ch t he DNA woul d be i sol at ed i s a mi sdemeanor of f ense. Id.
at 673. Never t hel ess, t he Cour t r ej ect ed hi s RFRA cl ai m
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553 F. 3d at 679.
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The Kaemmerling cour t r el i ed on Bowen v. Roy,
i n whi ch a Nat i ve Amer i can man obj ect ed t o t he st at es use of
hi s chi l d s Soci al Secur i t y number i n det er mi ni ng el i gi bi l i t y
f or wel f ar e benef i t s. The par ent s obj ect ed t o a st at ut or y
r equi r ement t hat st at e agenci es shal l ut i l i ze Soci al Secur i t y
number s not because i t pl ace[ d] any r est r i ct i on on what [ t he
f at her ] may bel i eve or what he may do, but because he bel i eves
t he use of t he number , a gover nment al act , may har mhi s
daught er s spi r i t . 476 U. S. 693, 699 ( 1986) . The Supr eme
Cour t concl uded t hat t he gover nment s use of t he chi l d s Soci al
Secur i t y number di d not i mpai r her par ent s f r eedomt o exer ci se
t hei r r el i gi on.
Never t o our knowl edge has t he Cour t i nt er pr et ed t he Fi r st
Amendment t o r equi r e t he Gover nment itself t o behave i n
ways t hat t he i ndi vi dual bel i eves wi l l f ur t her hi s or her
spi r i t ual devel opment or t hat of hi s or her f ami l y. The
Fr ee Exer ci se cl ause si mpl y cannot be under st ood t o r equi r e
t he Gover nment t o conduct i t s own i nt er nal af f ai r s i n ways
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Ot her Ci r cui t s have al so emphasi zed t he r equi r ement t hat an
adher ent be pr essur ed t o modi f y hi s own conduct i n or der t o show
a subst ant i al bur den on r el i gi ous exer ci se. See, e.g., Navajo
Nation v. U.S. Forest Serv., 535 F. 3d 1058, 1067 ( 9t h Ci r . 2008)
( en banc) ( t o est abl i sh a subst ant i al bur den under RFRA,
gover nment al act i on must coer ce t he Pl ai nt i f f s t o act cont r ar y
t o t hei r r el i gi ous bel i ef s under t he t hr eat of sanct i ons, [ or ]
condi t i on a gover nment al benef i t upon conduct t hat woul d vi ol at e
t hei r r el i gi ous bel i ef s. ) ; Civil Liberties for Urban Believers
v. City of Chicago, 342 F. 3d 752, 761 ( 7t h Ci r . 2003) ( wi t hi n
t he meani ng of RFRA, a subst ant i al bur den on r el i gi ous exer ci se
i s one t hat f or ces adher ent s of a r el i gi on t o r ef r ai n f r om
r el i gi ousl y mot i vat ed conduct , i nhi bi t s or const r ai ns conduct or
expr essi on t hat mani f est s a cent r al t enet of a per son s
r el i gi ous bel i ef s, or compel s conduct or expr essi on t hat i s
cont r ar y t o t hese bel i ef s. ) ( i nt er nal ci t at i on omi t t ed) .
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For t hi s r eason, inter alia, t he Cour t i s not per suaded by t he
r at i onal e ar t i cul at ed i n t wo r ecent cases t hat a pl ai nt i f f can
meet hi s bur den of est abl i shi ng t hat t he accommodat i on cr eat es a
subst ant i al bur den upon hi s exer ci se of r el i gi on si mpl y
because he cl ai ms i t t o be so. See Roman Catholic Archdiocese
of N.Y. v. Sebelius, No. 12- 2542, 2013 U. S. Di st . LEXI S 176432,
*44 ( E. D. N. Y. Dec. 13, 2013) ( st at i ng t hat pl ai nt i f f s consi der
[ compl et i ng t he sel f - cer t i f i cat i on] t o be an endor sement of
[ cont r acept i ve ser vi ces] cover age t o whi ch t hey obj ect ; t o t hem,
t he sel f - cer t i f i cat i on compel s af f i r mat i on of a r epugnant
bel i ef . I t i s not f or t hi s Cour t t o say ot her wi se. ) ; see also
Zubik v. Sebelius, No. 13- 1459, 2013 U. S. Di st . LEXI S 165922,
*79- *82 ( W. D. Pa. Nov. 21, 2013) ( r eachi ng t he same concl usi on) .
I n t hi s Cour t s vi ew, t hose opi ni ons mi sconcei ve RFRA s
subst ant i al bur den t est , whi ch r equi r es cour t s t o accept as
t r ue t he f act ual al l egat i ons t hat [ a pl ai nt i f f s] bel i ef s ar e
si ncer e and of a r el i gi ous nat ur e but not t he l egal
concl usi on, cast as a f act ual al l egat i on, t hat hi s r el i gi ous
exer ci se i s subst ant i al l y bur dened. Kaemmerling, 553 F. 3d at
679.
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The Cour t i s not per suaded by t he r at i onal e i n Archdiocese
of N.Y., whi ch st at es t hat compl et i ng t he sel f - cer t i f i cat i on
f or m, i t sel f , amount s t o a subst ant i al bur den on t he pl ai nt i f f s
exer ci se of r el i gi on, because i f t hey do not compl et e t he f or m,
t hey ar e subj ect t o penal t i es or ot her f or ms of gover nment
coer ci on. See, Roman Catholic Archdiocese of N.Y., 2013 U. S.
Di st . LEXI S 176432, *32 ( st at i ng t hat RFRA s subst ant i al
bur den t est i s met by a f i ndi ng t hat pl ai nt i f f s f ace
subst ant i al pr essur e t o compl y wi t h t he l aw. ) The Cour t
agr ees wi t h t he r easoni ng of Kaemmerling, whi ch, i n t he Cour t s
vi ew, cor r ect l y i nt er pr et ed Sherbert, Yoder and Thomas t o hol d
t hat even a t hr eat of cr i mi nal sanct i on di d not amount t o a
subst ant i al bur den when i t di d not i mpact pl ai nt i f f s r el i gi ous
exer ci se. Kaemmerling, 553 F. 3d at 679 ( Al t hough t he [ t hi r d
par t y] s act i vi t i es . . . may of f end [ pl ai nt i f f s] r el i gi ous
bel i ef s, t hey cannot be sai d t o hamper [ hi s] r el i gi ous
exer ci se. )
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cat egor i cal exempt i ons) . As t he Supr eme Cour t has hel d, l aws
ar e not gener al l y appl i cabl e when t hey i n a sel ect i ve manner
i mpose bur dens onl y on conduct mot i vat ed by r el i gi ous bel i ef s.
Lukumi, 508 U. S. at 543 ( i nval i dat i ng st at ut e whi ch pr ohi bi t ed
onl y t he r el i gi ous pr act i ce of ani mal sacr i f i ce, but not hunt i ng
or ot her secul ar pr act i ces i nvol vi ng ki l l i ng of ani mal s) . The
r egul at i ons i n t hi s case do not i mpose bur dens sel ect i vel y; t hey
appl y t o al l non- exempt empl oyer s, r egar dl ess of t hei r r el i gi ous
bel i ef s. See Stormans, Inc. v. Selecky, 586 F. 3d 1109, 1134 ( 9t h
Ci r . 2009) ( phar maci st s who do not have a r el i gi ous obj ect i on
t o [ f i l l i ng pr escr i pt i ons f or cont r acept i ves] must compl y wi t h
t he r ul es t o t he same ext ent no mor e and no l esst han . . .
phar maci st s who may have a r el i gi ous obj ect i on t o [ f i l l i ng t he
pr escr i pt i ons] . Ther ef or e, t he r ul es ar e gener al l y
appl i cabl e. ) And agai n, t o t he ext ent t he accommodat i on al t er s
t he anal ysi s, i t pr omot es, not r est r i ct s, t he f r ee exer ci se of
r el i gi on by excusi ng f r omcompl i ance empl oyer s such as Pr i est s
f or Li f e due t o t hei r r el i gi ous bel i ef s.
Accor di ngl y, t he Cour t concl udes t hat t he r egul at i ons, and
t he accommodat i ons, do not vi ol at e t he Fr ee Exer ci se Cl ause.
Ther ef or e, Count I of t he Compl ai nt wi l l be di smi ssed f or
f ai l ur e t o st at e a cl ai m.
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may say nor r equi r es t hemt o say anyt hi ng. Law school s r emai n
f r ee . . . t o expr ess what ever vi ews t hey may have on t he
mi l i t ar y . . . t he [ st at ut e] r egul at es conduct not speech. I t
af f ect s what l aw school s must do af f or d access t o mi l i t ar y
r ecr ui t er s not what t hey may or may not say. FAIR, 547 U. S.
at 60. The Cour t f ound t hat t o t he ext ent t hat compl yi ng wi t h
t he Amendment r equi r ed t he school t o speak, such as by sendi ng
emai l s or post i ng not i ces on behal f of mi l i t ar y r ecr ui t er s, such
speech was pl ai nl y i nci dent al t o t he . . . r egul at i on of
conduct . Id. at 62. I t has never been deemed an abr i dgment
of f r eedomof speech . . . t o make a cour se of conduct i l l egal
mer el y because such conduct was i n par t i ni t i at ed, evi denced, or
car r i ed out by means of l anguage, ei t her spoken, wr i t t en, or
pr i nt ed. Id. ( ci t at i on omi t t ed) .
A si mi l ar anal ysi s appl i es t o t hi s case. The r egul at i ons
r egar di ng cont r acept i ve cover age, i ncl udi ng t he accommodat i on,
pl ace no l i mi t s on what Pl ai nt i f f s may say; t hey r emai n f r ee t o
oppose cont r acept i ve cover age f or al l peopl e and i n al l f or ms.
Rat her , t he accommodat i on r egul at es conduct ; speci f i cal l y, t he
conduct of Pr i est s f or Li f e s i nsur ance pr ovi der . And l i ke t he
l aw school s i n FAIR, t he onl y speech t he accommodat i ons r equi r e
of Pr i est s f or Li f e i s i nci dent al t o t he r egul at i on of conduct .
Pr i est s f or Li f e s speech i n t hi s case i s i t s sel f - cer t i f i cat i on
t hat i t opposes cont r acept i ve cover age. Thi s speech i s
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Pr i est s f or Li f e al so ar gues t hat t he ACA s r equi r ement
t hat cont r acept i ve cover age i ncl ude pat i ent educat i on and
counsel i ng f or women const i t ut es pr ohi bi t ed speech because i t
advocat es a par t i cul ar vi ewpoi nt or cont ent . See Pl s.
Opp n/ Repl y at 28. Thi s Cour t agr ees wi t h t he Conestoga cour t ,
whi ch consi der ed and r ej ect ed t he same ar gument , expl ai ni ng,
[ w] hi l e t he r egul at i ons mandat e t hat [ i nsur ance compani es]
pr ovi de cover age f or educat i on and counsel i ng f or women wi t h
r epr oduct i ve capaci t y, whi ch may i ncl ude i nf or mat i on about t he
cont r acept i ves whi ch Pl ai nt i f f s bel i eve t o be i mmor al , t hey ar e
si l ent wi t h r espect t o t he cont ent of t he counsel i ng gi ven t o a
pat i ent by her doct or . . . . As such, i t cannot be sai d t hat
Pl ai nt i f f s ar e bei ng r equi r ed t o [ host ] t he advocacy of a
vi ewpoi nt wi t h whi ch t hey di sagr ee. Pl ai nt i f f s concer n t hat a
doct or may, i n some i nst ances, pr ovi de advi ce t o a pat i ent t hat
di f f er s f r om[ pl ai nt i f f s ] r el i gi ous bel i ef s i s not one
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Pl ai nt i f f s cl ai mt hat under Larson, t he gover nment i s
pr ohi bi t ed f r ommaki ng ot her di st i nct i ons among t ypes of
r el i gi ous i nst i t ut i ons, i n addi t i on t o denomi nat i onal
pr ef er ences. Pl s. Opp n/ Repl y at 31- 32. Pl ai nt i f f s mi sr ead
Larson. The Larson cour t i nval i dat ed t he st at ut e at i ssue not
because i t di st i ngui shed bet ween di f f er ent t ypes of
or gani zat i ons based on t hei r st r uct ur e or pur pose, but r at her
because i t was dr af t ed wi t h t he expl i ci t i nt ent i on of i ncl udi ng
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par t i cul ar r el i gi ous denomi nat i ons and excl udi ng ot her s. 456
U. S. at 254.
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t axes pr oper t y of r el i gi ous or gani zat i ons used excl usi vel y f or
r el i gi ous wor shi p) ; Droz v. Commr of IRS, 48 F. 3d 1120, 1124
( 9t h Ci r . 1995) ( uphol di ng Soci al Secur i t y t ax exempt i on onl y
f or member s of or gani zed r el i gi ous sect s, despi t e t he f act t hat
some i ndi vi dual s r ecei ve exempt i ons, and ot her i ndi vi dual s wi t h
i dent i cal bel i ef s do not , because t he pur pose of t he exempt i on
was not t o di scr i mi nat e among r el i gi ous denomi nat i ons) .
Pl ai nt i f f s Equal Pr ot ect i on cl ai mi s i dent i cal t o i t s
ot her Fi r st Amendment Cl ai ms: t hey cl ai mt he r egul at i ons,
r el i gi ous empl oyer exempt i on and accommodat i on i mpi nge on
Pr i est s f or Li f e s f undament al r i ght t o f r ee exer ci se of
r el i gi on, f r eedomof speech and expr essi ve associ at i on. Pl s.
Mot . at 33. The Cour t has al r eady r ej ect ed t hese under l yi ng
cl ai ms, however . Wher e a pl ai nt i f f s Fi r st Amendment f r ee
exer ci se cl ai mhas f ai l ed, t he Supr eme Cour t has appl i ed onl y
r at i onal basi s scr ut i ny i n i t s subsequent r evi ew of an equal
pr ot ect i on f undament al r i ght t o r el i gi ous f r ee exer ci se cl ai m
based on t he same f act s. Wirzburger v. Galvin, 412 F. 3d 271,
282- 83 ( 1st Ci r . 2005) ( ci t i ng Locke v. Davey, 540 U. S. 712, 721
( 2004) . Appl yi ng r at i onal basi s scr ut i ny t o t he f undament al
r i ght s- based cl ai mt hat t he r egul at i ons vi ol at e equal
pr ot ect i on, t he Cour t has no t r oubl e det er mi ni ng t hat t he
cont r acept i ve ser vi ces mandat e i s r at i onal l y r el at ed t o t he
l egi t i mat e gover nment pur poses of pr omot i ng publ i c heal t h and
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