Supreme Court rules in favor of Little Sisters of the Poor in ObamaCare contraception case

The Supreme Court ruled Wednesday that the Trump administration acted within its authority when it expanded exemptions to the Affordable Care Act’s (ACA) requirement for employers to provide insurance coverage that includes contraception -- in a victory for Little Sisters of the Poor, the Catholic group that has been at the center of the national debate over the mandate.

The court ruled 7-2 in favor of the Trump administration and a Catholic charity that cares for the elderly in two related disputes against Pennsylvania, which sued over the validity of a rule from the Trump administration that allowed religious-affiliated groups and some for-profit companies to opt-out of providing contraception coverage to employees.

The majority opinion, written by Justice Clarance Thomas, ruled that the Trump administration's challenged rulemaking was aboveboard, and hailed the work of the Little Sisters of the Poor.

"For over 150 years, the Little Sisters have engaged in faithful service and sacrifice, motivated by a religious calling to surrender all for the sake of their brother," Thomas wrote. "But for the past seven years, they—like many other religious objectors who have participated in the litigation and rulemakings leading up to today’s decision— have had to fight for the ability to continue in their noble work without violating their sincerely held religious beliefs."

He added: "We hold today that the Departments had the statutory authority to craft that exemption, as well as the contemporaneously issued moral exemption. We further hold that the rules promulgating these exemptions are free from procedural defects."

Lower court rulings had gone against the administration, with a nationwide injunction putting the exemptions on hold. But the Supreme Court's ruling Wednesday amounts to a huge win for religious conservatives who have been battling the ACA's contraceptive mandate for years.

The justices this fall will hear a broader challenge to Obamacare, and requests by the current administration and some red-leaning states to invalidate the entire Affordable Care Act. It is a move opposed by the Democratic-led House and a coalition of other states.