Obama Administration Revises Controversial Contraception Mandate

By Steven Reinberg

HealthDay Reporter

FRIDAY, Feb. 1 (HealthDay News) -- Religious organizations that object to providing birth control coverage under the Affordable Care Act would be allowed to hand that responsibility off to a third party under new rules proposed Friday by the Obama administration.

The so-called "contraception mandate" has already been challenged in court by numerous groups on the grounds that it violates their religious beliefs. Federal health officials said Friday that the new rules are an attempt to address some of those concerns.

"The [Obama] administration is committed to working with all employers to give them the flexibility and resources they need to implement the health care law in a way that both protects women's health and also makes common-sense accommodations for religious beliefs," Chiquita Brooks-LaSure, deputy director for policy and regulation at the U.S. Department of Health and Human Services' Center for Consumer Information and Insurance Oversight, said at a news conference.

The proposed rules show how nonprofit religious organizations, such as Catholic hospitals or universities, can offer their employees or students separate contraceptive coverage that would be provided by a third party or insurer. There would still be no co-pay and the cost of the coverage would not be carried by the religious organization.

There will be a 60-day comment period on this latest reworking of the mandate, part of the sweeping 2010 health-reform law known as the Affordable Care Act. The mandate is scheduled to go into effect for religious nonprofits in August.

Religious groups had mixed reactions to the proposal.

New York Archbishop Cardinal Timothy Dolan, president of the United States Conference of Catholic Bishops, said in a statement that he looked forward to studying the proposed regulations, The New York Times reported.

Stephen Schneck, director of Catholic University of America's Institute for Policy Research and Catholic Studies, told the newspaper that the proposed rules were "an important win for religious institutions."

Meanwhile, women's-rights groups continued to voice support for the guiding principle behind the original provision in the Affordable Care Act.

"This policy delivers on the promise of women having access to birth control without co-pays no matter where they work," Planned Parenthood said in a statement released Friday. "Of course, we are reviewing the technical aspects of this proposal, but the principle is clear and consistent. This policy makes it clear that your boss does not get to decide whether you can have birth control."

Marcia Greenberger, co-president of the National Women's Law Center, noted that, "Our overriding concern is that women have meaningful access to essential preventive health care services, like birth control, without co-pays or deductibles. We look forward to reviewing and commenting on the proposed regulation in detail to ensure that women are able to make personal health decisions without interference by their bosses."

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