May 21, 2020

Heroines of Moral Courage: The Little Sisters of the Poor Against Pennsylvania

This is the third time that the Institute for Faith and Freedom has carried an opinion piece on the Little Sisters of the Poor (LSP) and their Supreme Court fight.

By John A. Sparks

This is the third time that the Institute for Faith and Freedom has carried an opinion piece on the Little Sisters of the Poor (LSP) and their Supreme Court fight. This 181-year-old religious order is renowned for its generosity and kindness to the poor and needy. The Sisters would seem to be unlikely litigants before the high court. However, first the LSP had to defend itself against the federal government under the Obama administration and now it has more recently been forced to protect itself against dogged state administrations in Pennsylvania and New Jersey. Why?

These governmental entities have insisted that the LSP must provide contraceptives — including abortion-inducing drugs — in the health plans they offer to their employees. The Little Sisters and other religious entities have refused to comply since 2014, always facing the threat of huge, destructive fines under the Affordable Care Act (ACA). The Sisters’ refusal comes from a deeply held religious conviction which requires them to protect innocent human life. If they furnish medical insurance under ACA requirements, they will be providing drugs which extinguish or prevent the formation of life in the womb. By doing so, they would violate their religious beliefs. Unfortunately, the original exemption fashioned under the ACA by the Department of Health and Human Services (HHS) recognized “churches,” “auxiliaries,” “conventions,” and even small employers, but it did not include religious orders like the Little Sisters, faith-based charities, religious colleges, or seminaries.

This noble religious order, standing firm for a large portion of a decade, had hoped that the Supreme Court would resolve the issue on the merits in 2016 in the Zubik v Burwell case of which the LSP were a part. However, due to Justice Scalia’s untimely death, the court was split four vs. four on the issue. The high court instead sent the case back to lower courts while encouraging the government and the sisters to negotiate a compromise solution. That never happened, primarily because the Sisters would not accept “accommodations” offered by the government which still made them complicit in wrongdoing, since any contraceptives provided would still be forcibly offered under their plan.

The picture seemed to brighten for these gentle, yet tenacious, nuns when the new administration under President Donald Trump issued revised regulations which expanded the exemption to include the LSP and other religious non-profits. This, however, was too much for the administrations of Pennsylvania and New Jersey, which filed suits to stop the new regulations. In the lower courts they sought and succeeded, remarkably, in getting a nationwide injunction against the newly expanded regulations. Even more amazingly, Pennsylvania and New Jersey did their best to keep the LSP out of the litigation claiming, in legal terminology, that they had no “standing,” that is, no stake in the outcome. The case made its way to the U.S. Supreme Court, with the Sisters still included. Oral arguments have recently been completed. What should the court do now?

On its merits, this case should be relatively easy to decide. First, the justices can rely upon the crystal-clear language of the Religious Freedom Restoration Act of 1993 (RFRA). That legislation prevents the federal government from “substantially burdening” a person’s exercise of religion. There is no doubt that the contraceptive mandate produces such a burden for the Little Sisters. They have a “choice.” Either give up their deeply held beliefs regarding the sanctity of life or be subjected to ruinous fines in the millions of dollars if they refuse to comply. Moreover, the court can readily rely upon its decision in Hobby Lobby, where it found that the contraceptive mandate could not be imposed upon an employer whose Christian convictions would have been compromised if it were compelled to furnish the contraceptives which the ACA and HHS required.

Under RFRA, once this burden is demonstrated the government still has an opportunity to show that it has a “compelling interest” in enforcing the requirement.

Here, the government faces its own inconsistency since it has exempted many other entities under earlier regulations — churches, religious auxiliaries, and small employers. If “compelling” means that what the government wants to do is so important that no exceptions can be made, then the government’s own provision of exemptions has logically sunk its own ship.

In an RFRA case, the government also must show that some other way of proceeding — which is less burdensome to the LSP — is not available. The government’s case falls apart here, too. It does have less burdensome ways of accomplishing its end. The court in Hobby Lobby suggested that the government could assume the costs of providing contraceptives without involving religious employers through, for example, Medicaid, community health-center grants, and Title X family-planning grants.

Besides RFRA, the Affordable Care Act (ACA) itself provides the government with legislative authority to formulate and expand a religious exemption to the contraceptive mandate. Under the Obama administration, it did exactly that, albeit with a narrower contour to its exemption. It did so by using the expedited procedures allowed by the Administrative Procedures Act. However, now that the Trump administration has followed the same accelerated procedures to put in place the new expanded exemptions, some Third Circuit judges and some members of the court see it as exceeding the administration’s authority under the ACA. The double standard raises its head again.

The court should uphold the new broader exemption and settle this matter in favor of the Little Sisters and other religious organizations. Then these private providers of goodwill can return to their God-given tasks without compromising their deeply and consistently held religious beliefs.

Dr. John A. Sparks is the retired Dean of Arts & Letters, Grove City College and a Fellow in the Institute for Faith and Freedom. He is a member of the state bar of Pennsylvania and a graduate of Grove City College and the University of Michigan Law School. Sparks writes regularly for the Institute on Supreme Court developments.

Who We Are

The Patriot Post is a highly acclaimed weekday digest of news analysis, policy and opinion written from the heartland — as opposed to the MSM’s ubiquitous Beltway echo chambers — for grassroots leaders nationwide. More

What We Offer

On the Web

We provide solid conservative perspective on the most important issues, including analysis, opinion columns, headline summaries, memes, cartoons and much more.

Via Email

Choose our full-length Digest or our quick-reading Snapshot for a summary of important news. We also offer Cartoons & Memes on Monday and Alexander’s column on Wednesday.

Our Mission

The Patriot Post is steadfast in our mission to extend the endowment of Liberty to the next generation by advocating for individual rights and responsibilities, supporting the restoration of constitutional limits on government and the judiciary, and promoting free enterprise, national defense and traditional American values. We are a rock-solid conservative touchstone for the expanding ranks of grassroots Americans Patriots from all walks of life. Our mission and operation budgets are not financed by any political or special interest groups, and to protect our editorial integrity, we accept no advertising. We are sustained solely by you. Please support The Patriot Fund today!


The Patriot Post and Patriot Foundation Trust, in keeping with our Military Mission of Service to our uniformed service members and veterans, are proud to support and promote the National Medal of Honor Heritage Center, the Congressional Medal of Honor Society, both the Honoring the Sacrifice and Warrior Freedom Service Dogs aiding wounded veterans, the National Veterans Entrepreneurship Program, the Folds of Honor outreach, and Officer Christian Fellowship, the Air University Foundation, and Naval War College Foundation, and the Naval Aviation Museum Foundation. "Greater love has no one than this, to lay down one's life for his friends." (John 15:13)

★ PUBLIUS ★

“Our cause is noble; it is the cause of mankind!” —George Washington

Please join us in prayer for our nation — that righteous leaders would rise and prevail and we would be united as Americans. Pray also for the protection of our Military Patriots, Veterans, First Responders, and their families. Please lift up your Patriot team and our mission to support and defend our Republic's Founding Principle of Liberty, that the fires of freedom would be ignited in the hearts and minds of our countrymen.

The Patriot Post is protected speech, as enumerated in the First Amendment and enforced by the Second Amendment of the Constitution of the United States of America, in accordance with the endowed and unalienable Rights of All Mankind.

Copyright © 2024 The Patriot Post. All Rights Reserved.

The Patriot Post does not support Internet Explorer. We recommend installing the latest version of Microsoft Edge, Mozilla Firefox, or Google Chrome.