No. 19-431October Term 2019Decided Jul 8, 2020Updated Sep 3, 2026
Little Sisters of the Poor Saints Peter and Paul Home v. Pennsylvania
The federal government could add broad religious and moral exemptions to contraceptive-coverage rules.
Case status
Decided 7-2 · July 8, 2020 · Opinion by Justice Thomas
Read the opinion (PDF)- Current stage
- Decided
- Latest event
- Decision released Jul 8, 2020
- What it's about
This case was about the Affordable Care Act’s requirement that employer health plans cover contraception and whether the federal government could create broad exemptions for employers with religious or moral objections. It also asked whether the Little Sisters of the Poor could continue the appeal to defend those exemptions after lower courts blocked them.
Question presented
1. Whether a litigant who is directly protected by an administrative rule and has been allowed to intervene to defend it lacks standing to appeal a decision invalidating the rule if the litigant is also protected by an injunction from a different court? 2. Whether the federal government lawfully exempted religious objectors from the regulatory requirement to provide health plans that include contraceptive coverage?
- Case path
United States Court of Appeals for the Third Circuit / Decision released Jul 8, 2020
- Area
Decided Supreme Court case
Decision
What the Court decided
The federal government could add broad religious and moral exemptions to contraceptive-coverage rules.
Impact
The decision affects employers that object to providing health-plan coverage for contraception and employees covered by those plans. For example, a religious employer may qualify for an exemption from the coverage requirement.
Not official Court text.
Vote
- Vote split
- 7-2
- Majority author
- Clarence Thomas
Majority
- Clarence Thomas(author)
- John G. Roberts, Jr.
- Brett M. Kavanaugh
- Neil Gorsuch
- Stephen G. Breyer
- Samuel A. Alito, Jr.(concurring, author)
- Elena Kagan(concurring)
Dissenting
- Ruth Bader Ginsburg(author)
- Sonia Sotomayor
Opinion documents
Briefing
What it's about
The Court decided that the federal government lawfully created broad exemptions from contraceptive-coverage requirements for employers with religious or moral objections. The case also involved whether the Little Sisters could continue defending those exemptions on appeal.
Vote
Impact
The decision affects employers that object to providing health-plan coverage for contraception and employees covered by those plans. For example, a religious employer may qualify for an exemption from the coverage requirement.
What's next
The Court has finished this docket action. Employers and employees affected by the exemptions must follow the rules as they apply after the decision.
What did the Supreme Court rule in Little Sisters of the Poor v. Pennsylvania?
The Court decided that the federal government lawfully created broad exemptions from contraceptive-coverage requirements for religious or moral objectors.
Who is affected by the contraceptive-coverage exemptions?
Employers with religious or moral objections may be affected, along with employees whose health plans could otherwise include contraceptive coverage.
What happens next after Little Sisters of the Poor v. Pennsylvania?
The Supreme Court has finished the case. The practical effect depends on how the exemptions apply to particular employers and health plans.
Timing
Decided July 8, 2020
The Court released its decision on July 8, 2020 without hearing oral argument.
Documents
Activity
Docket activity4
AI analysis generated: Case Briefing
Sep 3, 2026 | Generated
Brief added: Questions Presented
May 24, 2026 | Court records
Opinion added: opinion
Jul 8, 2020 | Court records
Brief added: Petition
Oct 1, 2019 | Court records
Related cases




Grounding
- Grounding
- Primary materials plus reporting.
- Note
- Best-effort analysis: this explainer relies on a mix of primary materials and trusted secondary sources. Official filings and opinions remain authoritative.
- Checked
- Sep 3, 2026
- Method
- Methodology
Primary materials10
Supreme Court docket 19-431
docket | Jul 25, 2026
Primary case document
Supreme Court document | Jul 25, 2026
CourtListener docket record
docket | Jul 25, 2026
Questions Presented
brief | May 24, 2026
Opinion
opinion | Jul 8, 2020
Petition
brief | Oct 1, 2019
SupremeCourt.gov
official | Sep 3, 2026
SupremeCourt.gov
official | Sep 3, 2026
SupremeCourt.gov
official | Sep 3, 2026
SupremeCourt.gov
official | Sep 3, 2026