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No. 19-431October Term 2019Decided Jul 8, 2020Updated Sep 3, 2026

Docket 19-431October Term 2019 (2019–2020)

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

Dissenting

Read the opinion (PDF)
Current stage
Decided
Latest event
Decision released Jul 8, 2020
Case Accepted
Arguments
Decision ReleasedJul 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

Decision record

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

Dissenting

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

Justice Thomas wrote the 7–2 opinion, joined by Chief Justice Roberts and Justices Kavanaugh, Gorsuch, and Breyer; Justices Alito and Kagan concurred; Justices Ginsburg and Sotomayor dissented.

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.

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