United States Government Publishing Office publisher pbl distributor dst United States National Archives and Records Administration Office of the Federal Register author aut Government Organization text government publication eng FR Regulatory Information 2017_register executive 2017-10-13 article Part III Rules and Regulations D09002ee1c7f0dd0e D09002ee1c7f0ddf9 United States Department of the Treasury originator org United States Government Agency or Subagency United States Internal Revenue Service originator org United States Government Agency or Subagency United States Department of Labor originator org United States Government Agency or Subagency United States Employee Benefits Security Administration originator org United States Government Agency or Subagency United States Department of Health and Human Services originator org United States Government Agency or Subagency The United States has a long history of providing conscience protections in the regulation of health care for entities and individuals with objections based on religious beliefs or moral convictions. These interim final rules expand exemptions to protect moral convictions for certain entities and individuals whose health plans are subject to a mandate of contraceptive coverage through guidance issued pursuant to the Patient Protection and Affordable Care Act. These rules do not alter the discretion of the Health Resources and Services Administration, a component of the United States Department of Health and Human Services, to maintain the guidelines requiring contraceptive coverage where no regulatorily recognized objection exists. These rules also provide certain morally objecting entities access to the voluntary "accommodation" process regarding such coverage. These rules do not alter multiple other Federal programs that provide free or subsidized contraceptives for women at risk of unintended pregnancy. 82 FR 47838 https://www.govinfo.gov/app/details/FR-2017-10-13/2017-21852 2017-21852 fr13oc17-27 RIN 1545-BN91 RIN 1210-AB84 RIN 0938-AT46 4830-01-P; 4510-029-P; 4120-01-P; 6325-64-P TD-9828 CMS-9925-IFC https://www.govinfo.gov/app/details/FR-2017-10-13/2017-21852 https://www.govinfo.gov/content/pkg/FR-2017-10-13/html/2017-21852.htm https://www.govinfo.gov/content/pkg/FR-2017-10-13/pdf/2017-21852.pdf Excise Taxes Health Care Health Insurance Pensions Reporting and Recordkeeping Requirements Continuation Coverage Disclosure Employee Benefit Plans Group Health Plans Medical Child Support State Regulation of Health Insurance 25 p. 47838 47862 82 FR 47838 Title 26 Part 54 26 CFR Part 54 Title 29 Part 2590 29 CFR Part 2590 Title 45 Part 147 45 CFR Part 147 RIN 1545-BN91 RIN 1210-AB84 RIN 0938-AT46 Moral Exemptions and Accommodations for Coverage of Certain Preventive Services Under the Affordable Care Act; Federal Register Vol. 82, Issue RULE 2017-21852 III DEPARTMENT OF THE TREASURY Internal Revenue Service DEPARTMENT OF LABOR Employee Benefits Security Administration DEPARTMENT OF HEALTH AND HUMAN SERVICES 2017-10-06 TD-9828 CMS-9925-IFC 4830-01-P; 4510-029-P; 4120-01-P; 6325-64-P 2017-21852 Interim final rules with request for comments.

The United States has a long history of providing conscience protections in the regulation of health care for entities and individuals with objections based on religious beliefs or moral convictions. These interim final rules expand exemptions to protect moral convictions for certain entities and individuals whose health plans are subject to a mandate of contraceptive coverage through guidance issued pursuant to the Patient Protection and Affordable Care Act. These rules do not alter the discretion of the Health Resources and Services Administration, a component of the United States Department of Health and Human Services, to maintain the guidelines requiring contraceptive coverage where no regulatorily recognized objection exists. These rules also provide certain morally objecting entities access to the voluntary "accommodation" process regarding such coverage. These rules do not alter multiple other Federal programs that provide free or subsidized contraceptives for women at risk of unintended pregnancy.

Effective date: These interim final rules are effective on October 6, 2017. Jeff Wu (310) 492-4305 or marketreform@cms.hhs.gov for Centers for Medicare & Medicaid Services (CMS), Department of Health and Human Services (HHS), Amber Rivers or Matthew Litton, Employee Benefits Security Administration (EBSA), Department of Labor, at (202) 693-8335; Karen Levin, Internal Revenue Service, Department of the Treasury, at (202) 317-5500. Excise Taxes Health Care Health Insurance Pensions Reporting and Recordkeeping Requirements Continuation Coverage Disclosure Employee Benefit Plans Group Health Plans Medical Child Support State Regulation of Health Insurance Moral Exemptions and Accommodations for Coverage of Certain Preventive Services under the Affordable Care Act , marketreform@cms.hhs.gov Paperwork@cms.hhs.gov http://assets.pewresearch.org/wp-content/uploads/sites/11/2016/09/Religious-Liberty-full-for-web.pdf http://files.kff.org/attachment/Report-Employer-Health-Benefits-Annual-Survey-2017 http://www.gallup.com/poll/154799/americans-including-catholics-say-birth-control-morally.aspx http://www.gallup.com/poll/193271/americans-believe-god.aspx http://www.lb7.uscourts.gov/documents/12cv3932.pdf http://www.politico.com/story/2016/10/obamacare-birth-control-mandate-employers-229627 http://www.RegInfo.gov http://www.reginfo.gov/public/do/PRAViewICR?ref_nbr=201705-1210-001 http://www.regulations.gov http://www.regulations.gov/#!documentDetail https://founders.archives.gov/documents/Jefferson/99-01-02-9714 https://founders.archives.gov/documents/Washington/05-06-02-0135 https://www.census.gov/prod/cen2010/briefs/c2010br-03.pdf https://www.cms.gov/CCIIO/Resources/Fact-Sheets-and-FAQs/Downloads/ACA-FAQs-Part36_1-9-17-Final.pdf https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing.html https://www.dol.gov/sites/default/files/ebsa/about-ebsa/our-activities/resource-center/faqs/aca-part-36.pdf https://www.dol.gov/sites/default/files/ebsa/researchers/data/health-and-welfare/health-insurance-coverage-bulletin-2015.pdf https://www.fda.gov/forconsumers/byaudience/forwomen/freepublications/ucm313215.htm https://www.guttmacher.org/fact-sheet/contraceptive-use-united-states https://www.guttmacher.org/state-policy/explore/insurance-coverage-contraceptives https://www.guttmacher.org/state-policy/explore/refusing-provide-health-services https://www.hrsa.gov/womensguidelines/ https://www.hrsa.gov/womensguidelines2016/index.html https://www.regulations.gov/document?D=CMS-2016-0123-46220 https://www.regulations.gov/document?D=CMS-2016-0123-54142 https://www.regulations.gov/document?D=CMS-2016-0123-54218 https://www.whitehouse.gov/the-press-office/2017/04/05/memorandum-implementing-executive-order-13771-titled-reducing-regulation RegInfo.gov www.cms.gov/cciio www.dol.gov/ebsa www.HealthCare.gov www.regulations.gov Vol. 82, no. 197 Office of the Federal Register, National Archives and Records Administration 2017-10-13 continuing daily deposited born digital 351 p. Table of Contents: AE 2.7: GS 4.107: AE 2.106: KF70.A2 https://www.govinfo.gov/app/details/FR-2017-10-13 P0b002ee19728741e 0097-6326 0042-1219 0364-1406 769-004-00000-9 000582072 f:fr13oc17 https://www.govinfo.gov/app/details/FR-2017-10-13 https://www.govinfo.gov/content/pkg/FR-2017-10-13/pdf/FR-2017-10-13.pdf https://www.govinfo.gov/content/pkg/FR-2017-10-13/xml/FR-2017-10-13.xml fdlp 47611 47952 DGPO 2017-10-13 2024-06-01 FR-2017-10-13 machine generated eng FR FR-2017-10-13 82 197