Reed O'Connor, UNITED STATES DISTRICT JUDGE.
Before the Court are Plaintiffs' Motion for Summary Judgment and Permanent Injunction, ECF No. 34, filed April 1, 2019; Defendants' Response, ECF No. 38, filed April 15, 2019; and Plaintiffs' Reply, ECF No. 39, filed April 19, 2019. Having reviewed the motion, briefing, and applicable law, the Court finds the Motion for Summary Judgment and Permanent Injunction, ECF No. 34, should be and is hereby
In 2010, Congress mandated through the Patient Protection and Affordable Care Act (ACA) that "[a] group health plan and a health insurance issuer offering group or individual health insurance coverage shall ... provide coverage for and shall not impose any cost sharing requirements for" such "preventive care and screenings" for women "as provided for in comprehensive guidelines supported by the Health Resources and Services Administration [(HRSA)] ...." 42 U.S.C. § 300gg-13(a)(4). Congress did not make a policy choice about what "preventive care and screenings" must be covered but instead left that decision to HRSA, an administrative agency of the Department of Health and Human Services (HHS). Id.
In August 2011, HRSA made the policy choice Congress left open by requiring coverage of all FDA-approved contraceptive methods—the "Contraceptive Mandate."
Plaintiffs emphasize that the process created for religious non-profits was "an `accommodation'—not an exemption." Am. Compl. 3, ECF No. 19. They explain, "To use this accommodation, an entity was required to certify that it is a religious non-profit that objects to covering some or all methods of contraception on religious grounds," at which point "the issuer of the group health insurance used by the religious non-profit must exclude contraceptive coverage from that employer's plan, but the issuer must pay for any contraception used by the non-profit's employees." Id. at 4. "The issuer may not shift any of those costs on to the religious non-profit, its insurance plan, or its employee beneficiaries." Id. (citing 78 Fed. Reg. at 39896-97). And "[i]f a religious non-profit is self-insured, then its third-party administrator must pay for the employees' contraception, without shifting any costs on to the religious non-profit, its insurance plan, or its employee beneficiaries." Id. (citing 78 Fed. Reg. at 39893).
More or less, that was the state of things until Burwell v. Hobby Lobby, where the Supreme Court held the Contraceptive Mandate violated the Religious Freedom Restoration Act of 1993 (RFRA), 107 Stat. 1488, 42 U.S.C. § 2000bb et seq., as applied to three for-profit corporations. 573 U.S. at 688-91, 134 S.Ct. 2751. Hobby Lobby was a defining decision for the civil rights of religious employers. There, the Supreme Court held RFRA prohibited the Government from forcing the for-profit, plaintiff employers to "provide health-insurance coverage for methods of contraception that violate[d] the sincerely held religious beliefs of the companies' owners." Id. at 689-90, 134 S.Ct. 2751. In reaching this conclusion, the Supreme Court noted "Congress enacted RFRA ... to provide very broad protection for religious liberty." Id. at 693, 134 S.Ct. 2751. And "a law that `operates so as to make the practice of... religious beliefs more expensive' in the context of business activities imposes a burden on the exercise of religion." Id. at 710, 134 S.Ct. 2751 (quoting Braunfeld v. Brown, 366 U.S. 599, 605, 81 S.Ct. 1144, 6 L.Ed.2d 563 (1961)).
Important to the Supreme Court's analysis was that "nothing in the text of RFRA as originally enacted suggested that the statutory phrase `exercise of religion under the First Amendment' was meant to be tied to [the Supreme] Court's pre-Smith interpretation of that Amendment"—plus, "the amendment of RFRA through RLUIPA... provid[ed] that the exercise of religion `shall be construed in favor of a broad protection of religious exercise.'" Id. at 714, 134 S.Ct. 2751 (quoting 42 U.S.C. § 2000cc-3(g)). After finding the Contraceptive Mandate burdened the employers' religious beliefs—beliefs the Court could not question, id. at 723-26, 134 S.Ct. 2751—the Supreme Court held the Government failed the least-restrictive-means
The Supreme Court issued two other relevant rulings that year. See Wheaton Coll. v. Burwell, 573 U.S. 958, 134 S.Ct. 2806, 189 L.Ed.2d 856 (2014); Little Sisters of the Poor Home for the Aged v. Sebelius, 571 U.S. 1171, 134 S.Ct. 1022, 187 L.Ed.2d 867 (2014). As things stood in 2014, the accommodation process required a religious, non-profit employer to inform its third-party administrator (TPA) or group-health-insurance issuer via EBSA Form 700 of its religious objections to providing contraceptive coverage. In Little Sisters of the Poor and in Wheaton College, the Supreme Court issued interim injunctive relief—expressly reserving its views on the merits—that allowed the religious, non-profit applicants to inform the Secretary of HHS directly of their religious objections, rather than complete Form 700 and send it to a TPA or issuer. See Wheaton Coll., 573 U.S. at 958, 134 S.Ct. 2806; Little Sisters of the Poor, 571 U.S. at 1171, 134 S.Ct. 1022.
Following Hobby Lobby, Little Sisters of the Poor, and Wheaton College, the Departments issued new rules to effectively codify the outcomes of those cases. Consistent with Hobby Lobby, the Departments gave closely held, for-profit corporations access to the accommodation process previously reserved for religious non-profits. See 80 Fed. Reg. 41,318, 41,346 (July 14, 2015). And consistent with Little Sisters of the Poor and Wheaton College, the Departments allowed employers using the accommodation process to choose whether to (1) complete Form 700 and notify their TPA or issuer or (2) notify the Secretary of HHS of their religious objections directly. See id.
As sure as the sun sets in the west, "Years of litigation in dozens of cases followed." Defs.' Resp. Mot. Certification 1, ECF No. 30. At this point, a major question remained: Does the accommodation itself violate RFRA? This question caused a circuit split. Importantly, the Fifth Circuit addressed the issue. See E. Texas Baptist Univ. v. Burwell, 793 F.3d 449, 452 (5th Cir. 2015), vacated and remanded sub nom. Zubik v. Burwell, ___ U.S. ___, 136 S.Ct. 1557, 194 L.Ed.2d 696 (2016), and cert. granted, judgment vacated sub nom. Univ. of Dallas v. Burwell, ___ U.S. ___, 136 S.Ct. 2008, 195 L.Ed.2d 211 (2016). In East Texas Baptist, "religious organizations" challenged the "requirement that they either offer their employees health insurance that covers certain contraceptive services or submit a form or notification declaring their religious opposition to that coverage"—i.e., the Contraceptive Mandate's accommodation. Id. at 452. The panel reasoned, "Although the plaintiffs have identified several acts that offend their religious beliefs, the acts they are required to perform do not include providing or facilitating access to contraceptives." Id. at 459 (emphasis in original). "In short," the panel concluded, "the acts the plaintiffs are required to perform do not involve providing or facilitating access to contraceptives, and the plaintiffs have no right under RFRA to challenge the independent conduct of third parties." Id. at 463 (emphasis in original). The RFRA challenge failed.
Stepping into the fray yet again, the Supreme Court granted certiorari in Zubik v. Burwell, ___ U.S. ___, 136 S.Ct. 1557,
In January 2017, the federal government reported, despite its representations to the Supreme Court, "no feasible approach ha[d] been identified ... that would resolve the concerns of religious objectors, while still ensuring that the affected women receive full and equal health coverage." Departments of Labor, Health and Human Services, and the Treasury, "FAQs About Affordable Care Act Implementation Part 36," (Jan. 9, 2017), available at https://www.dol.gov/sites/default/files/ebsa/about-ebsa/our-activities/resource-center/faqs/aca-part-36.pdf and https://www.cms.gov/CCIIO/Resources/Fact-Sheets-and-FAQs/Downloads/ACAFAQs-Part36_1-9-17-Final.pdf
In the following months, the Departments went back to the drawing board. Eventually, they "issued rules that preserve the [contraceptive] mandate, but exempt employers with religious or moral objections." Defs.' Resp. Mot. Certification 1-2, ECF No. 30 (citing 83 Fed. Reg. 57,536 (Nov. 15, 2018); 83 Fed. Reg. 57,592 (Nov. 15, 2018)) (emphasis added). The Government explains, "The rules also allow individuals with religious or moral objections to contraceptive coverage to obtain a health plan that conforms to their beliefs if an issuer is willing to provide it." Id. at 2 (emphasis added). Notably, the Departments concluded the exemptions were necessary under RFRA. See, e.g., 83 Fed. Reg. at 57,544 ("[W]ith respect to religious employers, the Departments conclude that, without finalizing the expanded exemptions, and therefore requiring certain religiously objecting entities to choose between the [Contraceptive] Mandate, the accommodation, or penalties for noncompliance—or requiring objecting individuals to choose between purchasing insurance with coverage to which they object or going without insurance—the Departments would violate their rights under RFRA.").
On January 14, 2019, however, the United States District Court for the Eastern District of Pennsylvania enjoined the Government from implementing the revised civil-rights protections. See Pennsylvania v. Trump, No. 2:17-cv-04540-WB (E.D. Pa. Jan. 14, 2019) (order granting nationwide preliminary injunction). Plaintiffs filed this suit.
Individual Plaintiffs Richard DeOtte, Yvette DeOtte, John Kelley, and Alison Kelley "are Christians who believe that life begins at conception" and they "regard the use of abortifacient contraception as morally equivalent to abortion." Am. Compl. 7, ECF No. 19. "Mr. DeOtte and Mr. Kelley are self-employed and responsible for purchasing their own health insurance for themselves and for their families." Id. The Individual Plaintiffs "have opted to forego health insurance rather than pay for insurance that subsidizes abortifacient contraception." Id. at 8. They allege they would "be willing to purchase health insurance if it were possible to buy insurance that excludes contraceptive coverage." Id. They argue the Contraceptive Mandate violates
Plaintiff "Braidwood Management Inc. employs approximately 70 individuals, and its employees work at one of ... three business entities, each of which is owned or controlled by Dr. Hotze." Id. at 9. "Dr. Hotze is a Christian, and he operates his business according to Christian principles and teaching." Id. "Dr. Hotze believes that life begins at conception, and that the use of abortifacient contraception is tantamount to abortion. Dr. Hotze's beliefs on this matter are rooted in his Christian faith." Id. Dr. Hotze also "objects to the Contraceptive Mandate's requirement that he provide non-abortifacient contraception to his employees at zero marginal cost because it facilitates sexual activity outside of marriage." Id.
Braidwood "is self-insured and ... compelled to offer ACA-compliant health insurance to its employees or face heavy financial penalties." Id. Braidwood argues the Contraceptive Mandate forces it to "choose between: (1) Providing contraception to its employees; (2) Executing a self-certification form that leads to the provision of contraception by others; or (3) Paying a tax penalty of $100 per employee per day." Id. at 10. "Dr. Hotze refuses to allow Braidwood to execute the self-certification form that the Contraceptive Mandate offers to objecting employers" because he "regards the submission of that form as an act that affirmatively assists and facilitates the provision of abortifacient and non-abortifacient contraception." Id. Dr. Hotze had "instructed Braidwood to terminate contraceptive coverage in its self-insured health plan ... after the religious exemptions had been announced," but in the wake of the nationwide injunction rolling the religious protections back Braidwood is "facing substantial tax penalties—$100 per employee per day." Id.
Plaintiffs previously sought to certify two separate classes—one consisting of individuals who object to some or all contraceptives for religious reasons, and one consisting of employers who object to the Contraceptive Mandate's accommodation process for religious reasons. See Mot. Class Certification, ECF No. 20. The Government objected, but the Court certified the classes. See Mar. 30, 2019 Order Certifying Classes, ECF No. 33; Apr. 11, 2019 Order Amending Classes, ECF No. 37. The Employer Class is represented by Braidwood and is defined as:
Id. at 2. The Individual Class is represented by Richard W. DeOtte and is defined as:
Id. at 2-3.
Plaintiffs now move for summary judgment and permanent injunction. Mot.
Summary judgment is proper when the pleadings and evidence show "there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law." FED. R. CIV. P. 56(a). "[T]he substantive law will identify which facts are material." Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986). A genuine issue of material fact exists "if the evidence is such that a reasonable jury could return a verdict for the nonmoving party." Id. The movant makes a showing that there is no genuine issue of material fact by informing the court of the basis of its motion and by identifying the portions of the record that reveal there are no genuine material-fact issues. See FED. R. CIV. P. 56(c); Celotex Corp. v. Catrett, 477 U.S. 317, 323, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986).
When reviewing the evidence on a motion for summary judgment, the court must resolve all reasonable doubts and inferences in the light most favorable to the non-movant. See Walker v. Sears, Roebuck & Co., 853 F.2d 355, 358 (5th Cir. 1988). The court cannot make a credibility determination in light of conflicting evidence or competing inferences. Anderson, 477 U.S. at 255, 106 S.Ct. 2505. And if there appears to be some support for the disputed allegations, such that "reasonable minds could differ as to the import of the evidence," a court must deny the motion for summary judgment. Id. at 250, 106 S.Ct. 2505.
A "court may grant a permanent injunction without a trial on the merits if there are no material issues of fact and the issues of law have been correctly resolved." Calmes v. United States, 926 F.Supp. 582, 591 (N.D. Tex. 1996). The standard is "essentially the same" as the standard for a preliminary injunction. Id. "A plaintiff must demonstrate: (1) that it has suffered an irreparable injury; (2) that remedies available at law, such as monetary damages, are inadequate to compensate for that injury; (3) that, considering the balance of hardships between the plaintiff and defendant, a remedy in equity is warranted; and (4) that the public interest would not be disserved by a permanent injunction." eBay Inc. v. MercExchange, L.L.C., 547 U.S. 388, 391, 126 S.Ct. 1837, 164 L.Ed.2d 641 (2006). But unlike for a preliminary injunction, a plaintiff seeking a permanent injunction "must demonstrate actual success on the merits." Millennium Restaurants Grp., Inc. v. City of Dallas, 191 F.Supp.2d 802, 809 (N.D. Tex. 2002). A "trial court's granting or denial of permanent injunction" is reviewed "for abuse of discretion." Peaches Entm't Corp. v. Entm't Repertoire Assocs., Inc., 62 F.3d 690, 693 (5th Cir. 1995).
The first question before the Court is whether Plaintiffs are "entitled to judgment as a matter of law" on their RFRA claims. FED. R. CIV. P. 56(a). Defendants concede this point. That is to be expected—the Departments concluded independently of this lawsuit that RFRA necessitates essentially the same protections Plaintiffs seek here. See, e.g., 83 Fed. Reg. at 57,544. But whatever the Parties' positions, it is for the Court to say whether
Plaintiff Braidwood represents the Employer Class, and Braidwood's RFRA claim is as follows. Dr. Hotze operates Braidwood "according to Christian principles and teaching." Am. Compl. 9, ECF No. 19. Given his sincerely held religious beliefs, "Dr. Hotze refuses to allow Braidwood to execute the self-certification form" used in the accommodation process because he "regards the submission of that form as an act that affirmatively assists and facilitates the provision of abortifacient and non-abortifacient contraception, in violation of his sincere religious beliefs." Id. at 10. Put plainly, Dr. Hotze asserts the act of "executing a certification form that enables his company's employees to obtain and use abortifacient contraceptive methods free of charge, or that enables them to obtain non-abortifacient contraception for use in nonmarital sexual activity, is ... a violation of his religious beliefs." Id.; see also Br. Supp. Mot. Permanent Inj. 13, ECF No. 21-1 ("Dr. Hotze sincerely believes that the use and submission of the self-certification form is sufficiently connected to the destruction of human embryos and non-marital sexual activities as to make it immoral and contrary to his religious beliefs for his company to execute that form."). Braidwood therefore argues the Contraceptive Mandate violates RFRA by putting Braidwood to a choice "between: (1) Providing contraception to its employees; (2) Executing a self-certification form that leads to the provision of contraception by others; or (3) Paying a tax penalty of $100 per employee per day." Am. Compl. 10, ECF No. 19. That is, a choice between (1) violating its beliefs, (2) violating its beliefs, or (3) paying a penalty.
In Hobby Lobby, the Supreme Court held that putting an employer to a choice between options (1) and (3)—providing objected-to contraception or paying a penalty—violates RFRA. See 573 U.S. at 731, 134 S.Ct. 2751. In reaching this conclusion, the Supreme Court identified the accommodation process Braidwood now challenges as a less-restrictive means to furthering the Government's interests. Id. at 730, 134 S.Ct. 2751. But the Hobby Lobby plaintiffs did not challenge the accommodation process, see id. at 720, 134 S.Ct. 2751, and the Supreme Court expressly declined to say whether the accommodation process "complies with RFRA for purposes of all religious claims," id. at 731, 134 S.Ct. 2751.
Here, Braidwood specifically challenges the accommodation process because "Dr. Hotze sincerely believes ... it immoral and contrary to his religious beliefs for his company to execute [the required certification] form." Br. Supp. Mot. Permanent Inj. 13, ECF No. 21-1. In other words, the only RFRA question before the Court, vis-à-vis Braidwood and the Employer Class, is the one left open by Hobby Lobby: Does the accommodation process violate RFRA's protection of a religious employer's civil rights if the employer's sincerely held religious beliefs prohibit it from executing the required forms?
While Hobby Lobby did not resolve the precise legal claim Braidwood presents here, the Fifth Circuit addressed a substantially similar question in East Texas Baptist. There, the Fifth Circuit held the accommodation process did not violate RFRA as applied to the plaintiffs in that case. See E. Tex. Baptist. Univ., 793 F.3d at 463. Because the Supreme Court vacated the decision in East Texas Baptist, it is not binding. See, e.g., Munn v. City of Ocean Springs, 763 F.3d 437, 441 n.2 (5th Cir. 2014); Beiser v. Weyler, 284 F.3d 665, 668 (5th Cir. 2002). But it is important to articulate why the reasoning of the vacated opinion addresses facts that are different that what is presented here.
First, two major developments since East Texas Baptist call into question whether the same panel would issue the same decision today. The first and most salient development is a Government clarification before the Supreme Court. When appearing before the Fifth Circuit in East Texas Baptist, the Government briefed the intricacies of "self-insured church plans that are exempt from ERISA" but made no mention of self-insured plans governed by ERISA. Brief of Appellant at 35, E. Tex. Baptist, 793 F.3d 449 (5th Cir. 2015) (No. 14-20112). That omission was material, because the East Texas Baptist panel acknowledged the plaintiffs' argument "that the accommodation uses their plans as vehicles for payments for contraceptives" but dismissed it in three sentences. E. Tex. Baptist, 793 F.3d at 461. Yet at the Supreme Court, the Government clarified that "the coverage provided by [an objecting employer's] TPA is, as a formal ERISA matter, part of the same `plan' as the coverage provided by the employer." Brief of Respondent at 38, Zubik, ___ U.S. ___, 136 S.Ct. 1557, 194 L.Ed.2d 696 (2016) (Nos. 14-1418, 14-1453, 14-1505, 15-35, 15-105, 15-119, and 15-191). This clarification lends credibility to the argument raised by the East Texas Baptist plaintiffs but dismissed by the panel. It is far from clear the panel would have dismissed the "plans as vehicles" argument had the Government made the same representations in the Fifth Circuit it later made in the Supreme Court.
After oral argument in Zubik, the Supreme Court "requested supplemental briefing from the parties addressing `whether contraceptive coverage could be provided to petitioners' employees, through petitioners' insurance companies, without any such notice from petitioners." Id. at 1559-60. "Both petitioners and the Government ... confirm[ed] that such an option is feasible." Id. at 1560. But after the Supreme Court remanded based on the the supplemental briefing, the Government concluded it was unable to identify a feasible means of using the accommodation process to both protect the civil rights of religious employers and mandate free contraception. See Departments of Labor, Health and Human Services, and the Treasury, "FAQs About Affordable Care Act Implementation Part 36," (Jan. 9, 2017), available at https://www.dol.gov/sites/default/files/ebsa/about-ebsa/our-activities/resource-center/faqs/aca-part-36.pdf and https://www.cms.gov/CCIIO/Resources/Fact-Sheets-and-FAQs/Downloads/ACAFAQs-Part36_1-9-17-Final.pdf. The Government continues to agree with this conclusion, which it first proffered well after East Texas Baptist was decided: "The Departments continue to believe that, because of the nature of the accommodation process, merely amending that accommodation process without expanding the exemptions would not adequately address religious objections to compliance with the Mandate." 83 Fed. Reg. at 57,544. Thus, in contrast to its arguments at the time of East Texas Baptist, the Government's legal position now, based on years of soliciting tens of thousands of comments across two Administrations,
In sum, the Government explained to the Supreme Court that the coverage provided by a religious employer's TPA "is, as a formal ERISA matter," part of the employer's plan, but it omitted that information when briefing East Texas Baptist. And after Zubik—and well after East Texas Baptist—the Government formally concluded it cannot adequately protect the rights of religious employers through the accommodation process. These developments demonstrate the facts before the Court today are much different than those before the panel in East Texas Baptist.
Second, the panel in East Texas Baptist did not anchor its RFRA analysis to the religious exercise alleged by Braidwood, and that matters. There, the panel stated, "The plaintiffs are religious organizations that oppose the use of some or all contraceptives." E. Texas Baptist Univ., 793 F.3d at 454; see also id. at 455 ("The plaintiffs oppose abortion and believe that emergency contraceptives and intrauterine devices ... can cause abortions. They are unwilling to provide or facilitate access to those products."); id. ("The plaintiffs oppose the use of any contraceptives to prevent pregnancy or induce abortion, and providing or facilitating access to them for those purposes would violate their faith."); id. ("[T]hey oppose the use of any contraceptives to prevent pregnancy or induce abortion, and they object to providing or facilitating access to them for those purposes."). And in what must be viewed as the definitive formulation of the issue before it, the panel reasoned, "Although the plaintiffs have identified several acts that offend their religious beliefs, the acts they are required to perform do not include providing or facilitating access to contraceptives." Id. at 459 (second emphasis added).
Like an earthquake at sea, the framing of a religious belief is a seemingly subtle thing. But the consequences can be catastrophic. Because the East Texas Baptist panel framed its RFRA analysis around the belief that it is wrong to provide or facilitate access to contraceptives, id. at 454-55, the pivotal question became whether the court believed the accommodation process provides or facilitates access to contraceptives, id. at 456-60. Under that rubric, the panel never questioned the plaintiffs' beliefs when it said, "the acts [plaintiffs] are required to perform do not include providing or facilitating access to contraceptives." Id. at 459 (emphasis in original). Within the East Texas Baptist framework, that was not an improper critique of belief, it was an appropriate analysis of burden. Id. at 456 (deciding for the first time in the Fifth Circuit that courts decide whether a "challenged law pressure[s] [a religious objector] to modify [their religious] exercise").
Cutting to chase, that framework is not pleaded here. Neither Dr. Hotze nor Braidwood challenges the Contraceptive Mandate on the ground that completing the accommodation-process forms burdens other religious exercise. To the contrary, Dr. Hotze asserts that the act of "executing a certification form" is itself "a violation of his religious beliefs." Am. Compl. 10, ECF No. 19; see also Br. Supp. Mot. Permanent Inj. 13, ECF No. 21-1 ("Dr. Hotze sincerely believes ... it immoral and contrary to his religious beliefs for his company to execute [the required certification] form."). And while it is true Dr. Hotze views execution of the forms as complicity in—if not facilitation of—the provision of contraception, the Court cannot question a person's religious belief that the act of executing the accommodation
The Court therefore anchors its analysis, as it must, to Braidwood's assertion that its exercise of religion includes abstaining from executing the forms required by the accommodation process.
Under this framework, the question is whether the accommodation process compels Braidwood—and any other employer that meets the Employer Class definition—to violate its religious beliefs by altering its religious exercise. To ask the question is to answer it—the very thing Braidwood and the Employer Class members object to is what the accommodation requires. See 29 C.F.R. § 2590.715-2713A(b) (Optional accommodation—self-insured group health plans); 29 C.F.R. § 2590.715-2713A(c) (Optional accommodation—insured group health plans). And the only two other options—provide the objected-to contraceptives or pay exorbitant fines—are the two options the Supreme Court held illegal under RFRA in Hobby Lobby. 573 U.S. at 726, 134 S.Ct. 2751 ("Because the contraceptive mandate forces them to pay an enormous sum of money ... if they insist on providing insurance coverage in accordance with their religious beliefs, the mandate clearly imposes a substantial burden on those beliefs."). "Make no mistake: the harm Plaintiffs complain of—and the harm this Court therefore is called to assess—is from their inability to conform their own actions and inactions to their religious beliefs without facing massive penalties from the government." Priests for Life v. U.S. Dep't of Health & Human Servs., 808 F.3d 1, 7 (D.C. Cir. 2015) (Brown, J., dissenting from denial of reh'g en banc).
Accordingly, the Court finds Braidwood—and any employer that meets the definition of the Employer Class—has met its burden to show that the accommodation process "substantially burdens the exercise of religion." Diaz, 114 F.3d at 71. Accord Priests for Life, 808 F.3d at 15 (Kavanaugh, J., dissenting from denial of reh'g en banc) ("[U[nder Hobby Lobby, the regulations substantially burden the religious organizations' exercise of religion because the regulations require the organizations to take an action contrary to their sincere religious beliefs (submitting the form) or else pay significant monetary penalties.").
Since Braidwood has shown a substantial burden on its religious exercise, it is "up to the government to demonstrate that the compelling interest test is satisfied." Diaz, 114 F.3d at 71-72 (citations omitted). This requires the Government to show that requiring Braidwood and other employers in the Employer Class to utilize the accommodation process both "(1) is in furtherance of a compelling governmental interest; and (2) is the least restrictive means of furthering that compelling governmental interest." 42 U.S.C. § 2000bb-1(b). A failure on either factor is fatal. The Court therefore assumes—without finding—a compelling governmental interest in ensuring the availability of free contraception, because the Court finds the accommodation process is not the least-restrictive means of furthering that interest. Cf. Hobby
"The least-restrictive-means standard is exceptionally demanding," id. (citing City of Boerne v. Flores, 521 U.S. 507, 532, 117 S.Ct. 2157, 138 L.Ed.2d 624 (1997)), and the Government cannot clear that hurdle here. In Hobby Lobby, the Supreme Court held the Contraceptive Mandate was not the least-restrictive means of "achieving [HHS's] desired goal without imposing a substantial burden on the exercise of religion by the objecting parties." Id. at 728, 134 S.Ct. 2751. In reaching that conclusion, the Supreme Court relied on the accommodation now under attack as evidence of a less-restrictive means.
The reasoning in Hobby Lobby controls. If the Government has a compelling interest in ensuring access to free contraception, it has ample options at its disposal that do not involve conscripting religious employers. As the Supreme Court suggested, for example, if the Government itself were to assume the cost and responsibility of a program to ensure free access to contraception, objecting religious employers—like the plaintiffs in Hobby Lobby or members of the Employer Class—would not be forced to alter their religious exercise. Hobby Lobby, 573 U.S. at 729, 134 S.Ct. 2751. Indeed, "[t]he government could treat employees whose employers do not provide complete coverage for religious reasons the same as it does employees whose employers provide no coverage. This would entail providing for subsidized—or in this case free—contraceptive coverage to be made available on health care exchanges." Priests for Life, 808 F.3d at 13 (Brown, J., dissenting from denial of reh'g en banc) (emphasis added).
While this may entail new costs for the Government, "both RFRA and its sister statute, RLUIPA, may in some circumstances require the Government to expend additional funds to accommodate citizens' religious beliefs"—and the "view that RFRA can never require the Government
"[I]f a less restrictive means is available for the Government to achieve its goals, the Government must use it." Holt v. Hobbs, 574 U.S. 352, 135 S.Ct. 853, 864, 190 L.Ed.2d 747 (2015) (quoting United States v. Playboy Entm't Grp., Inc., 529 U.S. 803, 815, 120 S.Ct. 1878, 146 L.Ed.2d 865 (2000)). Plus, by the promulgation of its revised civil-rights protections, the Government has already demonstrated its ability to engineer less-restrictive means of furthering its interests. See 83 Fed. Reg. at 57,536 ("These rules expand exemptions to protect religious beliefs ... These rules do not alter the discretion of the Health Resources and Services Administration... to maintain the guidelines requiring contraceptive coverage where no regulatorily recognized objection exists ... These rules do not alter multiple other federal programs that provide free or subsidized contraceptives for women at risk of unintended pregnancy.").
Accordingly, the Court finds Braidwood—and, by definition, any member of the Employer Class
Plaintiff Richard W. DeOtte represents the Individual Class, and he and the other Individual Plaintiffs—Yvette DeOtte, John Kelley, and Alison Kelley—claim "[t]he Contraceptive Mandate violates the Religious Freedom Restoration Act because it forces [them], and other religious believers, to choose between purchasing health insurance that makes them complicit in abortifacient contraception, or forgoing health insurance entirely." Am. Compl. 7, ECF No. 19. More specifically, the Individual Plaintiffs argue that, "[u]nder the Contraceptive Mandate," they are compelled to "pay premiums that subsidize the provision of other people's contraception."
The Court finds the Individual Plaintiffs—and, through them, the Individual Class—have identified a substantial burden on their religious exercise. They assert the Contraceptive Mandate effectively forces "every individual who purchases health insurance [to] pay premiums that subsidize the provision of other people's contraception." Br. Supp. Mot. Permanent Inj. 18, ECF No. 21-1. That is correct.
The point of the Contraceptive Mandate is to ensure all ACA-compliant insurance plans include cost-free coverage of all FDA-approved contraceptive methods. See 45 C.F.R. § 147.130(a)(1)(iv), 29 C.F.R. § 2590.715-2713(a)(1)(iv), and 26 C.F.R. § 54.9815-2713(a)(1)(iv). And the point of the Individual Mandate is to ensure individuals purchase ACA-compliant insurance plans. The result? The Individual Plaintiffs are forced out of either the health-insurance market or their religious exercise. And by choosing to adhere to their religious beliefs, not only are the Individual Plaintiffs excluded from the insurance market, they are forced to violate federal law.
That the Contraceptive Mandate systematically discriminates against the Individual Class by blocking members' entrance into the marketplace—due to religious exercise—is a substantial burden of the highest order. The Court is therefore in agreement with District Judge Leon, who found the Contraceptive Mandate substantially burdened the religious exercise of individual employees because it "ma[de] it impossible for employee plaintiffs to purchase a health insurance plan that does not include coverage of contraceptives to which they object." Mar. for Life v. Burwell, 128 F.Supp.3d 116, 129 (D.D.C. 2015).
It is important to highlight that Judge Leon reasoned, in part, "Employee plaintiffs are ... caught between the proverbial rock and a hard place: they can either buy into and participate in a health insurance plan that includes the coverage they find objectionable ... or they can forgo health insurance altogether and thereby subject themselves to penalties for violating the ACA's individual mandate." Id. at 130. Because of the Tax Cuts and Jobs Act of 2017, Pub. L. No. 115-97, 131 Stat. 2054 (2017), the Individual Plaintiffs are not currently subject to "penalties for violating the individual mandate." But if the text of a law communicates what the law requires—and it does
The Individual Plaintiffs have deemed the latter the lesser evil. But for many in the Individual Class, it is likely the Individual Mandate and the Contraceptive Mandate, acting in tandem, "coerce [them] into acting contrary to their religious beliefs, requir[ing] government to bring forward a compelling justification for its otherwise lawful actions."
The Individual Plaintiffs having demonstrated a substantial burden on their religious exercise, it is again "up to the government to demonstrate that the compelling interest test is satisfied." Diaz, 114 F.3d at 71-72 (citations omitted). But as the Court already found, the Government cannot do so. That is, even assuming a compelling governmental interest in ensuring cost-free contraceptive coverage, the availability of the less-restrictive means identified above and articulated by the Supreme Court, see Hobby Lobby, 573 U.S. at 728-30, 134 S.Ct. 2751, demonstrates the Government is unable to satisfy the least-restrictive-means test.
Accordingly, the Court finds the Individual Plaintiffs—and, by definition, any member of the Individual Class—have stated a successful RFRA claim and are entitled to judgment as a matter of law.
A plaintiff seeking a permanent injunction "must demonstrate actual success on the merits." Millennium Restaurants Grp., 191 F. Supp. 2d at 809. As discussed above, both Braidwood and the Individual Plaintiffs—and, through them, the Employer Class and Individual Class—have demonstrated actual success on the merits of their RFRA claims, entitling them to summary judgment. This threshold factor is met.
To prevail on their motion for permanent injunction, Plaintiffs must further show "(1) that [they have] suffered an irreparable injury; (2) that remedies available at law, such as monetary damages, are inadequate to compensate for that injury; (3) that, considering the balance of hardships between [Plaintiffs and the Government], a remedy in equity is warranted; and (4) that the public interest would not be disserved by a permanent injunction." eBay Inc., 547 U.S. at 391, 126 S.Ct. 1837. Having succeeded on their RFRA claims, Plaintiffs easily satisfy the permanent-injunction factors, which largely mirror the RFRA analysis itself.
As to the first two factors, the Fifth Circuit recognizes that a violation of RFRA is irreparable harm. See Opulent Life Church v. City of Holly Springs, 697 F.3d 279, 295 (5th Cir. 2012) ("Opulent Life has satisfied the irreparable-harm requirement because it has alleged violations of its First Amendment and RLUIPA rights. `The loss of First Amendment freedoms, for even minimal periods of time, unquestionably constitutes irreparable injury.'" (quoting Elrod v. Burns, 427 U.S. 347, 373, 96 S.Ct. 2673, 49 L.Ed.2d 547 (1976))). In Opulent Life Church, the Fifth Circuit noted the long-established principle that a violation of First-Amendment rights per se constitutes irreparable harm and reasoned that "[t]his principle applies with equal force to the violation of RLUIPA rights because RLUIPA enforces First Amendment freedoms, and the statute requires courts to construe it broadly to protect religious exercise." Id. (citing 42 U.S.C. § 2000cc-3(g)). It then noted approvingly, "In the closely related RFRA context (the predecessor statute to RLUIPA), courts have recognized that this same principle applies." Id. (citing Kikumura v. Hurley, 242 F.3d 950, 963 (10th Cir. 2001) ("[C]ourts have held that a plaintiff satisfies
"Often times the concepts of `irreparable injury' and `no adequate remedy at law' are indistinguishable." Lewis v. S. S. Baune, 534 F.2d 1115, 1124 (5th Cir. 1976). That is the case here. Unlike the "irreparable injury" prong, "the inadequate remedy test looks to the possibilities of alternative modes of relief, however serious the initial injury." Id. (citation omitted). Here, the injury takes the form of ongoing violations of Plaintiffs' civil rights, which cannot be remedied by the payment of damages or any other remedy at law— in the absence of an injunction, Plaintiffs rights will be violated day after day. The Court therefore finds that, by succeeding on their RFRA claims, Plaintiffs have established an irreparable injury that will continue unless enjoined, meaning there is no adequate remedy at law for the injury shown. See Millennium Restaurants Grp., 191 F. Supp. 2d at 809 (reasoning a permanent injunction is warranted where the injury alleged "cannot be redressed by the application of a judicial remedy" (quoting Canal Authority of State of Florida v. Callaway, 489 F.2d 567, 573 (5th Cir. 1974))).
The Court finds the third and fourth injunction factors are also resolved by the RFRA analysis. That is to say, the Court finds the balance of hardships favors an injunction because the Government, even in the face of an injunction, will have access to other, less-restrictive means to furthering its interests. It would be illogically to (1) conclude under RFRA that Plaintiffs are injured by the Contraceptive Mandate while the Government is not injured by losing the Contraceptive Mandate and then (2) find under the injunction analysis that enjoining enforcement of the Contraceptive Mandate injures the Government more than continued enforcement of the Contraceptive Mandate injures Plaintiffs. And as to the public interest factor, the Opulent Life Church panel noted, "Injunctions protecting First Amendment freedoms are always in the public interest." 697 F.3d at 298 (citing Christian Legal Soc'y v. Walker, 453 F.3d 853, 859 (7th Cir. 2006); Ingebretsen ex rel. Ingebretsen v. Jackson Pub. Sch. Dist., 88 F.3d 274, 280 (5th Cir. 1996)). Just as it did in assessing the irreparable-harm factor, the panel then reasoned, "This principle applies equally to injunctions protecting RLUIPA rights because, as discussed, RLUIPA enforces the First Amendment and must be construed broadly." Id. The Court finds this reasoning applies as much to RFRA as to RLUIPA because, like RLUIPA, RFRA is designed "to ensure broad protection for religious liberty"—a First Amendment right. Hobby Lobby, 573 U.S. at 694, 134 S.Ct. 2751.
Accordingly, the Court finds Plaintiffs— and, by definition, any member of the Employer Class or the Individual Class—are entitled to a permanent injunction, as further described below. Accord Little Sisters v. Azar, No. 1:13-cv-02611 (D. Colo. May 29, 2018), ECF No. 82, at 1-2 (finding the accommodation process violates RFRA and permanently enjoining enforcement of the Contraceptive Mandate); Reaching Souls Int'l, Inc. v. Azar, No. 5:13-cv-01092, 2018 WL 1352186 (W.D. Okla. Mar. 15, 2018), ECF No. 95, at 3-4 (finding "enforcement of the contraceptive mandate against Plaintiffs, either through the accommodation or other regulatory means" violates RFRA and permanently enjoining enforcement of the Contraceptive Mandate); Wheaton Coll. v. Azar, No. 1:13-cv-8910 (N.D. Ill. Feb. 22, 2018), ECF No. 119, at 3 (finding "enforcement of the contraceptive mandate against Wheaton would
Throughout this litigation, the Government has opposed Plaintiffs' requested relief. See, e.g., Defs.' Resp. Mot. Certify, ECF No. 30; Defs.' Resp. Mot. Permanent Inj., ECF No. 38. Although the Court certified the two plaintiff classes over the Government's objections, the Government reiterates its opposition to Plaintiffs' requested relief in responding to the pending motion for permanent injunction. The Government asserts that, "because the identity of the certified class has not yet been resolved, class-wide injunctive relief would be overly vague under [Federal Rule of Civil Procedure] 65 and pose a risk that Defendants will be subject to contempt of court for unintentionally violating such an injunction." Id. at 4.
For the reasons set forth in the Court's Order Granting Class Certification, the Court's finds the Government's vagueness arguments are still unavailing. See Mar. 30, 2018 Order Granting Class Certification 13-16, ECF No. 33. This leaves the Government's concern that "the proposed injunction puts Defendants at risk of contempt when enforcing the Mandate, if they inadvertently apply it to an employer or individual who happens to be a class member." Defs.' Resp. Mot. Permanent Inj. 8, ECF No. 38. As an initial matter, the Court notes the Government complains of a problem—not knowing an employer's or individual's status—while conceding it currently "do[es] not require exempt entities or individuals to submit notices of their exempt status." Id. If the Government does not require exempt entities or individuals to prove their exempt status, it is unclear why the problem would arise for class members. As Plaintiffs argue, class members should be able to simply decline the offending coverage with the comfort that, like other exempt entities and individuals, they will not be subjected to a religious test. And to the extent the Government is concerned about "inadvertently apply[ing]" the Contraceptive Mandate "to an employer or individual who happens to be a class member," id. at 8, Plaintiffs represent they "conferred with counsel for the defendants and informed them that [they] would include [a] proposal for injunctive relief as an attachment to [their] reply" that expressly creates a safe harbor for such inadvertent enforcement, Pls.' Reply Mot. Permanent Inj. 2 n.1, ECF No. 39. The Government did "not oppose [the] inclusion of this proposed order, and the plaintiffs ... agreed not to oppose the defendants' request to file a sur-reply." Id. The Government did not file a sur-reply. The Court therefore includes the proposed safe harbor in the proposed injunctive relief, which the Court finds alleviates the practical concerns raised by the Government.
Accordingly, judgment is entered in favor of Plaintiff Braidwood Management Inc. and the certified Employer Class Braidwood represents, consisting of:
Every current and future employer in the United States that objects, based on its sincerely held religious beliefs, to establishing, maintaining, providing, offering, or arranging for: (i) coverage or payments for some or all contraceptive services; or (ii) a plan, issuer, or third-party administrator that provides or arranges for such coverage or payments.
Judgment is further entered in favor of Plaintiffs Richard W. DeOtte, Yvette DeOtte, John Kelley, and Alison Kelley, as well as the certified Individual Class Mr. DeOtte represents, consisting of:
All current and future individuals in the United States who: (1) object to coverage
Judgment is entered against defendants Alex M. Azar, in his official capacity as Secretary of Health and Human Services; Steven T. Mnuchin, in his official capacity as Secretary of the Treasury; R. Alexander Acosta, in his official capacity as Secretary of Labor; and the United States of America. The Court awards the following relief:
The Court
It is therefore
1. Defendants Alex M. Azar II, Steven T. Mnuchin, and R. Alexander Acosta, and their officers, agents, servants, employees, attorneys, designees, and subordinates, as well as any person acting in concert or participation with them, are
2. Defendants Alex M. Azar II, Steven T. Mnuchin, and R. Alexander Acosta, and their officers, agents, servants, employees, attorneys, designees, and subordinates, as well as any person acting in concert or participation with them, are
If an Individual Class member objects to some but not all contraceptive services, but the issuer, and as applicable, plan sponsor, are willing to provide the plan sponsor or individual, as applicable, with a separate policy, certificate or contract of insurance or a separate group health plan or benefit package option that omits all contraceptives, and the Individual Class member agrees, then the injunction applies as if the Individual Class member objects to all contraceptive services.
3. Nothing in this injunction shall prevent the defendants, or their officers, agents, servants, employees, attorneys, designees, and subordinates, as well as any person acting in concert or participation with them, from: