Catholic Charities of Sacramento, Inc. v. Superior Court

85 P.3d 67, 10 Cal. Rptr. 3d 283, 32 Cal. 4th 527, 32 Employee Benefits Cas. (BNA) 2346, 2004 Cal. Daily Op. Serv. 1737, 2004 Daily Journal DAR 2614, 2004 Cal. LEXIS 1667
CourtCalifornia Supreme Court
DecidedMarch 1, 2004
DocketS099822
StatusPublished
Cited by62 cases

This text of 85 P.3d 67 (Catholic Charities of Sacramento, Inc. v. Superior Court) is published on Counsel Stack Legal Research, covering California Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Catholic Charities of Sacramento, Inc. v. Superior Court, 85 P.3d 67, 10 Cal. Rptr. 3d 283, 32 Cal. 4th 527, 32 Employee Benefits Cas. (BNA) 2346, 2004 Cal. Daily Op. Serv. 1737, 2004 Daily Journal DAR 2614, 2004 Cal. LEXIS 1667 (Cal. 2004).

Opinions

Opinion

WERDEGAR, J.

In this case, we address a church-affiliated employer’s constitutional challenges to the Women’s Contraception Equity Act (WCEA),1 under which certain health and disability insurance contracts must cover prescription contraceptives. The plaintiff employer, which opposes contraceptives on religious grounds, claims the statute violates the establishment and free exercise clauses of the United States and California Constitutions. (U.S. Const., 1st Amend.; Cal. Const., art. I, § 4.) The lower courts rejected the employer’s claims. We affirm.

I. Facts

The Legislature enacted the WCEA in 1999 to eliminate gender discrimination in health care benefits and to improve access to prescription contraceptives. Evidence before the Legislature showed that women during their reproductive years spent as much as 68 percent more than men in out-of-pocket health care costs, due in large part to the cost of prescription contraceptives and the various costs of unintended pregnancies, including health risks, premature deliveries and increased neonatal care. Evidence also showed that, while most health maintenance organizations (HMO’s) covered prescription contraceptives, not all preferred provider organization (PPO) and indemnity plans did. As a result, approximately 10 percent of commercially insured Californians did not have coverage for prescription contraceptives.

The Legislature chose to address these problems by regulating the terms of insurance contracts. The WCEA does not require any employer to offer coverage for prescription drugs. Under the WCEA, however, certain health and disability insurance plans that cover prescription drugs must cover prescription contraceptives. As an exception, the law permits a “religious employer” to request a policy that includes drug coverage but excludes coverage for “contraceptive methods that are contrary to the religious employer’s religious tenets.”2 Health and Safety Code section 1367.25 governs [538]*538group health care service plan contracts;3 Insurance Code section 10123.196 governs individual and group disability insurance policies.4

Plaintiff Catholic Charities of Sacramento, Inc. (hereafter Catholic Charities) is a California nonprofit public benefit corporation. (See Corp. Code, [539]*539§ 5110 et seq.) Although independently incorporated, Catholic Charities describes itself as “operated in connection with the Roman Catholic Bishop of Sacramento” and as “an organ of the Roman Catholic Church.” The nonprofit corporation “offer[s] a multitude of social services and private welfare programs to the general public, as part of the social justice ministry of the Roman Catholic Church.” These services and programs include “providing immigrant resettlement programs, elder care, counseling, food, clothing and affordable housing for the poor and needy, housing and vocational training of the developmental^ disabled and the like.”

Catholic Charities offers health insurance, including prescription drug coverage, to its 183 full-time employees through group health care plans underwritten by Blue Shield of California and Kaiser Permanente. Catholic Charities does not, however, offer insurance for prescription contraceptives because it considers itself obliged to follow the Roman Catholic Church’s religious teachings, because the Church considers contraception a sin, and because Catholic Charities believes it cannot offer insurance for prescription contraceptives without improperly facilitating that sin.

As mentioned, the WCEA permits a “religious employer” to offer prescription drug insurance without coverage for contraceptives that violate the employer’s religious tenets. (Health & Saf. Code, § 1367.25, subd. (b).) The act defines a “religious employer” as “an entity for which each of the following is true: [J[] (A) The inculcation of religious values is the purpose of the entity, [f] (B) The entity primarily employs persons who share the religious tenets of the entity, [f] (C) The entity serves primarily persons who share the religious tenets of the entity. [j[] (D) The entity is a nonprofit organization as described in Section 6033(a)(2)(A) i or iii, of the Internal Revenue Code of 1986, as amended.” {Ibid.) The cited provisions of the Internal Revenue Code exempt, from the obligation to file an annual return, “churches, their integrated auxiliaries, and conventions or associations of churches” (26 U.S.C. § 6033(a)(2)(A)(i)) and “the exclusively religious activities of any religious order” (id., § 6033(a)(2)(A)(i) and (iii)).

Catholic Charities does not qualify as a “religious employer” under the WCEA because it does not meet any of the definition’s four criteria. (See Health & Saf. Code, § 1367.25, subd. (b)(l)(A)-(D).) The organization candidly acknowledges this in its complaint, offering the following explanation: “The corporate purpose of Catholic Charities is not the direct inculcation of religious values. Rather, [its] purpose ... is to offer social services to the general public that promote a just, compassionate society that supports the dignity of individuals and families, to reduce the causes and results of poverty, and to build healthy communities through social service programs such as counseling, mental health and immigration services, low-income [540]*540housing, and supportive social services to the poor and vulnerable. Further, Catholic Charities does not primarily employ persons who share its Roman Catholic religious beliefs, but, rather, employs a diverse group of persons of many religious backgrounds, all of whom share [its] Gospel-based commitment to promote a just, compassionate society that supports the dignity of individuals and families. Moreover, Catholic Charities serves people of all faith backgrounds, a significant majority of [whom] do not share [its] Roman Catholic faith. Finally, . . . Catholic Charities, although an exempt organization under 26 U.S.C. § 501(c)(3), is not a nonprofit organization pursuant to [s]ection 6033(a)(2)(A)(i) or (iii) of the Internal Revenue Code of 1986. Consequently, . . . Catholic Charities is not entitled ... to an exemption from the mandate imposed by [the WCEA].”

As mentioned, the WCEA implicitly permits any employer to avoid covering contraceptives by not offering coverage for prescription drugs. But this option, according to Catholic Charities, does not eliminate all conflict between the law and its religious beliefs. Catholic Charities feels obliged to offer prescription drug insurance to its employees under what it describes as the “Roman Catholic religious teaching” that “an employer has a moral obligation at all times to consider the well-being of its employees and to offer just wages and benefits in order to provide a dignified livelihood for the employee and his or her family.”

Perceiving no option consistent with both its beliefs and the law, Catholic Charities filed this action seeking a declaratory judgment that the WCEA is unconstitutional and an injunction barring the law’s enforcement. Defendants are the State of California, the Department of Managed Health Care and the Department of Insurance.5

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85 P.3d 67, 10 Cal. Rptr. 3d 283, 32 Cal. 4th 527, 32 Employee Benefits Cas. (BNA) 2346, 2004 Cal. Daily Op. Serv. 1737, 2004 Daily Journal DAR 2614, 2004 Cal. LEXIS 1667, Counsel Stack Legal Research, https://law.counselstack.com/opinion/catholic-charities-of-sacramento-inc-v-superior-court-cal-2004.