DeOtte v. State of NV

20 F.4th 1055
CourtCourt of Appeals for the Fifth Circuit
DecidedDecember 17, 2021
Docket19-10754
StatusPublished
Cited by22 cases

This text of 20 F.4th 1055 (DeOtte v. State of NV) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
DeOtte v. State of NV, 20 F.4th 1055 (5th Cir. 2021).

Opinion

Case: 19-10754 Document: 00516136542 Page: 1 Date Filed: 12/17/2021

United States Court of Appeals for the Fifth Circuit United States Court of Appeals Fifth Circuit

FILED December 17, 2021 No. 19-10754 Lyle W. Cayce Clerk

Richard W. DeOtte, on behalf of himself and others similarly situated; Yvette DeOtte; John Kelley; Alison Kelley; Hotze Health & Wellness Center; Braidwood Management, Incorporated, on behalf of itself and others similarly situated,

Plaintiffs—Appellees,

versus

State of Nevada,

Movant—Appellant.

Appeal from the United States District Court for the Northern District of Texas USDC No. 4:18-CV-825

Before Higginbotham, Southwick, and Engelhardt, Circuit Judges. Leslie H. Southwick, Circuit Judge: This case involves a dispute about the effect of provisions in the Religious Freedom and Restoration Act on the contraceptive mandate found in the Affordable Care Act. The case became moot with issuance of the Supreme Court’s decision in Little Sisters of the Poor Saints Peter and Paul Home v. Pennsylvania, 140 S. Ct. 2367 (2020). The principal remaining issue is whether to leave in place the injunction that had been issued by the district Case: 19-10754 Document: 00516136542 Page: 2 Date Filed: 12/17/2021

No. 19-10754

court. We VACATE the judgment below and REMAND with instructions to dismiss as moot.

THE ACA AND THE CONTRACEPTIVE MANDATE We begin with an abbreviated history of the Patient Protection and Affordable Care Act (the “ACA”) and its contraceptive mandate, then explain the background of this case. The ACA requires covered employers to provide women with “preventive care and screenings” without cost-sharing requirements “as provided for in comprehensive guidelines supported by the Health Resources and Services Administration” (“HRSA”), an agency of the Department of Health and Human Services (“HHS”). 42 U.S.C. § 300gg-13(a)(4). Shortly after passage, the HHS, the Department of the Treasury, and the Department of Labor (together, “the Departments”) began promulgating rules under Section 300gg-13(a)(4). Little Sisters, 140 S. Ct. at 2374. In 2011, the Departments adopted rules including the contraceptive mandate, which required health plans to include coverage for all contraceptive methods approved by the Food and Drug Administration. See 77 Fed. Reg. 8725 (Feb. 15, 2012). The rules created exemptions from the contraceptive mandate for religious employers. 76 Fed. Reg. 46,621, 46,623 (Aug. 3, 2011) (to be codified at 26 C.F.R. pt. 54; 29 C.F.R. pt. 2590; 45 C.F.R. pt. 147). This exemption was “narrow[ly] focus[ed] on churches . . . [and] is known as the church exemption.” Little Sisters, 140 S. Ct. at 2374. In 2013, the Departments promulgated another final rule that created an accommodation process for religious nonprofits who did not qualify for the church exemption. 78 Fed. Reg. 39,870, 39,873–75 (July 2, 2013) (to be codified at 26 C.F.R. pt. 54; 45 C.F.R. pt. 147, 156; 29 C.F.R. pts. 2510, 2590; 45 C.F.R. pts. 147, 156). The accommodation was different from the

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exemption: under the accommodation, qualifying nonprofits were required to provide a self-certification form to the health insurer, which would exclude contraceptive coverage from the plan and provide those services to the employees separately. Id. at 39,875, 39,878. Those rules were challenged in courts. In 2014, the Supreme Court held that the contraceptive mandate violated the Religious Freedom and Restoration Act (“RFRA”) as applied to closely held corporations with religious objections, and the religious accommodation must apply to them as well as religious nonprofits. Burwell v. Hobby Lobby Stores, Inc., 573 U.S. 682, 691–93 (2014). Assuming without deciding that free access to contraceptives was a compelling government interest, the Court held that extending the accommodation to closely held corporations was a less restrictive means of achieving it. Id. at 691–92. In response, the rules were changed to allow for- profit corporations to use the self-certifying accommodation previously reserved for religious non-profits (“2015 Rules”). 80 Fed. Reg. 41,318, 41,346 (July 14, 2015) (to be codified at 26 C.F.R. pt. 54; 29 C.F.R. pts. 2510, 2590, 45 C.F.R. pt. 147). In 2015, the Supreme Court granted a writ of certiorari in a case that would have allowed it to determine whether the self-certifying accommodation itself violated RFRA, as many religious groups had argued, because completing the certification caused them to take an action that led to health insurers providing employees with the contraceptives to which they objected. Zubik v. Burwell, 577 U.S. 971, 971 (2015). Instead, though, the Supreme Court remanded without deciding the question in light of supplemental briefing by the parties. Zubik v. Burwell, 578 U.S. 403, 407–410 (2016). In that briefing, the petitioners and the government agreed that an alternative approach was possible where employees would receive contraceptive coverage from insurers without affirmative action by employers. Id. at 407–08. The Court ordered the parties on remand to reach

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an approach that accommodated religious objections while meeting women’s contraceptive needs. Id. In the wake of Zubik, the Departments in 2016 published a request for information to reach an accommodation that satisfied the needs of both religious objectors and female employees of religious objectors. 81 Fed. Reg. 47741, 47741–45. Ultimately, the Departments could not arrive at a solution, and they did not modify the rules at that time. Id. In 2017, the Departments tried again to satisfy Zubik by modifying the rules related to the contraceptive mandate. In relevant part, the Departments promulgated interim final rules (“IFRs”) that broadened the exemption to include for-profit and publicly traded entities who had religious objections to contraceptives, without having to use the self-certifying accommodation (“2017 Rules”). 82 Fed. Reg. 47,792, 47,835 (Oct. 13, 2017) (to be codified at 26 C.F.R. pt. 54; 29 C.F.R. pts. 2510, 2590; 45 C.F.R. pt. 147). The 2017 Rules also gave the individuals the option to obtain insurance that excluded contraception coverage so that individuals would not have to choose between policies that included contraceptive care or no policy at all. Id. The 2017 Rules included a lengthy explanation of why RFRA compelled the rule changes. Id. at 47, 800–06. Litigants then challenged the 2017 Rules. Two district courts issued nationwide injunctions that enjoined enforcement of the 2017 Rules for procedural defects, thereby re-instating enforcement of the 2015 Rules with the church exemption and self-certifying accommodation. Pennsylvania v. Trump, 281 F. Supp. 3d 553, 585 (E.D. Pa. 2017), rev’d sub nom. Pennsylvania v. President United States, 816 F. App’x 632 (3d Cir. 2020); California v. HHS, 281 F. Supp. 3d 806, 831–32 (N.D. Cal. 2017). When the 2017 Rules became final, they were enjoined as the IFRs had been. Pennsylvania v. Trump, 351 F. Supp. 3d 791, 797–98 (E.D. Pa. 2019); Fed. Reg. 57, 536, 57, 537 (Nov. 15, 2018) (to be codified at 26 C.F.R. pt. 54; 29 C.F.R. pt. 2590; 45 C.F.R. pt. 147).

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FACTUAL AND PROCEDURAL BACKGROUND The Plaintiffs sued the Secretaries of the three Departments in the United States District Court for the Northern District of Texas in 2018, seeking relief from the nationwide injunctions that blocked enforcement of the 2017 Rules and required enforcement of the 2015 Rules. They amended their complaint in February 2019.

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Cite This Page — Counsel Stack

Bluebook (online)
20 F.4th 1055, Counsel Stack Legal Research, https://law.counselstack.com/opinion/deotte-v-state-of-nv-ca5-2021.