Eden Foods, Inc. v. Kathleen Sebelius

733 F.3d 626, 2013 WL 5745858, 2013 U.S. App. LEXIS 21590
CourtCourt of Appeals for the Sixth Circuit
DecidedOctober 24, 2013
Docket19-1959
StatusPublished
Cited by3 cases

This text of 733 F.3d 626 (Eden Foods, Inc. v. Kathleen Sebelius) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Eden Foods, Inc. v. Kathleen Sebelius, 733 F.3d 626, 2013 WL 5745858, 2013 U.S. App. LEXIS 21590 (6th Cir. 2013).

Opinion

OPINION

MARTHA CRAIG DAUGHTREY, Circuit Judge.

To comply with the Patient Protection and Affordable Care Act, Pub.L. No. Ill— 148, 124 Stat. 119 (2010), and the Health Care and Education Reconciliation Act of 2010, Pub.L. No. 111-152, 124 Stat. 1029 (2010), collectively known as the Affordable Care Act (the Act), most businesses employing 50 or more individuals must provide female employees with health-insurance coverage that includes, at no cost to the employee, “such additional preventive care and screenings ... as provided for in comprehensive guidelines supported by the Health Resources and Services Administration.” 42 U.S.C. § 300gg-13(a)(4). Those guidelines require plans to cover “[a]ll Food and Drug Administration approved contraceptive methods, sterilization procedures, and patient education and counseling for women with reproductive capacity.” 77 Fed.Reg. 8725 (Feb. 15, 2012).

The plaintiffs, Eden Foods, Inc., and Michael Potter, appeal from a denial of their request for a preliminary injunction that would forbid federal agencies from enforcing that mandate against them. They contend that offering such contraceptive services to the employees of Eden Foods would substantially burden the plaintiffs’ religious beliefs and thus would contravene the protections afforded them under the Religious Freedom Restoration Act, 42 U.S.C. §§ 2000bb-2000bb^ (RFRA). However, the law of the circuit, announced in the recent decision in Auto-cam Corp. v. Sebelius, 730 F.3d 618 (6th Cir.2013), convincingly establishes that the district court did not abuse its discretion in *628 denying the plaintiffs’ requests for injunctive relief.

FACTUAL AND PROCEDURAL BACKGROUND

The Affordable Care Act

In March 2010, Congress passed, and President Obama signed, the Affordable Care Act. The cornerstone of the Act is the requirement that all non-exempt, non-grandfathered employers of 50 or more people ensure that their employees receive a minimum level of health insurance. As part of that coverage, Congress mandated:

A group health plan and a health insurance issuer offering group or individual health insurance coverage shall, at a minimum provide coverage for and shall not impose any cost sharing requirements for—
(4) with respect to women, such additional preventive care and screenings ... as provided for in comprehensive guidelines supported by the Health Resources and Services Administration for purposes of this paragraph.

42 U.S.C. § 300gg-13(a)(4).

The Health Resources and Services Administration (HRSA) then delegated the task of developing appropriate preventive-services guidelines to the Institute of Medicine (IOM), an arm of the National Academy of Sciences funded by Congress to provide the government with expert advice on matters of public health. The IOM reviewed “what preventive services are necessary for women’s health and well-being and therefore should be considered in the development of comprehensive guidelines for preventive services for women.” HRSA, Women’s Preventive Services Guidelines, available at http://www.hrsa. gov/womensguidelines/ (last visited Oct. 22, 2013). The Institute recommended, and the HRSA supported the suggestions, that the following preventive services be required to be provided to women employees at no cost to the women themselves: well-woman visits; screening for gestational diabetes; human papillomavirus testing; counseling for sexually transmitted infections; counseling and screening for human immune-deficiency virus; contraceptive methods and counseling; breast-feeding support, supplies, and counseling; and screening and counseling for interpersonal and domestic violence. Id.

With respect to contraceptive methods and counseling, the guidelines require nonexempt employers and insurance plans to provide “[a]ll Food and Drug Administration approved contraceptive methods, sterilization procedures, and patient education and counseling for all women with reproductive capacity.” Id. Nevertheless, HRSA explained:

The guidelines concerning contraceptive methods and counseling ... do not apply to women who are participants or beneficiaries in group health plans sponsored by religious employers. Effective August 1, 2013, a religious employer is defined as an employer that is organized and operates as a non-profit entity and is referred to in section 6033(a)(3)(A)(i) or (iii) of the Internal Revenue Code. HRSA notes that, as of August 1, 2013, group health plans established or maintained by religious employers (and group health insurance coverage provided in connection with such plans) are exempt from the requirement to cover contraceptive services under section 2713 of the Public Health Service Act, as incorporated into the Employee Retirement Income Security Act and the Internal Revenue Code. HRSA also notes that, as of January 1, 2014, accommodations are available to group health plans established or maintained by certain eli *629 gible organizations (and group health insurance coverage provided in connection with such plans), as well as student health insurance coverage arranged by eligible organizations, with respect to the contraceptive coverage requirement.

Id.

Pursuant to the Act, therefore, exemptions from the contraceptive-coverage mandate are limited to certain sizes and types of employers. Specifically, the insurance requirements are not applicable to companies with fewer than 50 employees, see 26 U.S.C. §§ 4980H(a), (c)(2)(A); companies with health-insurance plans in existence on March 23, 2010, and unchanged after that date, see 45 C.F.R. § 147.140; and “religious employers,” see 45 C.F.R. § 147.130(a)(l)(iv)(B). 1

Significant taxes are imposed upon a non-exempt employer who fails to provide the required insurance coverage. For example, an employer who offers its employees a health plan but omits items of required coverage shall be taxed “$100 for each day in the noncompliance period with respect to each individual to whom such failure relates.” 26 U.S.C. § 4980D(b)(l). Complete failure to offer employees any health-insurance coverage will result in the imposition upon the employer of “an assessable payment equal to the product of the applicable payment amount and the number of individuals employed by the employer as full-time employees during such month.” 26 U.S.C.

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Cite This Page — Counsel Stack

Bluebook (online)
733 F.3d 626, 2013 WL 5745858, 2013 U.S. App. LEXIS 21590, Counsel Stack Legal Research, https://law.counselstack.com/opinion/eden-foods-inc-v-kathleen-sebelius-ca6-2013.