At question was whether religious non-profits with an objection to providing contraception to women should have to actively opt out of doing so.
The ACA mandated that all new insurance plans cover "contraceptive methods, sterilization procedures, and patient education and counselling for all women with reproductive capacity." A religious exemption exists for non-profit organizations with a religious objection to providing contraception. In order to opt out, the organization must notify the government and explain the objection. The petitioners, representing such religious non-profits, argue that this requirement is an infringement of the Religious Freedom Restoration Act, which bars the government from "substantially burdening" a person's "exercise of religion."