CATHOLIC CHARITIES OF SACRAMENTO, INC. V. SUPERIOR COURT
32 Cal.4th 527 (2004)
NATURE OF THE CASE: Catholic (P), employer, challenged a decision, which denied P's
petition for a writ of mandate and ruled in favor of real parties in interest, a trial
court, a State, a state health care department, and a state insurance department, (Ps) and
found that the Women's Contraception Equity Act (WCEA), Cal. Health & Safety Code 1367.25
and Cal. Ins. Code 10123.196, was not unconstitutional.
FACTS: The Legislature discovered 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. Approximately 10
percent of commercially insured Californians did not have coverage for prescription
contraceptives. It passed the WCEA which required that 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.' Catholic Charities of Sacramento (P) is a California nonprofit
public benefit corporation. It describes itself as an organ of the Roman Catholic Church. P
offers health insurance, including prescription drug coverage, to its 183 full-time
employees. It does not 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. The act
defines a 'religious employer' as 'an entity for which each of the following is true: (A)
The inculcation of religious values is the purpose of the entity. (B) The entity primarily
employs persons who share the religious tenets of the entity. (C) The entity serves
primarily persons who share the religious tenets of the entity. (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.' P does not qualify as a 'religious employer' under the
WCEA because it does not meet any of the four criteria. P admits that its purpose ... is to
offer social services to the general public that promote a just, compassionate society. The
WCEA implicitly permits any employer to avoid covering contraceptives by not offering
coverage for prescription drugs. P contends that this option does not eliminate all conflict
between the law and its religious beliefs. P filed this action seeking a declaratory
judgment that the WCEA is unconstitutional and an injunction barring the law's enforcement.
The State of California, the Department of Managed Health Care and the Department of
Insurance (Ds) are the defendants. P challenges under the establishment and free exercise
clauses of the United States and California Constitutions. The superior court denied P's
motion for a preliminary injunction. P sought a petition for writ of mandate, which the
Court of Appeal denied. This appeal was granted.
ISSUE:
RULE OF LAW:
HOLDING AND DECISION:
LEGAL ANALYSIS:
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