Fed Regist. 2017 Oct 13;82(197):47792-835.
The United States has a long history of providing conscience protections in the regulation of health care for entities and individuals with objections based on religious beliefs and moral convictions. These interim final rules expand exemptions to protect religious beliefs for certain entities and individuals whose health plans are subject to a mandate of contraceptive coverage through guidance issued pursuant to the Patient Protection and Affordable Care Act. These rules do not alter the discretion of the Health Resources and Services Administration (HRSA), a component of the United States Department of Health and Human Services (HHS), to maintain the guidelines requiring contraceptive coverage where no regulatorily recognized objection exists. These rules also leave the "accommodation" process in place as an optional process for certain exempt entities that wish to use it voluntarily. These rules do not alter multiple other Federal programs that provide free or subsidized contraceptives for women at risk of unintended pregnancy.
美国长期以来一直在医疗保健监管中为基于宗教信仰和道德信念提出异议的实体和个人提供良心保护。这些暂行最终规则通过根据《患者保护与平价医疗法案》发布的指导意见，扩大了豁免范围，以保护某些实体和个人的宗教信仰，这些实体和个人的健康计划需遵守避孕覆盖要求。这些规则并未改变美国卫生与公众服务部（HHS）下属的卫生资源与服务管理局（HRSA）在不存在监管认可的异议时维持避孕覆盖要求指南的自由裁量权。这些规则还保留了“变通办法”程序，作为某些希望自愿使用该程序的豁免实体的可选程序。这些规则并未改变其他多个为有意外怀孕风险的女性提供免费或补贴避孕药具的联邦项目。
