Fed Regist. 2018 Nov 15;83(221):57592-631.
These rules finalize, with changes based on public comments, the interim final rules issued in the Federal Register on October 13, 2017 concerning moral exemptions and accommodations regarding coverage of certain preventive services. These rules finalize expanded exemptions to protect moral 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, a component of the U.S. Department of Health and Human Services, to maintain the guidelines requiring contraceptive coverage where no regulatorily recognized objection exists. These rules also leave in place an optional "accommodation" 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.
这些规则根据公众意见进行了修改，最终确定了2017年10月13日在《联邦公报》上发布的暂行最终规则，该规则涉及某些预防性服务覆盖范围的道德豁免和便利措施。这些规则最终确定了扩大豁免范围，以保护某些实体和个人的道德信仰，这些实体和个人的健康计划根据《患者保护与平价医疗法案》发布的指导意见，须遵守避孕覆盖的规定。这些规则不会改变美国卫生与公众服务部下属的卫生资源与服务管理局在不存在监管认可的反对意见时维持避孕覆盖要求指南的自由裁量权。这些规则还为某些希望自愿使用的豁免实体保留了一个可选的“便利”程序。这些规则不会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。
