Religion, birth control and President Barack Obama's health care overhaul are about to collide at the Supreme Court yet again.
Faith-affiliated charities, colleges and hospitals that oppose some or all contraception as immoral are battling the administration over rules that allow them to opt out of covering the contraceptives for women that are among a range of preventive services required to be in health plans at no extra cost.
The religious-oriented nonprofit groups say the accommodation provided by the administration does not go far enough because they remain complicit in providing government-approved contraceptives to women covered by their plans, though the groups are not on the hook financially.
A new federal appeals court ruling is the first to agree with the nonprofits, after seven other appellate panels sided with the administration. Such disagreements among lower courts often are a trigger for consideration by the Supreme Court.
If the Supreme Court takes up the matter in its term that begins in October, it would be the fourth high court case stemming from the health care overhaul that Obama signed into law in 2010.
The high court has twice preserved the law, but has allowed some for-profit employers with religious objections to refuse to pay for contraceptives for women.
Houses of worship and other religious institutions whose primary purpose is to spread the faith are exempt from the requirement to offer birth control.