Two insurers — Health Alliance Life Insurance Co. and HMO Missouri Inc. — challenged the law after they received charges from the Missouri Department of Insurance that they were violating state law by not offering health care plans excluding coverage for contraceptives.
But Judge Audrey Fleissig of the U.S. District Court for the Eastern District of Missouri ruled that the statute ran afoul of the Supreme Clause of the U.S. Constitution, which invalidates state laws that conflict with federal laws and rules.
“Here the federal law and regulations, with limited exceptions, provide that insurers mist provide contraceptive coverage without cost-sharing by an insured,” Judge Fleissig wrote, referring to the Patient Protection and Affordable Care Act and federal regulations implementing that law.
“The state law says that insurers cannot provide contraceptive coverage to any person or entity that objects to such coverage based on moral, ethical or religious objection. The court is hard-pressed to see how this does not create a direct conflict for Missouri health insurers,” Judge Fleissig wrote.
A spokeswoman for the Missouri Attorney General Office in Jefferson City, Mo., said Judge Flessig's decision is “under review,” adding that she did not know when the review would be completed.