In another battle about birth control, the Supreme Court ruled Wednesday that the Trump administration has the right to allow employers to refuse coverage for workers seeking to obtain birth control through work insurance plans. Giving employers with religious or moral objections a pass, the Supreme Court made the ruling which is deeply concerning considering how much it infringes on women’s rights.

The decision which had a 7:2 vote marks the end of years of lawsuits over the Affordable Care Act’s “birth control mandate.”

Over a decade ago, the Obama administration made employers offer employees birth control coverage. Since the decision, religious liberty proponents and reproductive rights advocates squared off over which employers should be excluded from that requirement. According to Vice, “Over the years, the government has given churches and other houses of worship, as well as some other employers, ways to skirt that requirement.”

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In 2017, the Trump administration issued a set of new rules that increased the number of organizations to refuse birth control coverage.

The change in rules gives private employers with sincerely held religious and moral objections to be exempt.

After Pennsylvania and New Jersey pursued lawsuits over the change and won in a lower court, the Trump administration and the Little Sisters of the Poor appealed to the Supreme Court for an overturned ruling. Justice Clarence Thomas ruled that the Departments of Health and Human Services, Labor, and Treasury had the right to create such exemptions ruling “The only question we face today is what the plain language of the statute authorizes. And the plain language of the statute clearly allows the Departments to create the preventive care standards as well as the religious and moral exemptions.”

Conservative Justices Samuel Alito, Neil Gorsuch, and Brett Kavanaugh agreed with Thomas’ opinion. Chief Justice John Roberts, who has sided with the liberals in various recent cases, also ruled in their favor.

Justice Ruth Bader Ginsburg and Justice Sonia Sotomayor ruled against the measure.

In her dissent, Ginsburg underlined that the government has an estimated number of 70,500 to 126,400 women who could lose their “no-cost contraceptive services” should additional employers be exempt. “This court leaves women workers to fend for themselves, to seek contraceptive coverage from sources other than their employer’s insurer, and, absent another available source of funding, to pay for contraceptive services out of their own pockets,” Ginsburg wrote.

In May, Ginsburg made history when she called into the arguments over the case from the hospital due to the coronavirus pandemic and her recovery from “non-surgical treatment.”

“You are shifting the employer’s religious beliefs — the cost of them — onto the employees,” Ginsburg told then-Solicitor General Noel Francisco. She also added that women who lose birth control coverage will most likely be forced to find coverage through government programs like Medicaid or pay for their health care out of pocket. “The women end up getting nothing.”