{"abstract":"These rules finalize, with changes based on public comments, interim final rules concerning religious exemptions and accommodations regarding coverage of certain preventive services issued in the Federal Register on October 13, 2017. These 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, 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 \"accommodation\" process 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.","action":"Final rules.","agencies":[{"raw_name":"DEPARTMENT OF THE TREASURY","name":"Treasury Department","id":497,"url":"https://www.federalregister.gov/agencies/treasury-department","json_url":"https://www.federalregister.gov/api/v1/agencies/497","parent_id":null,"slug":"treasury-department"},{"raw_name":"Internal Revenue Service","name":"Internal Revenue Service","id":254,"url":"https://www.federalregister.gov/agencies/internal-revenue-service","json_url":"https://www.federalregister.gov/api/v1/agencies/254","parent_id":497,"slug":"internal-revenue-service"},{"raw_name":"DEPARTMENT OF LABOR","name":"Labor Department","id":271,"url":"https://www.federalregister.gov/agencies/labor-department","json_url":"https://www.federalregister.gov/api/v1/agencies/271","parent_id":null,"slug":"labor-department"},{"raw_name":"Employee Benefits Security Administration","name":"Employee Benefits Security Administration","id":131,"url":"https://www.federalregister.gov/agencies/employee-benefits-security-administration","json_url":"https://www.federalregister.gov/api/v1/agencies/131","parent_id":271,"slug":"employee-benefits-security-administration"},{"raw_name":"DEPARTMENT OF HEALTH AND HUMAN SERVICES","name":"Health and Human Services Department","id":221,"url":"https://www.federalregister.gov/agencies/health-and-human-services-department","json_url":"https://www.federalregister.gov/api/v1/agencies/221","parent_id":null,"slug":"health-and-human-services-department"}],"body_html_url":"https://www.federalregister.gov/documents/full_text/html/2018/11/15/2018-24512.html","cfr_references":[{"chapter":null,"citation_url":null,"part":54,"title":26},{"chapter":null,"citation_url":null,"part":2590,"title":29},{"chapter":null,"citation_url":null,"part":147,"title":45}],"citation":"83 FR 57536","comment_url":null,"comments_close_on":null,"correction_of":null,"corrections":[],"dates":"Effective date: These regulations are effective on January 14, 2019.","disposition_notes":null,"docket_ids":["TD-9840","CMS-9940-F2"],"dockets":[],"document_number":"2018-24512","effective_on":"2019-01-14","end_page":57590,"executive_order_notes":null,"executive_order_number":null,"full_text_xml_url":"https://www.federalregister.gov/documents/full_text/xml/2018/11/15/2018-24512.xml","html_url":"https://www.federalregister.gov/documents/2018/11/15/2018-24512/religious-exemptions-and-accommodations-for-coverage-of-certain-preventive-services-under-the","images":{},"images_metadata":{},"json_url":"https://www.federalregister.gov/api/v1/documents/2018-24512?publication_date=2018-11-15","mods_url":"https://www.govinfo.gov/metadata/granule/FR-2018-11-15/2018-24512/mods.xml","not_received_for_publication":null,"page_length":55,"page_views":{"count":25244,"last_updated":"2026-07-26 02:15:03 -0400"},"pdf_url":"https://www.govinfo.gov/content/pkg/FR-2018-11-15/pdf/2018-24512.pdf","presidential_document_number":null,"proclamation_number":null,"public_inspection_pdf_url":"https://public-inspection.federalregister.gov/2018-24512.pdf?1541625338","publication_date":"2018-11-15","raw_text_url":"https://www.federalregister.gov/documents/full_text/text/2018/11/15/2018-24512.txt","regulation_id_number_info":{"1545-BN92":{"issue":"201810","html_url":"https://www.federalregister.gov/regulations/1545-BN92/religious-exemptions-and-accommodations-for-coverage-of-certain-preventive-services-under-the-afford","title":"Religious Exemptions and Accommodations for Coverage of Certain Preventive Services Under the Affordable Care Act","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201810&RIN=1545-BN92&operation=OPERATION_EXPORT_XML","priority_category":"Other Significant"},"0938-AT54":{"issue":"201810","html_url":"https://www.federalregister.gov/regulations/0938-AT54/religious-exemptions-and-accommodations-for-coverage-of-certain-preventive-services-under-the-afford","title":"Religious Exemptions and Accommodations for Coverage of Certain Preventive Services Under the Affordable Care Act (CMS-9940-F2)","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201810&RIN=0938-AT54&operation=OPERATION_EXPORT_XML","priority_category":"Other Significant"},"1210-AB83":{"issue":"201810","html_url":"https://www.federalregister.gov/regulations/1210-AB83/religious-exemptions-and-accommodations-for-coverage-of-certain-preventive-services-under-the-afford","title":"Religious Exemptions and Accommodations for Coverage of Certain Preventive Services Under the Affordable Care Act","xml_url":"http://www.reginfo.gov/public/do/eAgendaViewRule?pubId=201810&RIN=1210-AB83&operation=OPERATION_EXPORT_XML","priority_category":"Other Significant"}},"regulation_id_numbers":["0938-AT54","1210-AB83","1545-BN92"],"regulations_dot_gov_info":{"supporting_documents":[],"comments_count":0,"agency_id":"HHS","comments_url":"https://www.regulations.gov/docketBrowser?rpp=50&so=DESC&sb=postedDate&po=0&dct=PS&D=HHS-OS-2022-0008","supporting_documents_count":0,"docket_id":"HHS-OS-2022-0008","document_id":"HHS-OS-2022-0008-0538","regulation_id_number":null,"title":"HHS 2022 Archive","checked_regulationsdotgov_at":"2022-05-28T03:30:05Z"},"regulations_dot_gov_url":null,"significant":true,"signing_date":null,"start_page":57536,"subtype":null,"title":"Religious Exemptions and Accommodations for Coverage of Certain Preventive Services Under the Affordable Care Act","toc_doc":"Religious Exemptions and Accommodations for Coverage of Certain Preventive Services Under the Affordable Care Act","toc_subject":null,"topics":["Employee benefit plans","Excise taxes","Health care","Health insurance","Pensions","Reporting and recordkeeping requirements"],"type":"Rule","volume":83}