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It was Congress, not the [administration], that declined to expressly require contraceptive coverage in the ACA itself. Justice Elena Kagan filed a concurring opinion in the judgment, in which Stephen Breyer joined. Justices Ginsburg and Sotomayor dissented, saying the court's ruling "leaves women workers to fend for themselves.

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The Biden administration planned to seek prisma health simpsonville family medicine hold on O'Connor's decision. On June 25,the U. Supreme Court ruled, 6-3, that federal subsidies for health insurance premiums could be used in the 34 states that famliy not set up their own insurance exchanges.