The contraception requirement under the Affordable Care Act has had mixed fortunes in the courts over the last few months. In September, the Washington Post reported on a ruling by the US District Court for the District of Columbia, which decided that the March for Life, a nonreligious nonprofit, would not have to offer contraceptive coverage based on the group’s moral objections.

On the other hand, the Sixth US Circuit Court of Appeals ruled in August that six Catholic groups’ compliance with the Affordable Care Act policy did not violate the Religious Freedom Restoration Act. Catholic News Service reported that the religiously based nonprofits included the Michigan Catholic Conference, the Diocese of Nashville, two orders of women religious and two Catholic Charities divisions. The groups still maintain that their religious freedom is impinged upon by the accommodation that allows them to send a letter stipulating that they will not provide contraceptive coverage.

One case that has yet to be decided is the Little Sisters of the Poor. In late August, the Tenth Circuit Court of Appeals decided that the sisters would not be subject to fines while the Supreme Court deliberated whether it would hear their case. One month earlier, the same court had ruled the sisters failed to prove that signing the exemption form would be a substantial burden on their freedom of religion, according to Catholic News Agency.