Project 2025 Tracker / What’s done, what’s next

14. Department of Health and Human Services · Major

Restore Trump religious and moral exemptions to the contraceptive mandate

Not started

Printed page 483 14. Department of Health and Human Services

“Restore Trump religious and moral exemptions to the contraceptive mandate (also a CMS rule). HHS should rescind, if finalized, the regulation titled “Coverage of Certain Preventive Services Under the Affordable Care Act,” proposed jointly by HHS, Treasury, and Labor.”

What has happened

  1. Not started

    Already true before the evidence window: the conditional this ask turns on never triggered. The 2018 religious and moral exemptions to the contraceptive mandate (45 CFR 147.132 and 147.133) were never revoked, and the January 2023 tri-agency proposed rule "Coverage of Certain Preventive Services Under the Affordable Care Act" was never finalized — so there was nothing for HHS to rescind and nothing to restore. No in-window rulemaking on the exemptions was found.

    No action found yet. This entry is the starting point, not a finding.

Research log

What was searched, and what didn’t count as evidence

Research notes

  • The object of this ask was already in the asked-for state when the window opened, in the same way as #1314. The exemptions have stood since 2018; the Biden-era proposal that would have narrowed them died as a proposed rule.
  • Confirmed on review 2026-09-01, Already-true flag kept. The Already-true rule names this item by number. Its verb is “restore” and its second sentence is conditional on a finalization that never happened — an action ask, not a preserve, continue or refrain-from ask — so the rule’s exclusion of those asks does not reach it, and neither limb leaves anything outstanding: there is nothing to rescind and nothing to restore.
  • Negative searches run 2026-08-27: Federal Register full-text “Coverage of Certain Preventive Services Under the Affordable Care Act” (HHS, since 2025-01-20) — 6 documents, all of them Paperwork Reduction Act information-collection notices for the existing exemption/accommodation forms (2025-04-28, 2025-12-10, 2026-01-21, 2026-06-02) plus the 2027 Benefit and Payment Parameters proposed and final rules; “contraceptive coverage exemption” — 0 documents; “moral exemption” — 0 documents; “Religious Exemptions” (HHS) — 3 documents, none a contraceptive-mandate rulemaking. No withdrawal notice for the 2023 proposed rule was published in the window either.
  • Adjacent but different objects, not cited here: HHS OCR rescinded its 2021 Church Amendments guidance (2026-01-26) and disavowed a set of other OCR documents under Executive Order 14192 the same day. Those are conscience-protection guidance, not the contraceptive-coverage exemption rules.
  • Checked 2026-09-06, in a review of every Already-true flag: flag stands, and the reversal question was re-measured. Undoing this object would mean an in-window rulemaking narrowing or revoking 45 CFR 147.132 and 147.133, so the negative was re-run on 2026-09-06: Federal Register API, a search for “147.132”, type RULE, published on or after 2025-01-20 - 0 documents; “religious exemption contraceptive”, type RULE, same floor - 1 document, an unrelated DHS public charge rule. The 2018 exemptions stand and the 2023 proposed rule is still unfinalized, so both limbs of this conditional ask are where they were on 2025-01-20. Nothing happened inside the window in either direction.
Action
restore
Object
religious and moral exemptions to the ACA contraceptive mandate
ID
1344