{"id":10668,"date":"2013-05-03T19:59:00","date_gmt":"2013-05-04T02:59:00","guid":{"rendered":"https:\/\/library.consciencelaws.org\/?p=10668"},"modified":"2023-01-22T17:25:15","modified_gmt":"2023-01-23T01:25:15","slug":"an-unclear-conscience-clause-the-causes-and-consequences-of-statutory-ambiguity-in-state-contraceptive-mandates","status":"publish","type":"post","link":"https:\/\/library.consciencelaws.org\/?p=10668","title":{"rendered":"An (Un)clear Conscience Clause: The Causes and Consequences of Statutory Ambiguity in State Contraceptive Mandates"},"content":{"rendered":"\n<h4 class=\"wp-block-heading\">Rachel VanSickle-Ward, Amanda Hollis-Brusky<\/h4>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignleft size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"149\" height=\"230\" src=\"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2021\/03\/jhealthpolicylaw.jpg\" alt=\"Journal of Health Politics, Policy and Law\" class=\"wp-image-11543\"\/><figcaption class=\"wp-element-caption\">Journal of Health Politics, Policy and Law<\/figcaption><\/figure>\n<\/div>\n\n\n<p><strong>Abstract<\/strong><br>Since 1996, twenty-eight states have adopted legislation mandating insurance coverage of prescription contraceptives for women. Most of these policies include language that allows providers to opt out of the requirement because of religious or moral beliefs\u2014conscience clause exemptions. There is striking variation in how these exemptions are defined. This article investigates the sources and consequences of ambiguous versus precise statutory language in conscience clauses. We find that some forms of political and institutional fragmentation (party polarization and gubernatorial appointment power) are correlated with the degree of policy specificity in state contraceptive mandates. This finding reinforces previous law and policy scholarship that has shown that greater fragmentation promotes ambiguous statutory language because broad wording acts as a vehicle for compromise when actors disagree. Interestingly, it is the more precisely worded statutes that have prompted court battles. We explain this with reference to the asymmetry of incentives and mobilizing costs between those disadvantaged by broad (primarily female employees) versus precisely worded statutes (primarily Catholic organizations). Our findings suggest that the impact of statutory ambiguity on court intervention is heavily contextualized by the resources and organization of affected stakeholders.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n\n<p>Vansickle-Ward R, Hollis-Brusky A. <a href=\"https:\/\/read.dukeupress.edu\/jhppl\/article-abstract\/38\/4\/683\/13564\/An-Un-clear-Conscience-Clause-The-Causes-and?redirectedFrom=fulltext\">An (Un)clear Conscience Clause: The Causes and Consequences of Statutory Ambiguity in State Contraceptive Mandates.<\/a> J Health Polit Policy Law. 2013 May 3. [Epub ahead of print] PubMed PMID: 23645878.&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Rachel VanSickle-Ward, Amanda Hollis-Brusky AbstractSince 1996, twenty-eight states have adopted legislation mandating insurance coverage of prescription contraceptives for women. Most of these policies include language that allows providers to opt out of the requirement because of religious or moral beliefs\u2014conscience clause exemptions. There is striking variation in how these exemptions are defined. This article investigates &hellip; <a href=\"https:\/\/library.consciencelaws.org\/?p=10668\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;An (Un)clear Conscience Clause: The Causes and Consequences of Statutory Ambiguity in State Contraceptive Mandates&#8221;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4,2,559],"tags":[551,550],"post_folder":[],"class_list":["post-10668","post","type-post","status-publish","format-standard","hentry","category-contraception","category-journal-article","category-law","tag-amanda-hollis-brusky","tag-rachel-vansickle-ward"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\r\n<title>An (Un)clear Conscience Clause: The Causes and Consequences of Statutory Ambiguity in State Contraceptive Mandates - Protection of Conscience Project Library<\/title>\r\n<meta name=\"description\" content=\"Most insurance contraceptive mandates include conscience clause exemptions. There is striking variation in how these exemptions are defined.\" \/>\r\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\r\n<link rel=\"canonical\" href=\"https:\/\/library.consciencelaws.org\/?p=10668\" \/>\r\n<meta property=\"og:locale\" content=\"en_GB\" \/>\r\n<meta property=\"og:type\" content=\"article\" \/>\r\n<meta property=\"og:title\" content=\"An (Un)clear Conscience Clause: The Causes and Consequences of Statutory Ambiguity in State Contraceptive Mandates - Protection of Conscience Project Library\" \/>\r\n<meta property=\"og:description\" content=\"Most insurance contraceptive mandates include conscience clause exemptions. There is striking variation in how these exemptions are defined.\" \/>\r\n<meta property=\"og:url\" content=\"https:\/\/library.consciencelaws.org\/?p=10668\" \/>\r\n<meta property=\"og:site_name\" content=\"Protection of Conscience Project Library\" \/>\r\n<meta property=\"article:publisher\" content=\"https:\/\/www.youtube.com\/user\/consciencepro\" \/>\r\n<meta property=\"article:published_time\" content=\"2013-05-04T02:59:00+00:00\" \/>\r\n<meta property=\"article:modified_time\" content=\"2023-01-23T01:25:15+00:00\" \/>\r\n<meta property=\"og:image\" content=\"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2021\/03\/jhealthpolicylawog.jpg\" \/>\r\n\t<meta property=\"og:image:width\" content=\"600\" \/>\r\n\t<meta property=\"og:image:height\" content=\"338\" \/>\r\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\r\n<meta name=\"author\" content=\"Project Administrator\" \/>\r\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\r\n<meta name=\"twitter:image\" content=\"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2021\/03\/jhealthpolicylawog.jpg\" \/>\r\n<meta name=\"twitter:creator\" content=\"@consciencpro\" \/>\r\n<meta name=\"twitter:site\" content=\"@consciencpro\" \/>\r\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Project Administrator\" \/>\n\t<meta name=\"twitter:label2\" content=\"Estimated reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\r\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=10668#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=10668\"},\"author\":{\"name\":\"Project Administrator\",\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/#\\\/schema\\\/person\\\/263d102b35e3f7822db6d548b2555098\"},\"headline\":\"An (Un)clear Conscience Clause: The Causes and Consequences of Statutory Ambiguity in State Contraceptive Mandates\",\"datePublished\":\"2013-05-04T02:59:00+00:00\",\"dateModified\":\"2023-01-23T01:25:15+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=10668\"},\"wordCount\":247,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=10668#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/library.consciencelaws.org\\\/wp-content\\\/uploads\\\/2021\\\/03\\\/jhealthpolicylaw.jpg\",\"keywords\":[\"Amanda Hollis-Brusky\",\"Rachel VanSickle-Ward\"],\"articleSection\":[\"Contraception\",\"Journal Articles\",\"Law\"],\"inLanguage\":\"en-GB\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/library.consciencelaws.org\\\/?p=10668#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=10668\",\"url\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=10668\",\"name\":\"An (Un)clear Conscience Clause: The Causes and Consequences of Statutory Ambiguity in State Contraceptive Mandates - Protection of Conscience Project Library\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=10668#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/library.consciencelaws.org\\\/?p=10668#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/library.consciencelaws.org\\\/wp-content\\\/uploads\\\/2021\\\/03\\\/jhealthpolicylaw.jpg\",\"datePublished\":\"2013-05-04T02:59:00+00:00\",\"dateModified\":\"2023-01-23T01:25:15+00:00\",\"description\":\"Most insurance contraceptive mandates include conscience clause exemptions. 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