The Ninth Circuit Gets it Right . . . Finally!
by Jen Swedish, Health Law Fellow,
National Women's Law Center
Yesterday, the Ninth Circuit Court of Appeals ruled that the State of Washington can fully enforce a rule passed by its pharmacy board that ensures patient access to medication. As we’ve reported before, back in 2007, two pharmacists and a pharmacy challenged the rule in court, because they objected to providing emergency contraception. A lower federal court decided in favor of the challengers, issuing a preliminary injunction that halted the rule as it applied to Plan B emergency contraception.
While the appeal was pending, Washington argued that it should be allowed to enforce the rule in its entirety, but the Ninth Circuit upheld the lower court’s preliminary injunction. This meant that until the Ninth Circuit could decide the merits of the case, Washington women who wanted EC were at risk of delay in accessing the time-sensitive medication because of a refusing pharmacist.
The Ninth Circuit finally decided the merits of the appeal yesterday and said that the lower court was wrong to issue the broad injunction. The pharmacy and pharmacists who brought the case claimed that requiring them to provide EC violated their right to free exercise of religion under the First Amendment. The Ninth Circuit held that the district court should not have applied heightened scrutiny to analyze the rule’s affect on religious freedom. According to the appellate court, the rule’s purpose was not to eliminate religious objections to the delivery of lawful medications, but rather to eliminate all objections that do not ensure patient health, safety, and access to medication. As such, the rule was a neutral law of general applicability, which must withstand only rational basis review to pass constitutional muster. Although the Ninth Circuit sent the case back to the lower court to apply the correct standard of review, it suggested that the rule would likely pass constitutional muster.
Finally, yesterday's Ninth Circuit decision assures Washington women access to EC at the pharmacy!


