What's at Stake
The ACLU intervened in a case challenging a section of the Affordable Care Act that prohibits health care entities from discriminating based on race, national origin, sex, age or disability.
Summary
In August 2016, a group of five states and religiously affiliated health care organizations filed a lawsuit against the Federal Government. The lawsuit, Franciscan Alliance v. Burwell, challenges a U.S. Department of Health and Human Services regulation clarifying that the Affordable Care Act prohibits health care entities receiving federal funds from discriminating against patients and employees because they are transgender or because they seek reproductive care. The ACLU represents River City Gender Alliance, an Omaha-based nonprofit organization that provides peer support for transgender and gender non-conforming people, and the ACLU of Texas.
The Plaintiff states and organizations in this case receive millions in taxpayer dollars, employ hundreds of thousands of health care workers, and operate a wide network of hospitals and health care facilities. They seek an injunction that would permit health care providers to discriminate in health care, including by screening patients based on religious doctrine and turning away transgender patients seeking necessary gender-confirming care or reproductive health care.
“This lawsuit aims to undermine critical protections against discrimination in health care. No one — whether they’re male or female, transgender or not — should fear being turned away at the hospital door because of who they are,” said Louise Melling, deputy legal director at the ACLU. “Religious liberty does not mean the right to discriminate or harm others.”
Legal Documents
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08/26/2022
Opinion -
07/01/2022
Reply Brief for Defendants-Appellants -
07/01/2022
Reply Brief of Intervenor Defendants-Appellants -
06/10/2022
Brief of Plaintiffs-Appellees -
03/28/2022
Brief for Defendants-Appellants -
03/28/2022
Brief of Intervenor Defendants-Appellants
Date Filed: 08/26/2022
Court: Appeals Court (5th Cir.)
Affiliate: Texas, Nebraska
Download DocumentDate Filed: 07/01/2022
Court: Appeals Court (5th Cir.)
Affiliate: Texas, Nebraska
Download DocumentDate Filed: 07/01/2022
Court: Appeals Court (5th Cir.)
Affiliate: Texas, Nebraska
Download DocumentDate Filed: 06/10/2022
Court: Appeals Court (5th Cir.)
Affiliate: Texas, Nebraska
Download DocumentDate Filed: 03/28/2022
Court: Appeals Court (5th Cir.)
Affiliate: Texas, Nebraska
Download DocumentDate Filed: 03/28/2022
Court: Appeals Court (5th Cir.)
Affiliate: Texas, Nebraska
Download Document-
10/01/2021
Order Granting Defendants' Motion to Modify Order on Supplemental Briefs on Remand -
09/13/2021
Defendants' Motion to Modify Order on Supplemental Briefs on Remand -
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09/24/2021
Plaintiffs' Response to Defendants' Motion to Modify Order -
09/28/2021
Defendants' Reply in Support of Motion to Modify Order
Franciscan Alliance v. BurwellLegal DocumentsPlaintiffs' Response to Defendants' Motion to Modify OrderDate Filed: 09/24/2021
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download DocumentFranciscan Alliance v. BurwellLegal DocumentsDefendants' Reply in Support of Motion to Modify OrderDate Filed: 09/28/2021
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
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09/24/2021
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08/16/2021
Opinion and Order on Supplemental Briefs on Remand -
06/04/2021
Defendants' Supplemental Brief on Remand -
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06/18/2021
Plaintiffs' Supplemental Reply Brief on Remand
Franciscan Alliance v. BurwellLegal DocumentsPlaintiffs' Supplemental Reply Brief on RemandDate Filed: 06/18/2021
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
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06/18/2021
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05/14/2021
Plaintiffs' Supplemental Brief on Remand -
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06/04/2021
Intervenors' Memo in Opposition to Plaintiffs' Supplemental Brief on Remand
Franciscan Alliance v. BurwellLegal DocumentsIntervenors' Memo in Opposition to Plaintiffs' Supplemental Brief on RemandDate Filed: 06/04/2021
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download Document -
06/04/2021
Date Filed: 10/01/2021
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download DocumentDate Filed: 09/13/2021
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download DocumentDate Filed: 08/16/2021
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download DocumentDate Filed: 06/04/2021
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download DocumentDate Filed: 05/14/2021
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download Document-
04/15/2021
Opinion -
12/11/2020
Appellants' Reply Brief -
11/20/2020
Intervenors-Appellee's Brief -
11/20/2020
Appellees' Brief -
09/21/2020
Appellants' Brief
Date Filed: 04/15/2021
Court: Appeals Court (5th Cir.)
Affiliate: Texas, Nebraska
Download DocumentDate Filed: 12/11/2020
Court: Appeals Court (5th Cir.)
Affiliate: Texas, Nebraska
Download DocumentDate Filed: 11/20/2020
Court: Appeals Court (5th Cir.)
Affiliate: Texas, Nebraska
Download DocumentDate Filed: 11/20/2020
Court: Appeals Court (5th Cir.)
Affiliate: Texas, Nebraska
Download DocumentDate Filed: 09/21/2020
Court: Appeals Court (5th Cir.)
Affiliate: Texas, Nebraska
Download Document-
11/21/2019
Order -
10/15/2019
Opinion and Order -
08/07/2019
Supplemental Briefing on Motions for Summary Judgment -
- Order for Supplemental Briefing
- State Plaintiff's Supplemental Brief
- Defendant's Supplemental Brief
- Intervenor's Supplemental Brief
Franciscan Alliance v. BurwellLegal DocumentsOrder for Supplemental BriefingDate Filed: 08/07/2019
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download DocumentFranciscan Alliance v. BurwellLegal DocumentsState Plaintiff's Supplemental BriefDate Filed: 08/12/2021
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download DocumentFranciscan Alliance v. BurwellLegal DocumentsDefendant's Supplemental BriefDate Filed: 08/12/2019
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download DocumentFranciscan Alliance v. BurwellLegal DocumentsIntervenor's Supplemental BriefDate Filed: 08/14/2019
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download Document -
04/04/2019
Defendants' Motion for Extension of Time for Summary Judgment Response -
02/04/2019
Renewed Motions for Summary Judgment -
- State Plaintiff's Renewed Motion for Summary Judgment
- Private Plaintiff's Renewed Motion for Summary Judgment
- Defendants' Response to Plaintiffs' Motions for Summary Judgment
- Proposed Intervenors' Opposition to Plaintiffs' Motions for Summary Judgment
- State Plaintiff's Reply in Support of Motion for Summary Judgment
- Private Plaintiff's Reply in Support of Motion for Summary Judgment
Franciscan Alliance v. BurwellLegal DocumentsState Plaintiff's Renewed Motion for Summary JudgmentDate Filed: 02/04/2019
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download DocumentFranciscan Alliance v. BurwellLegal DocumentsPrivate Plaintiff's Renewed Motion for Summary JudgmentDate Filed: 02/04/2019
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download DocumentFranciscan Alliance v. BurwellLegal DocumentsDefendants' Response to Plaintiffs' Motions for Summary JudgmentDate Filed: 04/05/2019
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download DocumentFranciscan Alliance v. BurwellLegal DocumentsProposed Intervenors' Opposition to Plaintiffs' Motions for Summary JudgmentDate Filed: 04/05/2019
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download DocumentFranciscan Alliance v. BurwellLegal DocumentsState Plaintiff's Reply in Support of Motion for Summary JudgmentDate Filed: 05/03/2019
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download DocumentFranciscan Alliance v. BurwellLegal DocumentsPrivate Plaintiff's Reply in Support of Motion for Summary JudgmentDate Filed: 05/03/2019
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download Document -
02/01/2019
Renewed Motion to Intervene -
03/27/2017
Proposed Intervenors' Motion for Stay Proceedings Pending Appeal of Denial of Intervention as of Right -
02/02/2017
Notice of Appeal of Order Denying Intervention -
01/30/2017
Notice of Appeal of Order Granting Preliminary Injunction -
01/09/2017
Motion for Ruling on Intervention and Stay of Preliminary Injunction -
- Motion for Ruling on Intervention and Stay of Preliminary Injunction Pending Appeal
- Plaintiffs' Response to Motion for Ruling on Intervention and Stay of Preliminary Injunction Pending Appeal
- Reply in Support of Motion for Ruling on Intervention and Stay of Preliminary Injunction Pending Appeal
- Order on Motion for Ruling on Intervention and Stay of Preliminary Injunction Pending Appeal
- Defendants' Response to Court's Order
- Plaintiffs' Response to Court's Order
- Proposed Intervenors' Reply
Franciscan Alliance v. BurwellLegal DocumentsMotion for Ruling on Intervention and Stay of Preliminary Injunction Pending AppealDate Filed: 01/09/2017
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download DocumentFranciscan Alliance v. BurwellLegal DocumentsPlaintiffs' Response to Motion for Ruling on Intervention and Stay of Preliminary Injunction Pending AppealDate Filed: 01/17/2017
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download DocumentFranciscan Alliance v. BurwellLegal DocumentsReply in Support of Motion for Ruling on Intervention and Stay of Preliminary Injunction Pending AppealDate Filed: 01/19/2017
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download DocumentFranciscan Alliance v. BurwellLegal DocumentsOrder on Motion for Ruling on Intervention and Stay of Preliminary Injunction Pending AppealDate Filed: 01/24/2017
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download DocumentFranciscan Alliance v. BurwellLegal DocumentsDefendants' Response to Court's OrderDate Filed: 02/08/2017
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download DocumentFranciscan Alliance v. BurwellLegal DocumentsPlaintiffs' Response to Court's OrderDate Filed: 02/08/2017
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download DocumentFranciscan Alliance v. BurwellLegal DocumentsProposed Intervenors' ReplyDate Filed: 02/15/2017
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download Document -
12/31/2016
Order on Motions for Preliminary Injunction -
11/10/2016
Proposed Intervenors' Motion for Reconsideration -
10/24/2016
Proposed Intervenors' Motion to Stay Briefing and Reset Deadlines For Responding to Motion to Intervene -
10/21/2016
Motions for Partial Summary Judgment or Preliminary Injunction -
- Religious Plaintiffs' Motion for Partial Summary Judgment
- Religious Plaintiffs' Brief in Support of Motion for Summary Judgment
- Appendix to Religious Plaintiffs' Brief in Support of Motion for Summary Judgment
- State Plaintiffs' Motion for Partial Summary Judgment or Preliminary Injunction
- State Plaintiffs' Brief in Support of Motion for Summary Judgment
- River City Gender Alliance and ACLU of Texas Amicus Brief in Opposition to Plaintiffs' Motion for Preliminary Injunction
- Religious Plaintiffs' Reply Brief in Support of Their Motion for Preliminary Injunction
- State Plaintiffs' Reply Brief in Support of Their Motion for Preliminary Injunction
Franciscan Alliance v. BurwellLegal DocumentsReligious Plaintiffs' Motion for Partial Summary JudgmentDate Filed: 10/21/2016
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download DocumentFranciscan Alliance v. BurwellLegal DocumentsReligious Plaintiffs' Brief in Support of Motion for Summary JudgmentDate Filed: 10/21/2016
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download DocumentFranciscan Alliance v. BurwellLegal DocumentsAppendix to Religious Plaintiffs' Brief in Support of Motion for Summary JudgmentDate Filed: 10/21/2016
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download DocumentFranciscan Alliance v. BurwellLegal DocumentsState Plaintiffs' Motion for Partial Summary Judgment or Preliminary InjunctionDate Filed: 10/21/2016
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download DocumentFranciscan Alliance v. BurwellLegal DocumentsState Plaintiffs' Brief in Support of Motion for Summary JudgmentDate Filed: 10/21/2016
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download DocumentFranciscan Alliance v. BurwellLegal DocumentsRiver City Gender Alliance and ACLU of Texas Amicus Brief in Opposition to Plaintiffs' Motion for Preliminary InjunctionDate Filed: 11/23/2016
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download DocumentFranciscan Alliance v. BurwellLegal DocumentsReligious Plaintiffs' Reply Brief in Support of Their Motion for Preliminary InjunctionDate Filed: 12/02/2016
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download DocumentFranciscan Alliance v. BurwellLegal DocumentsState Plaintiffs' Reply Brief in Support of Their Motion for Preliminary InjunctionDate Filed: 12/02/2016
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download Document -
10/17/2016
First Amended Complaint -
09/16/2016
Motion to Intervene -
- Order on Motion for Extension of Time to Respond to Motion to Intervene
- Defendants' Response to Motion to Intervene
- Plaintiff's Reply in Support of Motion for Extension of Time to Respond to Motion to Intervene
- Proposed Intervenors' Brief in Opposition to Plaintiffs' Motion for Extension of Time to Respond to Motion to Intervene
- Plaintiffs' Motion for Extension of Time to Respond to Motion to Intervene
- Memorandum of Law In Support of Motion to Intervene
- Motion to Intervene
Franciscan Alliance v. BurwellLegal DocumentsOrder on Motion for Extension of Time to Respond to Motion to InterveneDate Filed: 10/07/2016
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download DocumentFranciscan Alliance v. BurwellLegal DocumentsDefendants' Response to Motion to InterveneDate Filed: 10/07/2016
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download DocumentFranciscan Alliance v. BurwellLegal DocumentsPlaintiff's Reply in Support of Motion for Extension of Time to Respond to Motion to InterveneDate Filed: 10/06/2016
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download DocumentFranciscan Alliance v. BurwellLegal DocumentsProposed Intervenors' Brief in Opposition to Plaintiffs' Motion for Extension of Time to Respond to Motion to InterveneDate Filed: 10/05/2016
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download DocumentFranciscan Alliance v. BurwellLegal DocumentsPlaintiffs' Motion for Extension of Time to Respond to Motion to InterveneDate Filed: 10/03/2016
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download DocumentFranciscan Alliance v. BurwellLegal DocumentsMemorandum of Law In Support of Motion to InterveneDate Filed: 09/16/2016
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download DocumentFranciscan Alliance v. BurwellLegal DocumentsMotion to InterveneDate Filed: 09/16/2016
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download Document -
08/23/2016
Complaint
Date Filed: 11/21/2019
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download DocumentDate Filed: 10/15/2019
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download DocumentDate Filed: 04/04/2019
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download DocumentDate Filed: 02/01/2019
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download DocumentDate Filed: 03/27/2017
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download DocumentDate Filed: 02/02/2017
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download DocumentDate Filed: 01/30/2017
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download DocumentDate Filed: 12/31/2016
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download DocumentDate Filed: 11/10/2016
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download DocumentDate Filed: 10/24/2016
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download DocumentDate Filed: 10/17/2016
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download DocumentDate Filed: 08/23/2016
Court: District Court (N.D. Tex.)
Affiliate: Texas, Nebraska
Download Document-
03/31/2017
Motion to Bifurcate Intervention and Suspend Briefing on the Merits -
- Proposed Intervenors' Motion to Bifurcate Intervention and Suspend Briefing
- Plaintiffs-Appellees' Response to Motion to Bifurcate Intervention and Cross Motion to Suspend Briefing
- Proposed Intervenors' Reply to Motion to Bifurcate Intervention and Suspend Briefing
Franciscan Alliance v. BurwellLegal DocumentsProposed Intervenors' Motion to Bifurcate Intervention and Suspend BriefingDate Filed: 03/31/2017
Court: Appeals Court (5th Cir.)
Affiliate: Texas, Nebraska
Download DocumentFranciscan Alliance v. BurwellLegal DocumentsPlaintiffs-Appellees' Response to Motion to Bifurcate Intervention and Cross Motion to Suspend BriefingDate Filed: 04/07/2017
Court: Appeals Court (5th Cir.)
Affiliate: Texas, Nebraska
Download DocumentFranciscan Alliance v. BurwellLegal DocumentsProposed Intervenors' Reply to Motion to Bifurcate Intervention and Suspend BriefingDate Filed: 04/08/2017
Court: Appeals Court (5th Cir.)
Affiliate: Texas, Nebraska
Download Document -
02/15/2017
Motion to Dismiss -
- Plaintiffs-Appellees' Motion to Dismiss
- Proposed Intervenors' Response to Motion to Dismiss
- Plaintiffs-Appellees' Reply in Support of Their Motion to Dismiss
Franciscan Alliance v. BurwellLegal DocumentsPlaintiffs-Appellees' Motion to DismissDate Filed: 02/15/2017
Court: Appeals Court (5th Cir.)
Affiliate: Texas, Nebraska
Download DocumentFranciscan Alliance v. BurwellLegal DocumentsProposed Intervenors' Response to Motion to DismissDate Filed: 02/27/2017
Court: Appeals Court (5th Cir.)
Affiliate: Texas, Nebraska
Download DocumentFranciscan Alliance v. BurwellLegal DocumentsPlaintiffs-Appellees' Reply in Support of Their Motion to DismissDate Filed: 03/06/2017
Court: Appeals Court (5th Cir.)
Affiliate: Texas, Nebraska
Download Document -
02/10/2017
Proposed Intervenors' Appendix to Opposed Motion for Stay of Preliminary Injunction -
02/10/2017
Proposed Intervenors' Opposed Motion for Stay of Preliminary Injunction
Date Filed: 02/10/2017
Court: Appeals Court (5th Cir.)
Affiliate: Texas, Nebraska
Download DocumentDate Filed: 02/10/2017
Court: Appeals Court (5th Cir.)
Affiliate: Texas, Nebraska
Download DocumentPress Releases
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