The ACA (Section 1557) May Be Used To Violate Your Conscience, Please Help Us Stop This

Mario R. Dickerson, M.T.S.

March 3, 2021

Rev. Jerome Novotny, OMI
Akebono-cho 1-15-9
Kochi City , Kochi Prefecture 780-8072

Dear Rev. Novotny,

We’re writing to let you know how the Affordable Care Act (Obamacare) may be used to violate your religious and ethical commitments and affect your practice, and to ask if you are willing to help our efforts to stop this mandate.

We expect the Biden Administration will soon reimplement a regulation that requires recipients of federal health funding (including Medicaid and Medicare) to not “discriminate” on the basis of “termination of pregnancy” or “gender identity.” This change could force you to provide services and participate in procedures that violate your faith and medical ethics.

For example, the regulatory change could require the following:

If your health practice offers procedures for women who have miscarried a baby, such as dilation and curettage (D&C), or the non-abortive use of mifepristone or ulipristal acetate, you could be required to offer those services to end the life of a baby by terminating a pregnancy.
If your health practice offers endocrinology hormone services, hysterectomies, mastectomies, or psychiatric support, you could be required to offer these services to assist a patient to “transition” from one gender to another, including puberty blockers for children.
Your health practice could be required to code a patient or patient services based on his or her gender identity, even if the coding it is contrary to his or her biological sex.
If your health practice offers health insurance benefits to your employees, you could be required to cover gender transition services in the insurance plan.

The penalties for violating these requirements could include loss of participation in federal health programs (such as Medicaid and Medicare), onerous investigations and fines by the HHS civil rights office, and lawsuits by aggrieved parties.

We’re working with Alliance Defending Freedom to help challenge this mandate. The success of our litigation will depend on possible involvement from members like you. To effectively plan to protect your rights, ADF needs to hear from potentially affected persons as soon as possible.

If this mandate might impact your practice, and you are willing to confidentially discuss your situation with ADF, please let us know and we will put you in touch with their attorneys.

In order to protect your attorney-client privilege, please do not describe the details of your situation in an email to us. Just let us know you are willing to confidentially speak with ADF, and the attorneys there will arrange to speak to you and to us in a protected manner.

You may inform us of your interest in this situation by letting me know at Thank you very much.


Mario R. Dickerson, M.T.S.
Executive Director

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