In the 2014 case Burwell v. Hobby Lobby, the US Supreme Court ruled that the contraceptive mandate promulgated under the Patient Protection and Affordable Care Act violated privately held, for-profit corporations’ right to religious freedom. The contraception mandate, issued in 2012 by the US Department of Health and Human Services, required that employer-provided health insurance plans offer their beneficiaries certain contraceptive methods free of charge. In a five to four decision, the US Supreme Court maintained that the mandate, in cases of privately held, for-profit organizations like Hobby Lobby Inc., violated the Religious Freedom Restoration Act of 1993. Although the Court did not decide on the constitutionality of the mandate, their ruling enabled privately held, for-profit corporations that objected to the contraceptive mandate on religious grounds to be exempt from it.

Simone Campbell is a Roman Catholic sister, attorney, and poet who advocated for social justice, especially equal access to healthcare in the US in the twentieth and twenty-first centuries. Campbell worked as a lawyer and served the working poor in California. As of 2018, she works for NETWORK, a lobbying group in Washington DC that focuses on broadening access to healthcare by lowering costs. In response to proposed federal budget cuts that would disproportionately affect the poor, Campbell organized Nuns on the Bus, a group of nuns who traveled across the US to publicize the potential effects of the budget cuts. She also organized the Nun’s Letter that supported the passage of the Affordable Care Act. Campbell advocated for the Affordable Care Act that, once passed, increased access to affordable healthcare for women and children, and started a national dialogue about poverty in America.

In 2010, US Congress enacted section 3509 of the Patient Protection and Affordable Care Act or ACA, to target issues relating to women’s health. The ACA, signed into law by US President Barack Obama, aimed to increase people’s access to high-quality healthcare in the United States. Section 3509, titled “Improving Women’s Health,” established the Office on Women’s Health within the US Department of Health and Human Services and in four of its agencies, the Agency for Healthcare Research and Quality, the Center for Disease Control and Prevention, the Food and Drug Administration, and the Health Resources and Services Administration. Section 3509 of the ACA exemplified a federal effort to improve women’s health in the US by increasing the amount of research and programs focused on the health concerns of American women.