Here's another issue - I don't know how any organization (ND, Hobby Lobby, etc.) can get around the patient's right to privacy. If a woman is prescribed contraception for a approved medical cause, does her diagnosis have to be shared with someone in the organization so that the claim for the medication is paid? If so, how is that not disparate impact, since no other diagnosis has to be revealed in order to have claims paid?  Isn't that a HIPAA violation?  I don't know - maybe someone with some legal knowledge has an answer. We encourage patients to guard their privacy with employers if they need medical leave due to mental or chemical health issues or physical illness, and most HR departments request only some verification that the absence is needed for them to get their benefits. Why should these women then have to reveal their diagnoses to get theirs?  I'd be interested to know if anyone has any information on that.