The Catholic Church cannot dictate to the whole country what should and should not be included in the the ACA. Not all religious groups agree with the Catholic Church. No one is forcing Catholics to avail themselves of anything they object to. Not all Christians share the view that Catholics adhere to. Catholics at large do not agree with the hiarchy of the church. Catholic organizations can opt out of the parts they object to. No one is forced to comply to parts they object to. Not all people in this country are religious believers. We can't force our views on the rest of the country. It is our personal responsibility to follow own values. We allow the death penalty which is against our beliefs. Many object to war and we all pay for that. If we had to please those groups our military would be gutted. We want everyone to have healthcare. Catholic bishops have contributed to the election of Trump. Many voted for Trump on that one issue, abortion and contraceptions.