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WASHINGTON — For the last six years, nearly all employers have had no choice but to include birth control coverage in the health insurance plans they offer their employees.

On Friday, however, the Trump administration rescinded that regulation, allowing employers to exclude contraceptive care from insurance benefits for religious or moral reasons.

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The announcement from the Department of Health and Human Services strikes a substantial but narrow blow to the Affordable Care Act, rolling back the so-called contraception mandate in a move it cast as “providing relief to those who have been under the thumb of the federal government and had their religious expression and religious conscience violated.”

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