Hospitals with Catholic affiliations have a growing presence in the health care ecosystem. The tenets of Catholic health care services position them as important providers of services and advocates for “people whose social condition puts them at the margins of our society”1 and thus are well positioned to provide care to those most vulnerable individuals in our society. However, the same tenets prohibit contraceptive services unless they treat serious conditions with no alternative treatment and refusal to provide services that are not aligned with the religious tenets.