McDermott’s Urwitz said health systems should be mindful of their church connections. “The first footnote in the opinion is sort of interesting. Justice Kagan said basically, ‘We’ve kind of assumed these hospitals are sort of closely enough linked with their churches.’ They still have to kind of watch their connections. This basically says you don’t need to show a church established these plans, but it’s not a complete ‘do whatever you want.’”

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