The New York Court of Appeals Thursday upheld the constitutionality of a women’s health act that pressures some religious-affiliated employers to either offer their employees a prescription plan that includes contraceptive coverage or deny their workers any drug coverage at all.

In Catholic Charities of the Diocese of Albany v. Serio, 110, the court rejected the claims of 10 faith-based organizations and refused to exempt them from a key provision in the Women’s Health and Wellness Act. The ruling makes it difficult, but not impossible, for an individual or group to avoid on religious grounds a neutral law of general application.