A federal appeals court has upheld a nationwide injunction that blocked the Trump administration from enacting certain religious and moral exceptions to the Affordable Care Act that have been widely seen as a means to roll back the mandate for covering birth control medications.

A unanimous three-judge panel of the U.S. Court of Appeals for the Third Circuit ruled July 12 to uphold a decision from January that barred the federal government from enforcing a version of the ACA that allowed for greatly expanded exceptions to the requirement that companies help cover the cost of contraceptives.