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(Bloomberg) — Religious nonprofit groups must formally opt out of a U.S. Department of Health and Human Services mandate if they wish to avoid a requirement that employers provide health insurance coverage for birth control, a federal appeals court said.

The decision is the second major win for Patient Protection and Affordable Care Act  implementers at HHS in three weeks. On June 25, the Supreme Court upheld a core component of PPACA, backing the ability of HHS to offer PPACA premium tax credits through the public exchanges it runs.

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