washington trump administration consider take step broaden obamacare limit claim religious moral exemption provide health insurance cover birth control vox news report wednesday vox website post copy draft new rule say administration review rule would undermine coverage one 10 essential health benefit cover president barack obama signature piece domestic legislation republicans vow repeal replace u.s. department health human service decline comment spokeswoman alleigh marre say comment allege draft document white house immediately respond request comment 2010 affordable care act often call obamacare employers require provide health insurance cover birth control except religious house worship exempt owners private businesses also obtain exemptions supreme court rule 2014 could object rule religious ground republicans enough seat u.s. senate fully repeal obamacare result republican strategy roll back law include stop implementation new health regulations create new administrative rule undermine part exist law plan parenthood american civil liberties union healthcare group criticize propose rule say would make hard millions americans access healthcare need aclu threaten challenge administration court rule become finalize rule allow employers deny contraceptive coverage employees attempt allow religion use license discriminate aclu say statement trump broaden exemptions obamacare birth control mandate report