
2026 Reflections
For the inauguration of this project, CAPPA is focusing on recent US Supreme Court cases that have protected religious freedom for those whose care for patients is formed by the religious view of Human Dignity.
They will be presented in chronological order from 2014 to 2026
Many of these cases were decided in this week of June over the years.
Prayers
The Diocese of Worcester, MA put together a Novena for the United States of America. Each day focuses on a different right for which we are thankful and pray is better secured and lived by all. I have taken the prayers from that booklet, all of which are from the Roman Missal.
Below are the cases that will be the focus for each day.
June 22 – Susan B. Anthony List v. Driehaus (June 16, 2014)
Susan B. Anthony List v. Driehaus is a landmark free speech case regarding the legal doctrine of standing and the ability of citizens to launch pre-enforcement First Amendment challenges against state laws regulating political speech.
Article III of the US Constitution allows citizens to challenge the constitutionality of a law before it is enforced against them.
Susan B. Anthony (SBA) List, a prominent and effective pro-life organization, announced a billboard to be put up in the district of then-Congressman Steven Driehaus asserting that his vote in favor of the Affordable Care Act amounted to a vote in favor of taxpayer-funded abortion. Driehaus threatened the billboard company with legal action, so they refused to put up the ad. He also threatened SBA List that it violated Ohio’s campaign laws by making false statements about his voting record.
Driehaus lost his re-election bid, dropped the lawsuit, and left the country. The district court dropped the lawsuit for “lack of standing” and “ripeness”, meaning it SBA List would not be protected under Article III. SBA’s speech had been successfully suppressed, so they claimed that they could again be sued for violating the Ohio campaign law because their speech centered on criticizing the ACA, not Driehaus specifically.
SBA won this case in a 9-0 SCOTUS decision. The opinion was written by Justice Clarence Thomas. “When an individual is subject to such a threat, an actual arrest, prosecution, or other enforcement action is not a prerequisite to challenging the law….As long as petitioners continue to engage in comparable electoral speech regarding support for the ACA, that speech will remain arguably proscribed by Ohio’s false statement statute.” It was an easy way to chill political speech.
SBA List v. Driehaus remains a highly cited precedent in American constitutional law ensuring citizens can proactively challenge restrictive state laws in federal court before they are forced to choose between self-censorship (chilled speech) and criminal liability. This sets a precedent for future cases this week, including Chiles v. Salazar which specifically addresses clinical speech.
Does the threat of repercussions in the workplace chill us from speaking our mind regarding our view of human dignity when caring for our patients? CAPPA prays that all of us working the health care have the courage and support needed to speak up for human dignity.
PRAYER
O God, who gave one origin to all peoples and willed to gather from them one family for yourself, fill all hearts, we pray, with the fire of your love and kindle in them a desire for the just advancement of their neighbor that, through the good things which you richly bestow upon all, each person may be brought to perfection, every division may be removed, and justice may be established in society. We ask this through Christ, our Lord. Amen
June 23 – McCullen v. Coakley (June 26, 2014)
McCullen v. Coakley is a landmark free speech case in which the Court unanimously ruled that a Massachusetts law establishing a 35-foot fixed “buffer zone” around abortion clinic entrances violated the First Amendment. The Court found that while the law was content-neutral, it was not narrowly tailored because it placed an undue burden on the free speech rights of peaceful sidewalk counselors.
In 2007, the Massachusetts state legislature amended mandated a 35-foot buffer zone around the entrances, exits, and driveways of abortion clinics. The law made it a crime for anyone to enter or remain in this zone with the narrow exceptions of clinic patients, employees, or people passing through.
The state passed this law during a time of intense protest outside abortion clinics. The law prohibited protestors from blocking access or approach patients who did not want to speak with them. But among them were “sidewalk counselors” like Eleanor McCullen who argued that the 35-foot boundary severely disrupted their ability to hand out literature, maintain eye contact, and have quiet conversations with women approaching the clinics. They claimed the restriction infringed upon their free speech rights.
The Supreme Court ruled 9-0 in favor of McCullen. Chief Justice Roberts delivered the opinion. The law was considered “content neutral” in that it’s only purpose was to improve public safety, it was not “narrowly tailored” so ended up impeding the First Amendment rights of sidewalk counselors.
Justice Alito points out another effect of the buffer zones that the main opinion did not. Clinics hire escorts to promote their viewpoint; as employees, they do not fall subject to the law. “Speech in favor of the clinic and its work by employees and agents is permitted; speech criticizing the clinic and its work is a crime. This is blatant viewpoint discrimination.”
CAPPA President Kris Correira remembers the white line painted on the sidewalk and road telling anyone witnessing in front of Worcester’s Planned Parenthood that they could not come any closer. One petitioner named in the suit, Nancy Clark, continues her sidewalk counseling to this day. She has saved countless women and their unborn children from all the terrible repercussions of abortion.
PRAYER
God our Creator, we give thanks to you, who alone have the power to impart the breath of life as you form each of us in our mother’s womb; grant, we pray, that we, whom you have made stewards of creation, may remain faithful to this sacred trust and constant in safeguarding the dignity of every human life. Through our Lord Jesus Christ, your Son, who lives and reigns with you in the unity of the Holy Spirit, God, for ever and ever. Amen.
June 24 – NIFLA v. Becerra (June 26, 2018)
National Institute of Family and Life Advocates (NIFLA) v. Becerra is a landmark free speech case in which the U.S. Supreme Court ruled 5–4 that a California law forcing crisis pregnancy centers to post notices about state-funded abortion services violated the First Amendment’s Free Speech Clause.
California passed the FACT Act compelling any family-planning or pregnancy-related facility to post notices. Licensed facilities had to post, “California has public programs that provide immediate free or low-cost access to comprehensive family planning services, prenatal care, and abortion, for eligible women,” while unlicensed facilities needed to post on site or in ads, “This facility is not licensed as a medical facility by the State of California and has no licensed medical provider who provides or directly supervises the provision of services.” Immediately after, NIFLA and other crisis pregnancy centers (CPC) filed suit, claiming this to be “compelled speech”.
The lower courts claimed this was “professional speech” and so was not subject to strict scrutiny – the highest level of free-speech protection. Several lower courts have defined “professionals” as those who provide services to client and subject to “a generally applicable licensing and regulatory regime.” In this case, the Nineth Circuit concluded “professional speech,” which is any speech by a “professional” could also be regulated. That diminishes its First Amendment protection. “It concluded that the licensed notice survives the ‘lower level of scrutiny’ that applies to regulations of ‘professional speech.’”
The Court decided 5-4 in favor of NIFLA. Justice Thomas penned the Court’s decision, joined by Chief Justice Roberts and Justices Kennedy, Alito, and Gorsuch. The dissenting opinion was given by Justice Breyer and joined by Justices Ginsberg, Sotomayor, and Kagan.
First, the Court determined if the notices were “content based” rather than neutral speech. FACT targeted CPC because they are “pro-life (largely Christian belief-based) organizations that offer a limited range of free pregnancy options, counseling, and other services to individuals that visit a center”, according to a state-commissioned report, that “aim to discourage and prevent women from seeking abortions.” In the lower courts, the State bemoaned the number of CPCs and that they were run by organizations like NIFLA who opposed abortion.
The Court found, “The licensed notice is a content-based regulation of speech” and “plainly ‘alters the content’ of petitioners’ speech.” It did not address, as Justice Kennedy points out in a separate opinion, whether this was “viewpoint discrimination” as it did not need to do so to reach their conclusions, but it was apparent.
Next, Thomas addressed the lower court’s construct of “professional speech”. He wrote, “But this Court has not recognized ‘professional speech’ as a separate category of speech. Speech is not unprotected merely because it is uttered by ‘professionals.’” He points out, “This Court has afforded less protection for professional speech in two circumstances—neither of which turned on the fact that professionals were speaking.” First is the requirement for commercial speech to “disclose factual, noncontroversial information,” (truth in advertising). Second, “States may regulate professional conduct, even though that conduct incidentally involves speech.”
The legal precedent comes from Casey v Planned Parenthood in which abortionists could be required to provide informed consent (which they had not been doing.) Indeed, the State can regular any “incidental” speech when the regulation has other aims.
In this case, the compelled speech was not “purely factual and uncontroversial”. It also was not tied to any medical procedure. It regulated all interactions between a [FACT] covered facility and its clients. “Tellingly, many [non-FACT covered] facilities that provide the exact same services as [FACT] covered facilities—such as general practice clinics—are not required to provide the licensed notice.”
We will hear again about “professional speech” in Chiles v. Salazar.
PRAYER
O God, graciously receive the prayers we pour out to you for our country, that harmony and justice may be assured and lasting prosperity come with peace. Through our Lord Jesus Christ, your Son, who lives and reigns with you in the unity of the Holy Spirit, God, for ever and ever. Amen.
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June 22nd is the feast of the martyrs Saint John Fisher and Saint Thomas More, both beheaded by King Henry VIII in 1535 for refusing to sign the Act of Succession.

Saint John Fisher (1469 – 1535) studied at the University of Cambridge, starting when he was around twelve years old. He earned a Master of Arts and was a distinguished scholar in 1491, when he received a papal dispensation to be ordained a priest despite his age. He eventually earned a Doctor of Sacred Theology degree and days later became vice chancellor. He lived a very austere life despite his prominence.
In 1504, he was elevated to Bishop of Rochester, the poorest diocese in England from which bishops usually moved on to more prominent positions. Despite his closeness to the family of King Henry VII, Fisher remained its bishop until his death. He became chancellor of Cambridge that same year. He wrote extensively to defend the Faith against the attacks of Martin Luther, and denounced Church abuses while urging its reform.
While Fisher had several disagreements with Henry VIII, Fisher’s objection to his attempt to annul his marriage with Catherine of Aragon, and refusing to recognize him as the Supreme Head of the Church of England that lead to Fisher’s martyrdom despite being made a Cardinal in hopes of reducing the harshness of the king’s treatment of him.

Saint Thomas More (1478 – 1535) began a classical education at Oxford University in 1492 and eventually studied law, being called to the bar in 1502. He also was a writer, poet, and translator. His spiritual live had been greatly influenced by the nearby Carthusians, and had considered abandoning law to become a monk. He ultimately remained a layman, was elected to Parliament in 1504, and married Joanna Colt in 1505. They had four children before Joanna died. He remarried Alice Middleton. He was a very affectionate father to all the children. Like Fisher, he engaged in ascetic practices.
More eventually became the Lord Chancellor of England n which he acted as judge, statesman, and legislator. He extensively defended the Faith in his writings against Tynedale’s vernacular biblical translation for is many neologisms and heretical marginal explanatory notes. As Chancellor, his role required that he prosecuted heretics, the extent and nature of which remains controversial.
Like Fisher, he refused to support Henry VII’s marriage annulment nor to accept him as Supreme Head of the Church of England. He did not publicly denounce those actions, though; instead he resigned as chancellor.
Henry VIII tried to compel both Fisher and More to sign the Act of Succession, declaring the children of Henry and his second wife, Anne Boleyn, the the legitimate heirs rather than Mary, the only child with Catherine to survive to adulthood, and declared Henry Supreme Head of the Church of England. Both Fisher and More would not sign mostly due to the latter assertion that repudiated the pope’s authority. This was not a crime, but speaking out against this title was, so both Fisher and More remained silent on that account, but were betrayed by the scheming ambition of Richard Rich.
Rich first misled Fisher by saying that the King wanted to know Fisher’s opinion for his conscience sake. Fisher told Rich his opinion who then testified that Fisher committed treason. Fisher, now accused of treason, had his episcopal title stripped so was tried as a commoner by jury with Rich as the only witness. He had been sentenced to be hanged, drawn and quartered. However, due to growing public outcry and that Fisher may not be executed prior to June 24th, the feast of the Nativity of John the Baptist – a saint also beheaded for denouncing the king’s unlawful marriage – Henry commuted the sentence to beheading carried out on June 23rd.
Rich tried a similar tactic with More but he suspected the ruse and revealed nothing. Nonetheless, Rich falsely testified that More had denounced the title as well. More was tried on July 1 with a jury containing several members of the Boleyn family. Despite two other witnesses stating they did not hear More do so, the jury found him guilty. He was beheaded on July 6th, declaring he died “the king’s good servant, and God’s first.”
Religious Freedom Week ends June 29th – the feast of Saints Peter and Paul, apostles and martyrs.