A federal district court in Philadelphia on Wednesday ruled against a Trump administration religious conscience rule, siding with Pennsylvania and New Jersey, who have insisted for years that the Little Sisters of the Poor, a group of Catholic nuns who care for the elderly, must include abortion and contraceptives in their health care plans for employees.

The Supreme Court issued two different rulings favoring the Little Sisters and other religious groups who want a religious exemption from the federal government’s contraceptive mandate, but neither of those Supreme Court decisions closed the door on additional challenges.

The mandate was installed under the Affordable Care Act, when the Department of Health and Human Services required employers in their insurance plans to provide wo

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