The Supreme Court issued its ruling on July 8, 2020. The decision found that the rules put forth by the HHS and other departments were valid as they had the authority under the ACA to issue them, and that there were no procedural issues under the APA with how they were put into place. The ruling reversed the Third Circuit and remanded the case for review. The 7–2 majority opinion was written by Justice Clarence Thomas which was joined by Chief Justice John Roberts and Justices Samuel Alito, Neil Gorsuch and Brett Kavanaugh. Thomas wrote that "We hold that the [administration] had the authority to provide exemptions from the regulatory contraceptive requirements for employers with religious and conscientious objections."
