Illinois state capitol in Springfield. / Credit: Paul Brady Photography/Shutterstock

CNA Staff, Dec 17, 2025 / 12:34 pm (CNA).

Catholic leaders in Illinois are backing a coalition of pro-life pregnancy centers and doctors suing the state government over a law that requires them to refer women to abortion providers even if they object to the procedure on religious grounds. 

The lawsuit, National Institute of Family and Life Advocates v. Treto, challenges a 2016 Illinois rule that requires health care providers who refuse to perform abortions to nevertheless tout the “benefits” of the procedure and refer women to abortion clinics. 

In April the U.S. District Court for the Northern District of Illinois partly blocked the law, ruling that it violates freedom of speech in forcing providers to relay the alleged benefits of abortion. The court, however, held that the abortion referral requirement is legal. 

The case is currently at appeal from both sides in the 7th U.S. Circuit Court of Appeals. On Dec. 16, the Catholic Conference of Illinois and the Illinois Catholic Health Association joined several Orthodox advocates in an amicus brief urging the court to offer the “highest level of protection” to the religious speech of the pro-life plaintiffs. 

“Providing the highest level of First Amendment protection to religious institutions gives them the predictability they need to pursue their religious missions,” the filing said, arguing that forcing health care providers to refer abortions “could lead people to believe that such conduct is morally acceptable.”

First Amendment jurisprudence, the filing argues, leaves “no doubt that the abortion-referral requirement burdens core religious speech without proper justification.”

Chicago archbishop Cardinal Blase Cupich said in a press statement that “every life deserves protection and care, no matter how fragile or dependent.” 

“The Church in Illinois is standing up for that eternal truth against Illinois’ effort to deny it,” the prelate said. 

Springfield Bishop Thomas Paprocki similarly argued that Catholics “must be free to live according to the 2,000-year-old teachings of our faith without government intrusion.” 

“Illinois’ mandate threatens that freedom by forcing Catholic ministries and health care professionals to promote a practice we believe is gravely wrong,” he said. “We pray the court will put a swift stop to it.”

The amicus brief was filed by the religious liberty law group Becket. 

Lawyers for the pro-life plaintiffs have argued that the abortion referral requirement violates the U.S. Supreme Court’s 2016 ruling in National Institute of Family and Life Advocates v. Becerra, which was brought by the same organization at the head of the Illinois dispute. 

The Supreme Court held in that decision that a similar California rule appeared to violate the First Amendment by “requiring [pro-life providers] to inform women how they can obtain state-subsidized abortions.”