On January 20, 2012, Health and Human Services ' Secretary Kathleen Sebelius announced a mandate requiring that all health plans provide coverage for all contraceptives approved by the FDA as part of preventive health services for women.  Following complaints from Catholic bishops, an exception was created for religious institutions whereby an employee of a religious institution that does not wish to provide reproductive health care can seek it directly from the insurance company at no additional cost.  Missouri Senator Roy Blunt proposed an amendment (the Blunt Amendment) that would have "allowed employers to refuse to include contraception in health care coverage if it violated their religious or moral beliefs",  but it was voted down 51-48 by the . Senate on March 1, 2012.  A bill passed by the Arizona House would allow employers to exclude medication used for contraceptive purposes from their health insurance plans.