My own interpretation of this cartoon is broader than Ramirez perhaps intended. It is not just forcing religious institutions to pay for contraception, etc., that is unconstitutional under the First Amendment. Rather, for the federal government to dictate any coverages that must be included in private insurance policies is well beyond any enumerated power in the Constitution, and therefore is invalid.
The Interstate Commerce Clause has been so stretched out of shape, it is almost meaningless (like the “general welfare clause”). Such plain meaning meant at the time is all but gone – abetted by those that solely wish power over others.
(H/T: Powerline)