The Little Sisters of the Poor () is a Catholic religious institute for women. It was founded by Jeanne Jugan. Having felt the need to care for the many impoverished elderly who lined the streets of French towns and cities, Jugan established the congregation to care for the elderly in 1839. History The Congregation of the Little Sisters of the Poor was founded in Cancale in Brittany in 1839. In 1847, a house was established in Tours, and communities of sisters began to spread across France. In 1851, the work expanded to England. In 1868, the Little Sisters came to the United States, where they operate twenty-nine homes to care for the elderly poor. Jugan was canonized a saint on October 11, 2009, by Pope Benedict XVI. Present day The motherhouse is in Saint-Pern, France. Internationally, the letters following their name are PSDP. In the United States, however, they are LSP. Today the Little Sisters of the Poor serve over 13,000 of the elderly poor in 31 countries around the world (including homes in the United States, Turkey, Hong Kong, Taiwan, India, Penang, New Zealand, and Philippines), continuing their original purpose of caring for the elderly. As of January 1, 2014, they were one of the larger religious institutes of women in the Catholic Church, with 234 houses and 2,372 members. Members, per the evangelical counsels, make vows of chastity, poverty, and obedience, but also a fourth, hospitality. They believe hospitality perfects the other three by bringing their religious consecration into the realities of everyday life and giving a spiritual dimension to the many humble tasks of hospitality performed throughout the day. They wear traditional habits, either all-white or black with gray veils. The Sisters continue the tradition of begging, which was set forth by their founder, Jugan. To provide for the needs of the aged poor, she traveled the roads of France on foot seeking alms. She was recognized by the begging basket she carried. Knocking on doors, she asked for not only money but also for gifts that were needed, such as food, clothing, wood, and wool. Little Sisters of the Poor v. Pennsylvania The Patient Protection and Affordable Care Act (ACA) tried to require employers to offer health-insurance plans that paid for contraceptives. The law specifically exempted churches, but not faith-based ministries. Consequently, religious nonprofit organizations, such as Little Sisters of the Poor, were fined if they