On March 30, 2006, the Supreme Judicial Court upheld the law's application to marriages of same-sex couples in Cote-Whitacre v. Department of Public Health, though the decision was complicated by uncertainty about the recognition of same-sex marriages in New York and Rhode Island.
On March 30, 2006, the Supreme Judicial Court upheld the application of the law as it applies to marriages of same sex couples in a complex decision, Cote-Whitacre v. Department of Public Health, with three concurring decisions filed and one dissenting vote.
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