A federal court this week struck a death blow to a Biden-era rule that reinterpreted discrimination law to include “gender identity,” forcing hospitals to perform sex changes.

Judge Louis Guirola Jr. sided with a coalition of 15 states on Wednesday against a Department of Health and Human Services (HHS) rule put forward in 2024 redefining unlawful sex discrimination under Title IX and the Affordable Care Act (ACA) to include discrimination on the basis of “gender identity.” The rule would have specifically required health care providers to provide sex change drugs and surgeries to transgender-identifying patients and would have forced states to fund the procedures through their Medicaid programs.

Guirola granted a summary judgment in favor of the coalition of states, ruling that HHS “

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