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Nov. 13, 2022, 10:16 PM

The Affordable Care Act doesn’t prohibit discrimination in health care on the basis of gender identity or sexual orientation, a federal district court in Texas ruled.

The decision rejects a May 2021 Biden administration notice that it would begin enforcing protections for LGBT Americans in health care again—an issue that has been tied up in the courts through several administrations.

The US District Court for the Northern District of Texas Nov. 11 granted declaratory relief to plaintiffs Susan Neese and James Hurly, who alleged that HHS Secretary Xavier Becerra’s notice may cost them federal money if they refuse to provide …