A recent ruling by a federal judge has overturned a key regulation from the Biden administration regarding transgender healthcare. Judge Louis Guirola Jr., from the U.S. District Court for the Southern District of Mississippi, sided with a coalition of 15 Republican-led states challenging the definition of discrimination in healthcare.
The controversy centered around Section 1557 of the Affordable Care Act, which the Biden administration had interpreted to extend protections for transgender individuals seeking “gender-affirming care.” This included a broadened definition of sex discrimination, which initially focused on biological sex but was expanded to include gender identity.
The coalition argued that the Department of Health and Human Services (HHS) had overstepped its authority by redefining these terms, claiming it went against the original intentions of the law. During Donald Trump’s presidency, a similar interpretation under Barack Obama was reversed, solidifying the definition of sex as biological.
In a ruling that echoed original intents, Judge Guirola asserted that the law should be understood as it was when created in 1972. He highlighted that the term “sex” was not explicitly defined in the statute, suggesting it reflects biological reality rather than modern interpretations.
Tennessee Attorney General Jonathan Skrmetti praised the decision, stating it reaffirmed constitutional limits on federal authority. He noted that the coalition of states worked together to protect healthcare providers’ ability to make decisions based on established facts rather than political pressures.
The states involved in this legal challenge include Alabama, Georgia, Indiana, Kansas, Kentucky, Louisiana, Mississippi, Nebraska, Ohio, Oklahoma, South Carolina, South Dakota, Tennessee, Virginia, and West Virginia. This ruling stands as a significant moment in the ongoing debate over healthcare regulations and the interpretation of gender in law.

