A federal judge ruled Monday that the Biden administration cannot compel religious employers and health care providers to compromise their sincerely held religious convictions by paying for or performing sex-change medical interventions.

The background

In June 2020, the U.S. Supreme Court issued its decision in the case Bostock v. Clayton County, expanding the prohibition against sex discrimination in Title VII of the Civil Rights Act of 1964 to include employment discrimination against individuals on the basis of their sexual preferences or transvestism.

Under President Joe Biden, the U.S. Equal Employment Opportunity Commission and U.S. Department of Health and Human Services subsequently interpreted the so-called Affordable Care Act and Title VII as requiring employer health insurance plans to cover elective sex-change procedures.

The Christian Employers Alliance, a religious business group, sued the EEOC, HHS, and various officials in the Biden administration in October 2021, stressing the two federal regulatory mandates exceeded the "government's statutory and constitutional authority."

"Many religious employers — including CEA and all its members — hold sincerely held religious beliefs that such gender transition surgeries and procedures are morally wrong," said the original complaint. "Providing these gender interventions contradicts their beliefs that God purposefully created humans as either a biological male or female and that a person's biological sex is immutable."

The CEA's complaint noted that neither the EEOC nor HHS provided religious exemptions from the mandates and that a failure to comply would expose its membership to heavy fines, burdensome litigation, possible criminal penalties, and other costs.

Alliance Defending Freedom attorneys representing the CEA requested that the U.S. District Court for the District of North Dakota prevent the Biden administration from imposing the mandates on the CEA.

The ruling

U.S. District Court Judge Daniel M. Traynor acknowledged in his Monday ruling that HHS' interpretation of Section 1557 of the ACA and the EEOC's interpretation of Title VII would require Christian businesses to provide "insurance coverage for gender-transition procedures that violates their sincerely held religious beliefs without satisfying strict scrutiny under the [Religious Freedom Restoration Act].

"Performing or providing health care coverage for gender transition services under the EEOC and HHS coverage mandates impinges upon CEA's beliefs," wrote Traynor. "CEA must either comply with the EEOC and HHS mandates by violating their sincerely held religious beliefs or else face harsh consequences."

He also found that the Biden administration had failed to demonstrate that it could not protect transvestites' rights in a manner that didn't infringe upon the Christian employers' religious liberty.

Accordingly, Traynor slapped both agencies with permanent injunctions, precluding them from imposing their respective interpretations on the CEA in a manner that would require the complainants to perform or pay for sex-change procedures.

The reaction

Shannon Royce, the president of the CEA, said the court's ruling was "a resounding victory for all present and future members of the Christian Employers Alliance."

"We are overjoyed our members will not have to choose between the biblically based employee benefits and quality health care they provide, and the threat of federal enforcement and massive costs for practicing their faith," added Royce.

Matt Bowman, senior counsel and director of regulatory practice at the Alliance Defending Freedom, similarly celebrated the ruling.

"All employers and healthcare providers, including those in the Christian Employers Alliance, have the constitutionally protected freedom to conduct their business and render treatment in a manner consistent with their deeply held religious beliefs," said Bowman. "The court was on firm ground to stop the administration from enforcing these unlawful mandates that disrespect people of faith."

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