The Biden administration is pushing for more insurers, and thus anyone who buys their insurance, to cover transgender surgeries. Such genital, breast, and facial surgery, as well as hormone therapy and more, would be considered “medically necessary” for those wishing to identify with the other sex.

Discrimination based on race, color, national origin, sex, age, or disability is prohibited in federally funded health-care facilities under the Affordable Care Act, passed during the Obama administration. A proposed rule, issued by the U.S. Department of Health and Human Services on January 5, would add “sexual orientation and gender identity” to that list.

The rule “places ideology ahead of sound medicine,” the Ethics and Public Policy Center said in a comment Thursday opposing the rule. It “is without legal support, contradicts long-standing scientific understandings of the human person, attempts to evade court injunctions, promotes harm to patients (especially minors), tramples religious freedom,” and more, according to the EPPC.