AUSTIN, Texas — A federal judge in Texas has ruled that the Biden administration cannot prohibit doctors from denying certain medical care based on a patient’s sexual orientation and gender identity.
U.S. District Court Judge Matthew Kacsmaryk on Friday sided with two Texas doctors who sued to block a federal rule that barred discrimination against LGBT patients. Susan Neese, an Amarillo doctor who refuses to prescribe hormone therapy to minors with gender dysphoria, argued that sex discrimination is defined as different treatment given to men and women — not different treatment given based on patient’s sexuality or gender identity.
Kacsmaryk went a step further, ruling that a recent U.S. Supreme Court decision protecting LGBT workers does not apply to decisions in the health care setting. The breadth of his decision sets up bigger arguments to come in the courts and legislatures over who is protected and what counts as discrimination in the doctor’s office.