A federal judge in Texas Dec. 31 blocked a regulation by the Department of Health and Human Services requiring Catholic hospitals and health care providers to perform or provide gender transition services, saying it would place “substantial pressure” on the plaintiffs — a coalition of religious medical organizations who said the ruling was contrary to their religious beliefs.

“Plaintiffs will be forced to either violate their religious beliefs or maintain their current policies, which seem to be in direct conflict with the rule and risk the severe consequences of enforcement,” U.S. District Judge Reed O’Connor wrote.

The injunction comes four months after the same judge blocked a federal directive requiring public schools to let transgender students use bathrooms consistent with their gender identity.

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