A 74-page legal memorandum attached to a court filing from a consortium of 30 sexual rights groups reveals that HHS has promised to revise its mandates on health plan coverage and performance to include surgical abortion, cross-sex hormones, gender-transition surgeries, gender-affirming cosmetic surgeries and voice modification. It is believed that sometime in April, HHS could announce the proposed regulations, which would not only disallow religious exemptions but would have a broad cost and compliance impact on all U.S. employers.

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