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'So now it's clear, there's no ambiguity: You cannot discriminate against people based on sexual orientation or gender identity,' Becerra added. The Trump-era rule reversed those provisions of the law that extended civil rights protections in healthcare to cover areas including gender identity and abortion. In 2016, Obama's administration introduced rules that made clear that LGBT people would be protected under the federal healthcare discrimination provision.

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HHS under Trump in June 2020 issued a rule that lifted some anti-discrimination protections under the Affordable Care Act, a law signed by former President Barack Obama in 2010.

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The new policy represents a reversal of a reversal.

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