A federal judge in Texas has ruled that the Biden administration cannot force doctors to perform sex transition surgeries or abortions, or force health insurers to provide coverage for such surgeries. “The Court agrees and concludes that enforcement of the [Biden administration’s interpretation] forces Christian Plaintiffs to face civil penalties or to perform gender-transition procedures and abortions contrary to their religious beliefs—a quintessential irreparable injury,” Reed O’Connor, a district judge in the Northern District of Texas, said his order (pdf) on Monday. The plaintiffs are a religious hospital, an association of over 20,000 healthcare professionals, and nine states. “When the [Religious Freedom Restoration Act] violation is clear and the threat of irreparable harm is present, a permanent injunction exempting Christian Plaintiffs from that religion-burdening conduct is the appropriate relief,” O’Connor stated. The order permanently enjoins the defendants—the Department of Health and Human Services (HHS), its agencies, and HHS Secretary Xavier …