The Federalist website reports that:

President Obama’s Department of Health and Human Services implemented a rule change to the Affordable Care Act (a.k.a. Obamacare) last week mandating that all health providers receiving taxpayer dollars must perform sex-change operations or lose their federal funding.

The final rule states that, under Title IX, any hospital receiving funding from HHS must “treat individuals consistent with their gender identity.” The rule provides no religious exemption. In other words, religious hospitals that receive taxpayer dollars via Medicaid or Medicare will be required to perform sex-change operations or get cut off financially.