U.S. Catholic bishops voted Wednesday to formalize a ban on gender-affirming care for transgender patients at Catholic hospitals, marking a pivotal moment for the Church's stance on transgender health care issues. This decision formally structures the approach the church has adopted over the years, despite substantial opposition from major medical organizations advocating for transgender rights.

In a session held in a Baltimore hotel ballroom, the bishops overwhelmingly endorsed revisions to their ethical and religious directives, which govern thousands of Catholic health institutions across the nation. Given that over one in seven patients in the U.S. are treated daily in Catholic hospitals, the implications of this directive could significantly limit healthcare access for transgender individuals.

The revisions establish a clearly conservative approach, prohibiting gender-affirming care, which may include hormonal, psychological, and surgical treatments, and grant bishops the authority to enact these directives in their respective dioceses.

Bishop Robert Barron of Minnesota asserted the importance of the Church's clear stance on gender identity during public discussions about the newly revised directives. “With regard to the gender ideology, I think it’s very important the church makes a strong statement here,” he said.

Following the bishops' vote, the Catholic Health Association expressed appreciation for the revisions, emphasizing their commitment to treat those seeking care, including transgender individuals, with dignity and respect as per Catholic teaching.

The new guidelines align with previous Vatican documents regarding gender identity, reinforcing the Church's traditional perspective on this contentious topic.

Despite this ruling, many progressive voices within the Church are advocating for a more inclusive approach. Some Catholic leaders and organizations argue that gender-affirming care is essential for the dignity and well-being of transgender individuals. Michael Sennett, a trans man and activist, highlighted the necessity of such care for many individuals to live authentically.

Statements from major progressive religious organizations on the same day as the bishops' vote further reflect a growing division within the faith community over issues of gender identity and rights, emphasizing that not all religious narratives align with the bishops' stance.

In a separate but related discussion on immigration, the bishops also approved a pastoral statement expressing concern for immigrants and a clear opposition to mass deportation, indicating a broader scope of social and ethical commitments from the Church’s leadership.