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A Pride flag flies over the Mass. State House in Boston. Photo: John Tlumacki/The Boston Globe via Getty Images

The Department of Health and Human Services finalized a rule on Friday to reverse protections for transgender people established under the Affordable Care Act.

Why it matters: The action could make it easier for doctors, hospitals and insurance companies to deny transgender people health coverage amid the global coronavirus pandemic.

  • HHS did not respond to a request for comment on how the new rule could affect transgender and LGBTQ people seeking health care as COVID-19 persists.

Catch up quick: The rollback rescinds an Obama administration rule that protected against discrimination on the basis of "gender identity" as well as sex — which allowed transgender people to be protected when seeking health care.

  • The rollback also removes Obama-era language that protected those who terminated a pregnancy from sex discrimination.
  • The Trump administration has tried to narrow the definition of gender as a "biological, immutable condition determined by genitalia at birth" since at least 2018, by considering changes to the federal civil rights law Title IX.

What's next: Lambda Legal and the Human Rights Campaign announced separate lawsuits against the rule on Friday.

What they're saying: “It will eliminate mass confusion that was unleashed by the Obama-era decision to redefine sex to cover a wide array of gender identities, when sex as a biological reality is so important to the practice of medicine," Civil Rights Chief Roger Severino said Friday, of the rollback.

  • “LGBTQ people get sick. LGBTQ people need health care. LGBTQ people should not live in fear that they cannot get the care they need simply because of who they are," HRC President Alphonso David said in a statement on Friday. "It is clear that this administration does not believe that LGBTQ people, or other marginalized communities, deserve equality under the law."

Go deeper: Trump targets LGBTQ protections

Go deeper

Updated 9 mins ago - Politics & Policy

Joe Biden elected president, AP projects

Biden in Los Angeles in March. Photo: Mario Tama/Getty Images

The Associated Press projects Joe Biden has been elected the 46th president of the United States, ousting President Trump after a single term marked by impeachment, constant battles, a disastrous response to the deadly coronavirus pandemic and an unexpectedly close election.

Kamala Harris will join him as the first woman and first person of color to be elected vice president — a historic breakthrough largely overshadowed by the turmoil surrounding the election. The result drew cheering crowds outside the White House.

Updated 18 mins ago - Politics & Policy

Live updates: Biden reaches 270

Expand chart
Data: AP; Note: AP has called Arizona for Biden, but ballots are still being counted and not all organizations have called it yet. Chart: Naema Ahmed, Andrew Witherspoon, Danielle Alberti/Axios

Joe Biden has won the 270 electoral votes he needs to defeat President Trump, according to Associated Press projections, with his win in Pennsylvania putting him over the top.

The latest: The projected Pennsylvania victory — on top of Wisconsin, Michigan and now Nevada — makes Biden the president-elect even as the Trump campaign fights him with lawsuits and recounts.

30 mins ago - Podcasts

Biden wins and what to expect next

This is Axios Special Election 2020 coverage. Joe Biden wins the presidential election, AP projects, after winning Pennsylvania Saturday morning. We talk to Axios reporters Hans Nichols and Jonathan Swan to find out what’s next for both Biden and Donald Trump.