On President Biden’s first day in office, one of the first things he did was sign an executive order instructing federal agencies to reinterpret “sex” in Title IX and other statutes to include gender identity. That reinterpretation had a massive and cascading effect and led to two federal mandates directly affecting religious employers and health care providers. It requires Christians to provide insurance coverage for gender transition surgeries, procedures, affirmative counseling, and other treatments.