A Texas federal judge has voided Obamacare’s requirements that insurance companies cover the full costs of life-saving HIV prevention and treatment drugs, claiming requiring Christian employers to do so violates their rights under the federal Religious Freedom Restoration Act (RFRA).

In that same ruling on Thursday, U.S. District Judge Reed O’Connor, who has a lengthy history of deciding against LGBTQ people and in favor of the far Christian right, also voided requirements insurance companies, under the Affordable Care Act (ACA), cover other life-saving medications and procedures including cancer screenings, mental health services, and diabetes treatments, although for reasons unrelated to religion.

“In September,” Reuters reports, “O’Connor held that the US Preventive Services Task Force, which determines what qualifies as a covered preventive measure under the ACA, can’t validly do so because its members aren’t subject to Senate confirmation and their recommendations aren’t reviewed by constitutionally appointed government officials.”

Thursday’s decision is an extension of Judge O’Connor’s September ruling, in the same case, Braidwood Mgmt., Inc. v. Becerra.

Slate’s legal expert Mark Joseph Stern calls Judge O’Connor’s ruling “nothing short of catastrophic to the U.S. health care system.”

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“Millions of Americans, including many pregnant women, will have to forgo basic care if it is upheld,” he adds.

The case was brought by Dr. Steven Hotze, a far-right Republican activist and religious extremist who has attacked the LGBTQ community for decades. Last fall The New York Times identified Braidwood Management’s owner as “Dr. Steven F. Hotze, a well-known Republican donor and doctor from Houston, has previously challenged the Affordable Care Act on other grounds.”

The Times reports in that September ruling in this same case, Judge O’Connor wrote: “The PrEP mandate substantially burdens the religious exercise of Braidwood’s owners.” O’Connor, The Times added, wrote “that Dr. Hotze believes that covering PrEP drugs ‘facilitates and encourages homosexual behavior, intravenous drug use and sexual activity outside of marriage between one man and one woman.'”

HIV is not exclusive to people who engage in same-sex intimate relations, drug use, or sexual activity outside of marriage between one man and one woman.

In 2015, Dr. Hotze compared same-sex marriage to the Holocaust and gay people to murderers, defending his belief that Texas should ignore the impending Supreme Court ruling that found same-sex couples have a constitutional right to marriage.

Just two weeks ago Dr. Hotze was “kicked out of a state senate session,” The Daily Beast reported, “after he called transgender people ‘pedophiles.'”

“Major medical and patient groups,” Bloomberg Law reported on Thursday, “had argued that a nationwide order would jeopardize health care for millions of Americans, leading to preventable deaths and higher costs for treating diseases that could have been detected earlier by free screenings.”

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According to Forbes, Judge O’Connor’s ruling on Thursday also voids required coverage for other “preventive services,” including “screenings for such cancers as breast cancer, colorectal cancer, cervical cancer and lung cancer, diabetes screenings, various screenings and interventions for pregnant people, statin use to prevent cardiovascular disease, vision screening for children and more.”

And yet, Judge O’Connor’s decision tossed “other arguments that tried to invalidate the contraceptive mandate in the ACA, so coverage for contraception will remain unaffected by Thursday’s ruling.”

The Biden Administration is expected to appeal, and according to Forbes because insurance policies are generally in effect for a calendar year, it’s unlikely any possible changes would be implemented before January.

Meanwhile, Judge O’Connor in 2019 overturned protections written into ObamaCare for transgender people, ruling they violate the religious rights of healthcare providers who hold religious beliefs that oppose the existence of transgender people.

Three years earlier, in 2016, O’Connor – who at that point already had a record of opposing LGBT rights – handed down a 38-page order in a lawsuit brought by Texas Attorney General Ken Paxton on behalf of 13 states, blocking the Obama administration from enforcing its guidance that said public schools should allow transgender students to use restroom and locker rooms based on their gender identity.

Image: Judge Reed O’Connor

Legal experts are responding to bombshell reporting from The Washington Post revealing Ginni Thomas, the spouse of a U.S. Supreme Court Justice, who had unprecedented access to the Trump White House and Oval Office, for years headed a secretive right-wing activist organization funded through a web of dark money groups, whose purpose was to wage a culture war against the left.

The Post reports the organization, Crowdsourcers for Culture and Liberty, took in nearly $600,000 in anonymous funds to fuel its efforts to battle “cultural Marxism,” as Ginni Thomas, who headed the group, called their mission.

Thomas had stepped away from her previous non-profit right-wing activist group “amid concerns that it created potential conflicts for her husband on hot-button issues before the court,” The Post says, and yet, she led Crowdsourcers for Culture and Liberty, which creates the same concerns. Where is the money coming from? What is the group doing with it? How much crossover is there between her activism and the group’s targets and efforts, and U.S. Supreme Court Justice Clarence Thomas’ work?

According to The Post, in tax filings of its think tank sponsor, Crowdsourcers for Culture and Liberty is described as an “informal, unincorporated nonprofit association which serves as an incubator for ideas across a network of conservative leaders, cultural entrepreneurs, and cultural influences.”

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It appears great efforts were made to ensure the donors to Thomas’ Crowdsourcers group would not be able to be publicly identified.

“In 2019, anonymous donors gave the think tank Capital Research Center, or CRC, $596,000 that was designated for Crowdsourcers, according to tax filings and audits the think tank submitted to state regulators. The majority of that money, $400,000, was routed through yet another nonprofit, Donors Trust, according to that organization’s tax filings. Donors Trust is a fund that receives money from wealthy donors whose identities are not disclosed and steers it toward conservative causes,” The Post explains.

Thomas, who is reportedly active in another secretive far-right wing group, the Council for National Policy, brought two well-known far-right wing activists from CNP into Crowdsourcers for Culture and Liberty: former Trump attorney, ally, and advisor Cleta Mitchell, and Turning Point USA founder Charlie Kirk.

The New York Times last year described the Council for National Policy as an organization that “brings together old-school Republican luminaries, Christian conservatives, Tea Party activists and MAGA operatives, with more than 400 members who include leaders of organizations like the Federalist Society, the National Rifle Association and the Family Research Council.”

But despite all the obvious red flags, an attorney for Ginni Thomas, Mark Paoletta, told The Washington Post she was “proud of the work she did with Crowdsourcers, which brought together conservative leaders to discuss amplifying conservative values with respect to the battle over culture.”

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“She believes Crowdsourcers identified the Left’s dominance in most cultural lanes, while conservatives were mostly funding political organizations,” Paoletta also told The Post.

“There is no plausible conflict of interest issue with respect to Justice Thomas,” he claimed.

Others disagree.

U.S. Senator Sheldon Whitehouse (D-RI), who is also an attorney, responded to The Post’s report by mocking Paoletta’s claim there is no conflict of interest.

“Donors Trust was central to the far-right Court-packing operation, and now they pass secret donor funds to a justice’s spouse, but ‘no plausible conflict of interest’? Please.”

Sen. Whitehouse went on to explain his additional concerns.

“Plus, remember that the secrecy conduits like Donors Trust keep the *public* from knowing what’s happening, but nothing prevents the secret donor from telling the spouse or the justice, ‘Hey, that money that secretly came through to you — that’s me.'”

Adam Smith, Vice President for Democracy Initiatives at the watchdog group Citizens for Responsibility and Ethics in Washington (CREW), observed: “Seems like the spouse of a Supreme Court Justice shouldn’t be able to hide the source of huge donations that could be from people with business before the court.”

READ MORE: Ginni Thomas’ Attempts to Influence Overturn of Election Even Wider Than Previously Known

CREW’s President, Noah Bookbinder, a former federal corruption prosecutor, adds: “Hundreds of thousands in anonymous donations to an activist group led by Ginni Thomas, spouse of a Supreme Court justice, raises all kinds of troubling questions about who could be influencing decisions that affect all of us.”

Attorney and Slate Magazine senior writer covering courts and the law, Mark Joseph Stern, pushed back against any idea the nearly $600,000 funding came from small donations.

“Ginni Thomas’ various political ventures have never had any small/grassroots donors. They have ALWAYS been funded by a handful of ultra-wealthy individuals and organizations who are very obviously trying to curry favor with her husband,” Stern said.

Former White House aide and CNN commentator Keith Boykin, also an attorney, called for Justice Thomas to recuse from certain cases: “If Justice Ketanji Brown Jackson had to recuse herself from the Harvard affirmative action case, then Clarence Thomas should recuse himself from all the cases on right-wing issues in which his activist wife, Ginni Thomas, is involved.”

Last week, Arkansas Gov. Sarah Huckabee Sanders signed legislation prohibiting transgender people from using public school facilities that match their gender identity. That legislation was crafted by the National Association of Christian Lawmakers, a right-wing organization that seeks to elect “godly leaders in our nation at every level” and then use them to “restore the Judeo-Christian foundation of our nation.”

Following the signing of this legislation into law, Jason Rapert, a longtime religious-right activist and ardent Christian nationalist who founded the NACL, took a victory lap, crediting his organization for the law and celebrating its success in pushing back “against the things of the devil in our country.”

As Rapert reported, this legislation had first been proposed by Arkansas school board member David Naylor during an annual NACL meeting and then brought to the Arkansas state legislature by state Rep. Mary Bentley, who serves on the board of the NACL.

On Friday, Rapert interviewed Bentley on his “Save The Nation” program, where she celebrated the NACL’s efforts “to get our biblical worldview spread across the nation.”

“Thank goodness we’ve got some common sense left here in Arkansas,” Bentley said. “[It was because of the NACL] that we were able to get that passed as model policy and bring it forth. I just love seeing grassroots come together and school board members coming to the capitol and going to the governor’s desk and just seeing it all work and flow just exactly how we want to. So, for the folks that are supporting NACL and what we’re doing, this is what we want to do across the country.”

“This is an example of the power of the NACL’s ability with model legislation,” Rapert replied. “This was brought by one of our members, and this policy actually could be immediately adopted by school boards in every school district across this country. If the school board wanted to adopt it, this is the model that they can utilize. And in addition to that, just like you did, go and pass it for the state so that this is going to apply to all the school boards in your state.”

Rapert and Bentley agreed that Arkansas has now blazed the trail on this issue, thereby making it easier for legislatures in other states to enact the same law.

“That’s what happens when you can be a leader,” Bentley asserted. “Once you make a trail, it’s a lot easier for people to follow once you get that trail made.”

“Thank you again for being a part of the NACL,” Bentley declared. “It’s just what we need in this nation right now to have it moving forward, to get our biblical worldview spread across the nation.”

This article was originally published by Right Wing Watch and is republished here by permission.