HRC is also pushing for a change in the interpretation of a statute that is at the heart of social and cultural conflicts in health care, Sec. 1557 of the Affordable Care Act.
While the statute forbids discrimination in health care, the Obama administration interpreted that to require doctors to provide gender-transition surgeries upon the referral of a mental health professional-whether they agreed with morality of the procedure or not.
The Trump administration reversed this "transgender mandate," but HRC is pushing for the Biden administration to reinterpret the statute-and possibly reinstate the mandate.
HRC also wants "uniform, government-wide implementation" of the Supreme Court's ruling in Bostock v. Clayton County from this past June.
That ruling, which extended prohibitions of sex discrimination to include protections for sexual orientation and gender identity, was criticized by religious freedom advocates. Advocates warned that, by enshrining sexual orientation and gender identity as protected classes in law, the court was putting religious charities and business owners on the defensive against a slew of new discrimination lawsuits.
Justice Neil Gorsuch, writing for the Court's majority, acknowledged that the decision would bring up future religious freedom cases. He maintained that individuals and groups have recourse to religious freedom protections under the First Amendment and the Religious Freedom Restoration Act (RFRA).
In its other blueprint recommendations, HRC also wants the Biden administration to appoint "qualified LGBTQ judges, executive officials, and ambassadors abroad."
The group is also pushing for an end to the Mexico City Policy, which bars funding of foreign NGOs that promote or provide abortions. It also called for the Biden administration to reinstate nondiscrimination requirements for charities that partner with the government-possibly requiring religious adoption agencies, homeless shelters, and health care facilities to abide by LGBT mandates they deem problematic.
Catholic bishops, for instance, opposed a 2016 Obama administration rule that homeless shelters allow clients access to facilities based on their gender identity and not biological sex.