The administration's rule says federal law that bars discrimination in healthcare "on the basis of sex" does not cover gender identity or sex stereotyping.
The 6-3 ruling represented the biggest moment for LGBT rights in the United States since the Supreme Court legalized same-sex marriage nationwide in 2015.
Church leaders have devised a plan to divide into a “traditionalist Methodist” denomination that would maintain its ban on gay marriage and a more liberal wing that would permit it.