The Department of Health and Human Services issued a final regulation Friday that will pressure health insurers to cover sex change operations, which could then be subsidized by taxpayers through Medicare, Medicaid, and Obamacare.

The final rule comes the same day the Obama administration ordered schools to let children use whatever bathroom or locker room matches “their chosen gender identity,” or risk losing federal funding.

The agency released its final “Nondiscrimination in Health Programs and Activities” rule, which enforces Section 1557 of the Affordable Care Act.

The regulation “prohibits discrimination based on race, color, national origin, sex, age, or disability; enhances language assistance for individuals with limited English proficiency; and protects individuals with disabilities,” the agency said in a release.

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