The ruling from Judge Louis Guirola Jr. of the U.S. District Court for the Southern District of Mississippi came after a coalition of 15 Republican-led states sued over the matter, according to The Hill.

“When Biden-era bureaucrats tried to illegally rewrite our laws to force radical gender ideology into every corner of American healthcare, Tennessee stood strong and stopped them,” Tennessee Attorney General Jonathan Skrmetti said in a statement following the ruling. “Our fifteen-state coalition worked together to protect the right of healthcare providers across America to make decisions based on evidence, reason, and conscience.”

“This decision restores not just common sense but also constitutional limits on federal overreach, and I am proud of the team of excellent attorneys who fought this through to the finish,” he added.

TRUMP ADMIN SETTLES LAWSUIT, AGREES TO RESTORE DELETED DEI, GENDER HEALTH WEB PAGES

A demonstrator holds a transgender pride flag during a President’s Day protest near the U.S. Capitol in Washington, D.C., on Feb. 17, 2025.  (Stefani Reynolds/Bloomberg via Getty Images)

Skrmetti’s office said the U.S. District Court for the Southern District of Mississippi held that HHS “exceeded its authority when it issued a rule in May 2024 redefining Title IX’s prohibition against discrimination ‘on the basis of sex’ — which Congress incorporated into the ACA through Section 1557 — to include gender identity.”

“HHS’s 2024 rule represented a disturbing federal intrusion into the States’ traditional authority to regulate healthcare and make decisions about their own Medicaid programs. Specifically, the rule would have prohibited healthcare facilities from maintaining sex-segregated spaces, required certain healthcare providers to administer unproven and risky procedures for gender dysphoria, and forced states to subsidize those experimental treatments through their Medicaid programs,” it continued. “In vacating the rule, Judge Louis Guirola determined that when Congress passed Title IX in 1972, ‘sex’ meant biological sex and that federal agencies cannot unilaterally rewrite laws decades later to advance political agendas.”

TRUMP ADMINISTRATION FINDS MINNESOTA VIOLATED TITLE IX BY LETTING MALES IN GIRLS’ SPORTS, CITING TRANS SOFTBALL PITCHER

A transgender pride flag is displayed outside the U.S. Supreme Court in Washington, D.C. (Anna Moneymaker/Getty Images)

The states involved in the lawsuit were Tennessee, Mississippi, Alabama, Georgia, Indiana, Kansas, Kentucky, Louisiana, Nebraska, Ohio, Oklahoma, South Carolina, South Dakota, Virginia and West Virginia.

The rule was first created under the administration of former President Barack Obama in 2016, before President Donald Trump reversed it in his first term and then former President Joe Biden reversed it again, The Hill reported.

Guirola’s ruling said HHS “exceeded its authority by implementing regulations redefining sex discrimination and prohibiting gender identity discrimination.”

Then-President-elect Donald Trump shakes hands with then-President Joe Biden at Trump’s inauguration in the Capitol Rotunda on Jan. 20, 2025, in Washington, D.C. (Kenny Holston-Pool/Getty Images)

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The judge vacated the rule universally, but the rule had already been prevented from going into effect. It has been stayed since July 2024, according to Bloomberg Law.

Greg Norman is a reporter at Fox News Digital.

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The admissions, which came from U.S. District Judge Julien Xavier Neals in New Jersey and U.S. District Judge Henry Wingate in Mississippi, came in response to an inquiry by Sen. Chuck Grassley, R-Iowa, who chairs the Senate Judiciary Committee.

Grassley described the recent court orders as “error-ridden.”

In letters released by Grassley’s office on Thursday, the judges said the rulings in the cases, which were not connected, did not go through their chambers’ usual review processes before they were released.

TRUMP ADMIN UNVEILS GROUNDBREAKING TOOL ‘SUPERCHARGING’ GOV’T EFFICIENCY TO ‘WIN THE RACE’ FOR AI DOMINANCE

The judges’ admissions came in response to an inquiry by Sen. Chuck Grassley. (Al Drago/Bloomberg via Getty Images)

The judges both said they have since adopted measures to improve how rulings are reviewed before they are posted.

Neals said in his letter that a June 30 draft decision in a securities lawsuit “was released in error – human error – and withdrawn as soon as it was brought to the attention of my chambers.”

The judge said a law school intern used OpenAI’s ChatGPT to perform legal research without authorization or disclosure that he also said was contrary to the chamber’s policy and relevant law school policy.

“My chamber’s policy prohibits the use of GenAI in the legal research for, or drafting of, opinions or orders,” Neals wrote. “In the past, my policy was communicated verbally to chamber’s staff, including interns. That is no longer the case. I now have a written unequivocal policy that applies to all law clerks and interns.”

FEDERAL JUDGE FINES, REPRIMANDS LAWYER WHO USED AI TO DRAFT COURT FILINGS

Sen. Chuck Grassley described the recent court orders as “error-ridden.” (Tom Williams/CQ-Roll Call, Inc via Getty Images)

Wingate said in his letter that a law clerk used Perplexity “as a foundational drafting assistant to synthesize publicly available information on the docket,” adding that releasing the July 20 draft decision “was a lapse in human oversight.”

“This was a mistake. I have taken steps in my chambers to ensure this mistake will not happen again,” the judge wrote.

Wingate had removed and replaced the original order in the civil rights lawsuit, declining at the time to give an explanation but saying it contained “clerical errors.”

Grassley had requested that the judges explain whether AI was used in the decisions after lawyers in the respective cases raised concerns about factual inaccuracies and other serious errors.

APPARENT AI MISTAKES FORCE TWO JUDGES TO RETRACT SEPARATE RULINGS

Sen. Chuck Grassley had asked the judges to explain whether AI was used in the decisions after lawyers raised concerns about factual inaccuracies and other errors. (Photo by SUSAN WALSH/POOL/AFP via Getty Images)

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“Honesty is always the best policy. I commend Judges Wingate and Neals for acknowledging their mistakes and I’m glad to hear they’re working to make sure this doesn’t happen again,” Grassley said in a statement.

“Each federal judge, and the judiciary as an institution, has an obligation to ensure the use of generative AI does not violate litigants’ rights or prevent fair treatment under the law,” the senator continued. “The judicial branch needs to develop more decisive, meaningful and permanent AI policies and guidelines. We can’t allow laziness, apathy or overreliance on artificial assistance to upend the Judiciary’s commitment to integrity and factual accuracy. As always, my oversight will continue.”

Lawyers have also faced scrutiny from judges across the country over accusations of AI misuse in court filings. In response, judges have issued fines or other sanctions in several cases over the past few years.

Reuters contributed to this report.

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