U.S. Catholic bishops have voted to make official a ban on gender-affirming care for transgender patients at Catholic hospitals. The decision formalizes a yearslong process for the U.S. church to address transgender health care. The bishops approved revisions to their ethical and religious directives that guide the nation’s thousands of Catholic hospitals and providers. The bishops also approved a special message on immigration, expressing concern over enforcement and conditions in detention centers. They call for meaningful immigration reform and oppose mass deportation.