On Wednesday, the U.S. 6th Circuit Court of appeals heard oral arguments in American College of Pediatricians v. Becerra. (Audio of full oral arguments.) In the case, a Tennessee federal district court dismissed for lack of standing a challenge to a rule promulgated by the Department of Health and Human Services that barred discrimination on the basis of gender identity in the furnishing of health care. The court also concluded that plaintiffs lacked standing to challenge an HHS rule requiring grant recipients to recognize same-sex marriages. (See prior posting.)