The law bans long-term care facilities and staff “from discriminating against any resident on the basis of a resident’s actual or perceived sexual orientation, gender identity or expression, or HIV status.”

The Dominican Sisters of Hawthorne, who run Rosary Hill Home in Hawthorne, New York, objected that the law requires them to assign rooms by gender identity, not biological sex; allow access to opposite-sex bathrooms and coerce speech recognizing identities and relationships that violate Catholic values. It would also require staff training on gender ideology and the posting a public notice stating compliance with these demands.