A prominent conservative legal group is calling on Indiana Attorney General Todd Rokita (R) to launch a civil rights investigation into the state’s largest hospital system, Indiana University Health, over allegations it is embedding “illegal” race and sex preferences throughout its operations, including in organ transplant eligibility.

In a June 11 letter revealed publicly on Monday, the America First Legal Foundation, founded by an adviser to President Donald Trump, accused IU Health of violating both state and federal law through what it described as a “sweeping” diversity, equity, and inclusion (DEI) regime. The Trump-aligned group provided documentation to Rokita, which claims IU Health has allegedly imposed demographic quotas in hiring, promoted vendors based on race and gender, and incorporated equity metrics into medical decisions.