

University of Notre Dame professor Kathleen Sprows Cummings. Credit: Ken Oliver-Méndez/CNA
Jan 10, 2026 / 10:12 am (CNA).
Assessing the impact of the Catholic Church's first American pope was front and center at the 106th annual meeting of the American Catholic Historical Association (ACHA), which met in Pope Leo XIV's hometown of Chicago from Jan. 8-11.
During a panel on the subject, Catholic scholars noted some of the historic caricatures of what an American papacy would be like and compared that to the first eight months of Leo's actual papacy.

At the outset of the panel, University of Notre Dame history professor Kathleen Sprows Cummings referenced the 1894 Puck magazine cartoon titled “ The American Pope,” which depicts the first apostolic delegate to the United States, Cardinal Francesco Satolli, sitting atop a church labeled the “American headquarters” and casting a shadow of then Pope Leo XIII over the entire country.
Sprows Cummings noted the cartoon illustrates “fears about papal intervention in the United States” at a time when the country was receiving waves of Catholic immigrants from countries such as Ireland and Italy.
As Catholics became more settled in American society in the subsequent decades, she said some of those prejudices began to lessen and pointed to the 1918 election of Catholic Democrat Al Smith as New York’s governor. By this point, Catholics had become “much more confident about their place in American culture.”
During the same early 20th century period, the United States also began to rise as a superpower. Sprows Cummings noted that predominant concerns about an American pope shifted to Vatican concerns over the “Americanization of the Catholic Church.”
America magazine's Vatican correspondent, Colleen Dulle, said some of those concerns were evidently mitigated in the person of then Cardinal Robert Prevost, whose service to the Church included many years as a missionary and bishop in Peru as well as in Rome as the head of a global religious order, the Augustinians.
Sprows Cummings said the College of Cardinals clearly saw in Cardinal Prevost the "pastoral presence, administrative savvy and global vision" that the Church needed at this time and that he was “not elected in some flex of American power.”
Miguel Diaz, the John Courtney Murray, S.J. Chair in Public Service at Loyola University Chicago, noted that some of Leo’s actions have actually amounted to the opposite of flexing American power, such as his focus on the dignity of migrants, which he contrasted to the policies of the Trump administration.

Diaz, who served as U.S. ambassador to the Holy See under former President Barack Obama, said Leo is “a different symbol, from America first to America cares.”
He emphasized that having an American pope is significant amid the country’s political debates because “he can say things and he will be listened to.”
The panelists also discussed what Leo’s papacy may look like moving forward, with Dulle noting that only this year are there clear signs of him charting his own programmatic course, as the events and itinerary of the 2025 Jubilee were primarily developed for Pope Francis.
Up until now, she said, he has been mostly “continuing the Francis initiatives in a different style.”
She noted Pope Leo's management of this week's consistory — a meeting between the pope and the College of Cardinals — where the pontiff gave them four topics to choose from, which were all in line with Francis’s priorities: synodality, evangelization, reform of the curia, and the liturgy. The cardinals chose synodality and evangelization.
Dulle said Leo is seen as "a consensus builder” who aims to build consensus around the Church's priorities. She noted Pope Leo's announcement this week of a regular schedule of consistories, with the next one set for this June. This approach is emerging as a "hallmark of how he governs the Church" Dulle said.
Brian Flanagan, the John Cardinal Cody Chair of Catholic Theology at Loyola University Chicago, also emphasized Leo’s strong appeal to the cardinals and bishops in efforts to reach consensus, in keeping with the Pope's role as a preserver of unity.
Flanagan said he sees Leo exercising the papacy as not so much "at the top of the pyramid, but as at the center of conversation.” He said this is likely influenced by Leo's past as leader of a religious order — the Order of Saint Augustine — rather than a diocese because the orders are “global, diverse, and somewhat fractious.”
“You can’t govern a global religious community without getting people on board,” he said.
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![HHS announces actions to restrict ‘sex-rejecting procedures’ on minors #Catholic
President Donald J. Trump watches as Robert F. Kennedy Jr., Health and Human Services Secretary, speaks after being sworn in on Thursday, Feb. 13, 2025, in Washington, D.C. / Credit: Jabin Botsford/The Washington Post via Getty Images
Washington, D.C. Newsroom, Dec 18, 2025 / 13:31 pm (CNA).
The Department of Health and Human Services (HHS) proposed regulations today that would seek to end “sex-rejecting procedures” on anyone younger than 18 years old, which includes restrictions on hospitals and retailers.Under one proposal, the Centers for Medicare & Medicaid Services (CMS) would withhold all funding through Medicare and Medicaid to any hospital that offers surgeries or drugs to minors as a means to make them resemble the opposite sex. The proposed rules would prohibit federal Medicaid funding for “sex-rejecting procedures” on anyone under 18 and prohibit federal Children’s Health Insurance program (CHIP) funding for the procedures on anyone under 19.This includes surgical operations, such as the removal of healthy genitals to replace them with artificial genitals that resemble the opposite sex and chest procedures that remove the healthy breasts on girls or implant prosthetic breasts on boys.It also includes hormone treatments that attempt to masculinize girls with testosterone and feminize boys with estrogen and puberty blockers, which delay a child’s natural developments during puberty.HHS also announced that the Food and Drug Administration (FDA) is issuing warning letters to 12 manufacturers and retailers that they accuse of illegally marketing “breast binders” to girls under the age of 18 as a treatment for gender dysphoria. Breast binders compress breasts as a means to flatten them under their clothing.The news release said breast binders are Class 1 medical devices meant to help recover from cancer-related mastectomies, and the warning letters will “formally notify the companies of their significant regulatory violations and how they should take prompt corrective action.”Additionally, HHS is working to clarify the definition of a “disability” in civil rights regulations to exclude “gender dysphoria” that does not result from physical impairments. This ensures that discrimination laws are not interpreted in a way that would require “sex-rejecting procedures,” the statement said.HHS Secretary Robert F. Kennedy Jr. said in a news conference that “sex-rejecting procedures” on minors are “endangering the very lives that [doctors] are sworn to safeguard.”“So-called gender-affirming care has inflicted lasting physical and psychological damage on vulnerable young people,” he said. “This is not medicine — it is malpractice.” The proposals would conform HHS regulations to President Donald Trump’s Jan. 28 executive order to prohibit the “chemical and surgical mutilation” of children. The order instructed HHS to propose regulations to prevent these procedures on minors.In a news release, HHS repeatedly referred to the medical interventions as “sex-rejecting procedures” and warned they “cause irreversible damage, including infertility, impaired sexual function, diminished bone density, altered brain development, and other irreversible physiological effects.”HHS cited its own report from May, which found “deep uncertainty about the purported benefits of these interventions” for treating a minor with gender dysphoria. The report found that “these interventions carry risk of significant harms,” which can include infertility, sexual dysfunction, underdeveloped bone mass, cardiovascular disease, metabolic disorders, psychiatric disorders, and adverse cognitive impacts, among other complications.Stanley Goldfarb, chairman of Do No Harm, a medical advocacy group, said in a statement that the proposed regulation on hospitals is “another critical step to protect children from harmful gender ideology” and said he supports rules that ensure “American taxpayer dollars do not fund sex-change operations on minors.”“Many so-called gender clinics have already begun to close as the truth about the risks and long-term harms about these drugs and surgeries on minors have been exposed,” he said. “Now, hospitals that receive taxpayer funds from these federal programs must follow suit.”Mary Rice Hasson, director of the Person and Identity Project at the Ethics and Public Policy Center (EPPC), said she sees the proposed restriction on hospitals as “excellent.”“This proposed rule sends a powerful message to states and health care providers: It’s time to stop these unethical and dangerous procedures,” Hasson said. “Puberty is not a disease to be medicated away. All children have the right to grow and develop normally.”“Sex-rejecting procedures promise the impossible: that a child can escape the reality of being male or female,” she added. “In reality, these sex-rejecting procedures provide only the illusion of ‘changing sex’ by disabling healthy functions and altering the child’s healthy body through drugs and surgery that will cause lifelong harm.”In January, Bishop Robert Barron, chair of the United States Conference of Catholic Bishops’ (USCCB) Committee on Laity, Marriage, Family Life, and Youth, welcomed Trump’s executive action on these procedures, warning that they are “based on a false understanding of human nature, attempt to change a child’s sex.”“So many young people who have been victims of this ideological crusade have profound regrets over its life-altering consequences, such as infertility and lifelong dependence on costly hormone therapies that have significant side effects,” Barron said. “It is unacceptable that our children are encouraged to undergo destructive medical interventions instead of receiving access to authentic and bodily-unitive care.”](https://unitedyam.com/wp-content/uploads/2025/12/hhs-announces-actions-to-restrict-sex-rejecting-procedures-on-minors-catholic-president-donald-j-trump-watches-as-robert-f-kennedy-jr-health-and-human-services-secretary-sp.webp)








