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Romania will hold a referendum on changes to the constitution that could effectively permanently ban gay marriage.
The country's top court approved a public vote on an amendment that would explicitly state that marriage is a union between a man and a woman.
Campaigners warned the move, which would remove the reference to "spouses" and replace it with a specific reference to one man and one woman, was discriminatory and "out of step with reality".
Romania does not currently recognise same-sex marriage or offer legal protection to same-sex couples.
But campaigners warned that a change in the constitution would cement the inequality and permanently end hopes of a future change in the law.
Katrin Hugendubel, European advocacy director at the International Lesbian, Gay, Bisexual, Trans and Intersex Association (ILGA), said: "This referendum is essentially asking people to approve discriminating against their neighbours, colleagues, friends and family members.
"Rainbow families, diverse family groups, loving families living in Romania right now are all threatened by this proposal."
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Romania is 35th in the Rainbow Europe ranking on law and policy. While LGBT+ people in the country enjoy equal rights in some areas, including military service, housing and age of sexual consent, they are banned from giving blood or adopting as a couple.
The socially-conservative country has few LGBT-friendly politicians and the Orthodox Church enjoys widespread influence.
But in July, LGBT+ couples won a rare victory after Romania’s constitutional court ruled that residency rights must be given to the same-sex spouses of European Union citizens.
Several LGBT+ campaign groups lobbied the constitutional court before its latest verdict on the gay marriage vote, with Amnesty International warning the change “could result in making it impossible to protect same-sex unions in the future”.
Barbora Černušáková, Amnesty International’s researcher on Romania, said it would be a “backward step”.
Arpi Avetisyan, ILGA Europe's litigation officer, added: “Romania has a responsibility to protect all its citizens – straight and LGBTI.
"The definition of ‘family’ put forward by the supporters of this referendum is frankly inaccurate; it only captures a very limited fraction of what family means to people in 2018.
"And it is also very out-of-step with reality and with the diversity of families being recognised by international human rights bodies and European courts."
Supporters of a constitutional amendment have claimed it would protect Romania’s “traditional family”.
The debate mirrors efforts by conservative groups in Russia, backed by President Vladimir Putin, to limit LGBT+ rights under so-called gay propaganda rules agreed in 2013.
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