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Supreme Court Empowers State Bans on Gender-Affirming Care for Minors

Major medical associations stand by established treatment protocols despite a federal report raising safety concerns.

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Overview

  • The Supreme Court’s 6–3 decision in United States v. Skrmetti upholds Tennessee’s law banning puberty blockers and hormone therapy for minors.
  • A May Department of Health and Human Services report questions the safety of puberty blockers and cross-sex hormones, contradicting guidance from the American Medical Association and American Academy of Pediatrics.
  • Leading medical organizations have reaffirmed support for current gender-affirming care protocols despite internal WPATH documents revealing major gaps in adolescent treatment research.
  • The Trump administration’s proposed “Big Beautiful Bill” seeks to eliminate Medicaid coverage for gender-affirming care and impose broader funding restrictions on transgender treatments.
  • The Trevor Project reports a 72 percent increase in suicide attempts among transgender teens in states that enacted anti-trans legislation.