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Supreme Court Upholds Tennessee Ban on Gender-Affirming Care for Minors

A 6–3 ruling determines that Tennessee’s law does not violate the 14th Amendment’s equal protection guarantee

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Transgender rights supporters rally outside of the Supreme Court on Dec. 4, 2024.

Overview

  • The court ruled in United States v. Skrmetti that prohibiting puberty blockers and hormone therapy for transgender minors falls under rational basis review
  • Chief Justice John Roberts wrote that the Equal Protection Clause cannot resolve disputed scientific and policy questions about gender-affirming treatments
  • Justice Sonia Sotomayor dissented by stating the majority “abandons transgender children and their families to political whims”
  • The decision sets a precedent for at least 26 states with similar bans and is likely to keep those laws intact
  • Major medical organizations, including the American Medical Association and the American Academy of Pediatrics, criticized the ruling as a setback for transgender healthcare access