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Supreme Court Vacates Appellate Rulings on Transgender Care in Four States

Justices ordered judges to reconsider state rulings on transgender health coverage, extending the review to birth certificate changes after upholding Tennessee’s treatment ban.

FILE - Supreme Court is seen on Capitol Hill in Washington, April 25, 2024. (AP Photo/J. Scott Applewhite, File)
FILE - The Supreme Court is seen on Capitol Hill in Washington, Dec. 17, 2024. (AP Photo/J. Scott Applewhite, File)
The plaza in front of the US Supreme Court building is closed on the final day of this term on June 27 in Washington, DC.
FILE - Transgenders rights supporters rally outside of the Supreme Court, Dec. 4, 2024, in Washington. (AP Photo/Jose Luis Magana, File)

Overview

  • The court vacated appeals court decisions in Idaho, North Carolina, Oklahoma and West Virginia that had blocked state limits on gender-affirming care and documentation.
  • Lower courts must now reexamine challenges to Medicaid coverage of puberty blockers and hormone therapy as well as bans on updating birth certificates under the June ruling’s standards.
  • On June 17, the justices upheld Tennessee’s ban on gender-affirming treatment for minors, finding it did not discriminate based on sex or transgender status under rational-basis review.
  • The high court rejected Kentucky’s appeal from transgender minors and their families seeking to overturn that state’s ban on gender-affirming care.
  • Justices declined to act on cases over transgender students’ participation in school sports from Arizona, Idaho and West Virginia, leaving those disputes pending.