Overview
- On June 30 the Supreme Court vacated lower court decisions in North Carolina, West Virginia, Idaho and Oklahoma that had barred state limits on transgender health care and gender-marker updates on birth certificates.
- The order instructs appeals courts to employ the rational-basis equal protection review set out in United States v. Skrmetti when reevaluating these challenges.
- Challenges in North Carolina and West Virginia focus on state-sponsored insurance exclusions for puberty blockers, hormone therapy and related procedures for transgender individuals.
- Additional remands cover Idaho’s ban on Medicaid-funded surgical procedures for transgender patients and Oklahoma’s prohibition on updating gender markers on birth certificates.
- Petitions on transgender students’ participation in school sports in Arizona, Idaho and West Virginia remain pending before the Supreme Court.