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Supreme Court to Review Tennessee Law Banning Gender-Affirming Care for Transgender Minors

The Supreme Court will review the constitutionality of Tennessee's ban on gender-affirming care for transgender minors, a decision that will impact similar laws nationwide.

Protesters of Kentucky Senate Bill SB150, known as the Transgender Health Bill, cheer on speakers during a rally on the lawn of the Kentucky Capitol in Frankfort, Kentucky on March 29, 2023. | Timothy D. Easley/AP

WASHINGTON D.C. — The Supreme Court has agreed to review the constitutionality of a Tennessee law that bans hormone therapy and puberty blockers for transgender minors, entering a national debate on gender-affirming care for transgender youth.

Background on the Tennessee Law

The Tennessee law, known as SB1, was enacted last year and prohibits hormone treatments or surgeries for minors that are intended to allow them to identify with a gender different from their sex at birth. This legislation reflects a broader trend, with twenty-five states enacting similar restrictions on gender-affirming care for minors. Conversely, states like Illinois, Colorado, and Minnesota have passed bills to protect such healthcare for transgender youth.

Legal Challenges and Arguments

Families and a doctor, supported by the Biden administration, have challenged the Tennessee law, arguing that it violates the 14th Amendment by discriminating on the basis of sex. The challengers contend that the law denies necessary medical treatment for transgender adolescents, causing significant harm. Solicitor General Elizabeth Prelogar stated in her petition that these laws prevent minors from receiving care deemed “appropriate and necessary to treat a serious medical condition.”

The federal appeals court upheld the Tennessee law, leading the challengers and the Biden administration to request the Supreme Court’s intervention.

Implications of the Supreme Court’s Decision

The justices are expected to hear the case in the fall, around the time of the November presidential election. The decision will have far-reaching implications, potentially affecting similar laws across the country.

This case marks the first time the Supreme Court will hear arguments on transgender rights since the 2020 Bostock v. Clayton County ruling, which determined that LGBTQ+ individuals are protected under federal law against workplace discrimination on the basis of sex.

Political Context

Presumptive Republican presidential nominee Donald Trump has expressed support for state efforts to ban transgender treatments for children. He has promised to use federal power to block such care if elected.

In a video released in January, Trump stated, “The left-wing gender insanity being pushed at our children is an act of child abuse.”

Previous Supreme Court Actions

In April, the Supreme Court allowed Idaho to begin enforcing a law barring many forms of gender-affirming care for minors through an emergency application. However, the court did not resolve the constitutional question at that time. Now, with the Tennessee case, the Supreme Court will directly address the constitutionality of such laws.

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