In a 6-3 decision on Wednesday, June 18, 2025, the U.S. Supreme Court upheld Tennessee’s ban on gender-affirming care, including puberty blockers and hormone treatments, for transgender minors.
This ruling marks a significant setback for transgender rights and aligns with efforts by President Donald Trump’s administration and 26 other states to limit such protections.
The decision reverses a lower court ruling, with the majority applying a “rational basis” review, deeming the law a legitimate regulation of medical procedures.
The ban, which permits these treatments for other conditions, contrasts with a 2020 Supreme Court ruling protecting transgender workplace rights.
The ruling coincides with broader federal moves, including bans on transgender athletes and military service, reflecting a shifting legal landscape.
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