Tennessee Gender-Affirming Care Ban – Supreme Court Ruling
- In a 6-3 decision, the Supreme Court sided with Tennessee in United States v.Skrmetti, upholding the state's ban on gender-affirming care for transgender youth.
- The lawsuit was initiated by transgender teenagers, their parents, and a doctor, with the Justice Department joining as plaintiffs.
- Gender-affirming care encompasses various medical services designed to align a person's physical characteristics with their gender identity, including hormone therapy, puberty blockers, and surgical procedures.
The Supreme Court has dealt a significant blow to transgender rights, upholding Tennessee’s ban on gender-affirming care for minors in a pivotal 6-3 decision. This ruling,which directly impacts access to crucial medical treatments,determines that the state’s law does not violate the 14th Amendment. Explore the implications of this case, delving into the specifics of the Tennessee law and the types of gender-affirming care affected, like hormone therapy.Other states may follow suit, according to experts.This case is a major setback amid a national conversation around transgender rights. For the latest updates, visit News Directory 3. Discover what’s next in this ongoing legal battle and its impact on transgender youth.
Supreme Court Upholds Tennessee Ban on Gender-Affirming Care for Minors
Updated June 18, 2025
In a 6-3 decision, the Supreme Court sided with Tennessee in United States v.Skrmetti, upholding the state’s ban on gender-affirming care for transgender youth. The ruling, delivered Wednesday, determines that the law does not violate the 14th Amendment’s equal protection clause. This clause prohibits government discrimination based on race,gender,or other characteristics.
The lawsuit was initiated by transgender teenagers, their parents, and a doctor, with the Justice Department joining as plaintiffs. They argued the Tennessee law unfairly denies transgender youth medical care accessible to other minors. This case marks the Supreme Court’s first direct engagement with gender-affirming care for minors.
Gender-affirming care encompasses various medical services designed to align a person’s physical characteristics with their gender identity, including hormone therapy, puberty blockers, and surgical procedures.
Tennessee’s 2023 law prohibits healthcare providers from offering gender-affirming procedures or prescribing related medication to minors whose gender identity differs from their birth-assigned sex. Exceptions exist for congenital defects, physical injuries, and minors whose gender identity aligns with their assigned sex. Such as, a cisgender boy with gynecomastia can receive treatment, while a transgender individual cannot receive similar treatment for gender dysphoria.
Chief Justice John Roberts stated the Tennessee law does not discriminate as it “prohibits healthcare providers from administering puberty blockers or hormones to any minor to treat gender dysphoria…regardless of the minor’s sex.” The court argued the law removes specific diagnoses from treatable conditions rather than excluding individuals based on transgender status.
As 2021, over two dozen states have enacted laws restricting gender-affirming care for those under 18, with penalties for providers. According to KFF, a health policy nonprofit, 40% of transgender youth (ages 13-17) reside in states with such policies. This Supreme Court decision likely solidifies these bans, despite ongoing legal challenges.
Major medical organizations,including the American Medical association and the World Health Association,support access to gender-affirming care for transgender youth,citing scientific evidence. A 2022 study of nearly 12,000 transgender and nonbinary youth found that hormone therapy recipients reported lower rates of depression and suicidal thoughts.
“Today’s Supreme Court decision is a devastating blow to transgender youth and the families who love them,” said Kelley Robinson, president of the Human Rights Campaign.
What’s next
The ruling’s impact on access to gender-affirming care and transgender rights will continue to unfold as states navigate the legal landscape.