After Supreme Court decision, states become primary battlefield for transgender rights June 18, 2025 | by Marcia Coyle
By leaving the “wisdom” and “fairness” of transgender minors’ health care to “the people, their elected representatives, and the democratic process,” the Supreme Court’s conservative majority, in a decision starkly reminiscent of its 2022 overruling of Roe v. Wade , left in place a long and difficult legal path forward for advocates of transgender rights. The 6-3 majority in United States v. Skrmetti ruled that Tennessee’s law prohibiting medical professionals from providing hormone therapy or puberty-delaying drugs to transgender minors does not violate the Equal Protection Clause of the Fourteenth Amendment. The majority rejected arguments that the law discriminated on the basis of sex and transgender status. If the law had discriminated because of sex-based classifications, the Court would have applied what it calls “heightened scrutiny” to the law. The state would have to show that the law “serves important governmental objectives a...