The U.S. Supreme Court has upheld Tennessee’s ban on gender-affirming surgery for transgender youth in a ruling that’s likely to reverberate across the country. Most Republican-controlled states already have similar bans.

The court's decision in the landmark U.S. v. Skrmetti case is expected to upend access to healthcare for trans youth.

In 2020, the justices ruled 6-3 that gay and transgender workers were shielded from employment discrimination nationwide.