After Supreme Court oral arguments last December, it was clear conservative justices had the votes to uphold state bans on gender care for trans youths under age 18. The question was how far the decision would sweep to affect trans individuals in other situations.

The justices ruled that Tennessee’s law, which prohibited some medical treatments for transgender youths, did not violate equal protection principles.

The U.S. Supreme Court said Tennessee did not violate the constitution by banning gender-affirming care for transgender minors. The case is sure to resonate nationally.