The challenge to a Tennessee law before the Supreme Court this week traces its roots to the spring of 2021, when Arkansas became the first state to pass a law prohibiting gender-transition treatments for minors. Alabama followed in 2022. Tennessee’s was part of a coordinated deluge: Of 28 states where Republicans control the legislature, 24 now restrict doctors from providing puberty blockers, hormone therapies or surgery to transgender minors. Two more, New Hampshire and Arizona, ban only surgeries.
Why the flood? In exploring the motivation behind Florida’s ban, one federal district judge, Robert Hinkle, concluded that some of the state’s lawmakers acted on “old-fashioned discriminatory animus.” But Republican lawmakers in many states have said that they are seeking to shield adolescents from a path that has become more common, with consequences they are too young to fully comprehend. Republican strategists, for their part, have said that elevating the issue was a winning strategy leading up to the 2024 election.
United States v. Skrmetti, the challenge to Tennessee’s ban, is one of 18 filed over the last three years, with mixed results. The highest courts in two states, Texas and Nebraska, have upheld their restrictions. By contrast, two federal district judges — Judge Hinkle in Florida and Judge James M. Moody Jr. in Arkansas — struck down bans in those states. But their decisions are being appealed, and preliminary injunctions on enforcement of the bans in Alabama and Indiana, each issued by a federal district judge, were reversed by separate appeals courts. Eleven other cases are in various stages of litigation.
How the Supreme Court rules on Skrmetti will almost surely affect how lower courts handle the challenges to similar statutes in states across the country. But the outcome may not be universal.
“If Tennessee wins, the states will say ‘Skrmetti controls,’ and vice versa,” said Jim Campbell, chief counsel for the Alliance Defending Freedom, a conservative legal advocacy group that is helping to defend Idaho’s ban on transition treatments for minors. “And then the other side, the losing side, will say, ‘No, it’s actually different, and here’s why.’”
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