The U.S. Supreme Court upheld a Republican-backed ban in Tennessee on gender-affirming medical care for transgender minors on Wednesday in a setback for transgender rights that could bolster efforts by states to defend other measures targeting transgender people.

The Supreme Court has upheld Tennessee’s ban on gender-affirming care for transgender minors, a stunning setback to transgender rights.

Washington — The Supreme Court on Wednesday upheld a Tennessee law that restricts access to gender-affirming care for minors experiencing gender dysphoria, clearing the way for the medical treatments for transgender youth to be limited in half of the country.