Almost half of states do not prohibit trans girls and women from competing. The Supreme Court ruling doesn’t force them to, but lawmakers and voters could change that.
The government had argued that a “pendulum swing” in the medical consensus justified treating trans inmates with psychotherapy and antidepressants instead.
The Trump administration says it is investigating off-label medication use and fraudulent billing. Families say the inquiry is a new way to press hospitals to end the care.
Texas Children’s Hospital was under investigation for billing practices on gender-transition treatments. The settlement was expected to end that inquiry.
The ruling provides temporary relief for 21 states seeking to stop the Trump administration from ending federal funding to hospitals that provide gender-transition care.