Supreme Court Throws Out Appellate Rulings in Favor of Transgender People in Four States

June 30, 2025by Mark Sherman, Associated Press
Supreme Court Throws Out Appellate Rulings in Favor of Transgender People in Four States
Transgender rights supporters rally outside of the Supreme Court, Dec. 4, 2024, in Washington. (AP Photo/Jose Luis Magana, File)

WASHINGTON (AP) — The Supreme Court on Monday threw out appellate rulings in favor of transgender people in four states following the justices’ recent decision upholding a Tennessee ban on certain medical treatment for transgender youths.

But the justices took no action in cases from Arizona, Idaho and West Virginia involving the participation of transgender students on school sports teams. The court could say as soon as Thursday whether it will take up the issue in its next term.

The high court ordered appellate judges to reexamine cases from Idaho, North Carolina, Oklahoma and West Virginia involving access to medical care and birth certificates.

The action was unsurprising because the court had set the cases aside until after it decided the Tennessee case, as typically happens when the same legal issue is being considered.

The rulings all included findings that the restrictions on transgender people imposed by the states violate the Constitution’s equal protection clause.

In the Tennessee case, the Supreme Court ruled that there was no constitutional violation in a state law prohibiting puberty blockers and hormone therapy to treat gender dysphoria in people younger than 18.

The justices ordered the 4th U.S. Circuit Court of Appeals in Richmond, Virginia, to review its decision that West Virginia’s and North Carolina’s refusal to cover certain health care for transgender people with government-sponsored insurance is discriminatory.

The San Francisco-based 9th U.S. Circuit Court of Appeals will get back a case from Idaho stemming from the state’s ban on certain surgical procedures for Medicaid recipients.

The 10th U.S. Circuit Court of Appeals in Denver will review its ruling blocking an Oklahoma ban on people changing their gender on birth certificates.

In one other case, from Kentucky, the justices rejected the appeal of transgender minors and their families challenging that state’s ban on gender-affirming care.

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Follow the AP’s coverage of the U.S. Supreme Court at https://apnews.com/hub/us-supreme-court.

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