The ruling is a major setback for transgender rights, with more than 20 states enacting laws similar to Tennessee’s.

In a huge setback for transgender rights, the Supreme Court said Tennessee's ban on gender-affirming care for trans minors did not violate the 14th Amendment.

The US Supreme Court has ruled that states may put limits on or even fully ban gender transition care for young people. The justices voted 6 to 3 to decide that a Tennessee law that limited access to treatments such as puberty blockers for under-18s was not discrimination.