United States v. Skrmetti

On June 18, 2025, the U.S. Supreme Court decided United States v. Skrmetti, a landmark case challenging Tennessees Senate Bill 1, which banned gender-affirming medical care for minors. The federal government argued the law violated the Equal Protection Clause by discriminating based on sex and transgender status. Tennessee contended the law regulated medical practices to protect minors. The Supreme Court upheld the Tennessee law, ruling that the state's restrictions on puberty blockers and hormone therapies for minors did not constitute unconstitutional sex discrimination, as they regulated medical procedures rather than targeting a protected class. The decision affirmed states authority to set medical policy regarding transgender care for minors.

The Supreme Court upheld Tennessee's law, ruling that restrictions on gender-affirming medical care for minors do not violate the Equal Protection Clause.

Whether state bans on gender-affirming medical care for minors constitute unconstitutional sex discrimination under the Fourteenth Amendments Equal Protection Clause.

The ruling emboldened states to restrict transgender medical care for minors, intensified national debate on parental rights and medical autonomy, and signaled the Court's deference to state legislatures on contested medical and social policy issues.