Families of trans kids worry about what’s next after Supreme Court rules on gender-affirming care
Jun 18, 2025, 2:00 PM | Updated: 3:44 pm
NASHVILLE, Tenn. (AP) 鈥� A U.S. Supreme Court decision Wednesday upholding Tennessee鈥檚 ban on gender-affirming care for minors is leaving transgender children and their parents uncertain and anxious about the future.
The court handed President Donald Trump鈥檚 administration and Republican-led states a significant victory by effectively protecting them from at least some of the legal challenges against many efforts to repeal safeguards for transgender people.
The case stems from a Tennessee law banning puberty blockers and hormone treatments for transgender minors. Opponents of gender-affirming care say people who transition when they鈥檙e young could later regret it.
Families of transgender children argue the ban amounts to unlawful sex discrimination and violates the constitutional rights of vulnerable Americans.
Eli Givens, who is transgender and testified against Tennessee鈥檚 gender-affirming care bill in 2023, said it鈥檚 devastating that lawmakers 鈥渨ho have called us degenerates, have told us that we鈥檙e living in fiction鈥� are now celebrating the court鈥檚 ruling.
Givens, who received mastectomy surgery in 2022 at age 17, said the legislation inspired their advocacy.
The 20-year-old college student from Spring Hill, Tennessee, attended the Supreme Court arguments in the case last December, on their 20th birthday.
鈥淲e鈥檙e not making a world that trans youth are welcomed or allowed to be a part of,鈥� Givens said. 鈥淎nd so, it鈥檚 just a really scary kind of future we might have. Again, we won鈥檛 stop fighting. But it does feel like the rug is kind of being swept under our feet just a little bit.鈥�
Jennifer Solomon, who supports parents and families at the LGBTQ+ rights group Equality Florida, called the ruling a decision 鈥渢hat one day will embarrass the courts.鈥�
鈥淭his is a decision that every parent should be concerned about,鈥� she said. 鈥淲hen politicians are able to make a decision that overrides your ability to medically make decisions for your children, every family should worry.鈥�
Rosie Emrich is worried the court decision will embolden legislators in New Hampshire, where legislation banning hormone treatments and puberty blockers for children is expected to reach the governor鈥檚 desk.
Lawmakers are weighing whether to block the treatments from minors already receiving them, like Emrich鈥檚 9-year-old child.
鈥淚t鈥檚 definitely disappointing, and I鈥檓 trying to figure out how I鈥檓 going to talk to my kid about it,鈥� Emrich said.
Emrich said she and her husband have considered moving from New Hampshire and are waiting to see what will happen.
鈥淭he hard part is, like, I鈥檝e grown up here, my husband has grown up here, we very much want to raise our family here,鈥� she said. 鈥淎nd we don鈥檛 want to leave if we don t have to.鈥�
Chloe Cole, a conservative activist known for speaking about her gender-transition reversal, posted on social media after the court’s decision that 鈥渆very child in America is now safer.鈥�
Cole was cited as an example by Tennessee Republicans as one of the reasons the law was needed.
Matt Walsh, an activist who was one of the early backers of Tennessee鈥檚 law, applauded the high court. Three years ago, Walsh shared videos on social media of a doctor saying gender-affirming procedures are 鈥渉uge moneymakers鈥� for hospitals and a staffer saying anyone with a religious objection should quit.
鈥淭his is a truly historic victory and I鈥檓 grateful to be a part of it, along with so many others who have fought relentlessly for years,鈥� Walsh posted on social media.
Sarah Moskanos, who lives near Milwaukee, said her 14-year-old transgender daughter went through nearly a decade of counseling before she started medical gender-affirming care.
Moskanos said that even before therapy, her daughter, who she declined to name for safety concerns, said that even at age 4 she was sure she identified as a girl.
鈥淚 would say that there is decades of research on this very thing,鈥� she said. 鈥淎nd we know what works and we know what will save trans kids鈥� lives is gender-affirming care.鈥�
Even though Wisconsin doesn鈥檛 have a gender-affirming care ban, getting her daughter that care has not been easy. Moskanos said she now worries about what the future holds.
鈥淲e live in tumultuous times, and we are but one election cycle away from disaster for my kid,鈥� she said.
Mo Jenkins, a 26-year-old transgender Texas native and legislative staffer at the state Capitol, said she began taking hormone therapy at 16 years old and has been on and off treatment since then.
鈥淢y transition was out of survival,鈥� Jenkins said.
Texas outlawed puberty blockers and hormone treatment for minors two years ago, and in May, the Legislature passed a bill tightly defining a man and a woman by their sex characteristics.
鈥淚鈥檓 not surprised at the ruling. I am disheartened,鈥� Jenkins said. 鈥淭rans people are not going to disappear.鈥�
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Mulvihill reported from Cherry Hill, New Jersey, and Seewer reported from Toledo, Ohio. Associated Press journalists Susan Haigh in Hartford, Connecticut; Kenya Hunter in Atlanta; Laura Bargfeld in Chicago; Nadia Lathan in Austin, Texas; and Daniel Kozin in Pinecrest, Florida, contributed to this report.
