The U.S. Supreme Court has ruled to allow Tennessee’s law prohibiting medical gender transition procedures for minors to remain in effect, upholding the state’s authority to regulate such treatments.
The decision marks a major legal development in the growing number of challenges surrounding laws that restrict the use of puberty blockers, hormone treatments, and surgical interventions on minors in cases of gender dysphoria.
The 6-3 decision lets stand a 2023 Tennessee law that bars physicians from providing gender-transition-related medical care to individuals under the age of 18.
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While the high court did not issue a full opinion on the constitutionality of the law, its decision to allow the state’s statute to remain in place as litigation continues represents a key legal moment in the ongoing debate over state-level restrictions on gender-related care.
The ruling sparked immediate responses from elected officials and activists on both sides of the issue.
Sen. Elizabeth Warren (D-Mass.) criticized the decision in a post on social media, writing, “Trans kids suffer when they don’t get medically necessary care. This is a brazen political decision by the Supreme Court. My heart is with trans kids and their loved ones. I won’t stop fighting to make sure they can be exactly who they are.”
Trans kids suffer when they don’t get medically-necessary care. This is a brazen political decision by the Supreme Court.
My heart is with trans kids and their loved ones. I won’t stop fighting to make sure they can be exactly who they are. https://t.co/XnvM0MMVlA
— Elizabeth Warren (@SenWarren) June 18, 2025
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Among those pushing back against Warren’s remarks was Chloe Cole, an outspoken critic of youth medical transition and a detransitioner who has shared her own experience undergoing hormone therapy and surgery as a minor.
Cole, now a national advocate for protecting minors from medical gender procedures, began transitioning at age 13. She was prescribed puberty blockers and testosterone and underwent a double mastectomy at 15.
Since then, she has reversed course and publicly challenged the medical practices that allowed her to make life-altering decisions as a child.
“Absolutely no child should ever be given the chance to go through any of this because it is abusive, it’s detrimental to their development, and they deserve better,” Cole said.
She has continued to share her story with lawmakers, state legislatures, and in public forums to call for additional safeguards for minors.
In response to Warren’s statement, Cole posted on X, directly challenging the senator’s characterization of gender-related medical treatments as necessary care for children.
It’s really very simple, @SenWarren.
Children can’t transition to the opposite sex, and you cannot transition to Native American. https://t.co/W7TlTxI4xk
— Chloe Cole ⭐️ (@ChoooCole) June 19, 2025
The Tennessee law is one of more than a dozen passed by states in recent years placing restrictions on medical transition procedures for minors.
Proponents of such laws argue that children are not capable of consenting to treatments that can have lifelong physical and psychological consequences and say that the long-term effects of puberty blockers and hormone therapies remain insufficiently studied.
There’s no such thing as a trans kid, Chief Lies-a-Lot. They get butchered by a corrupt system that wants to make money off of sterilizing them as mere 12-yr-olds who cannot possibly consent to no future kids/no sexual pleasure. Their arms/colons get gutted to build fake… https://t.co/vjN5lbuHyB
— Megyn Kelly (@megynkelly) June 19, 2025
The decision by the Supreme Court follows several circuit court rulings that have upheld or blocked similar laws.
Federal judges in Tennessee and Kentucky had initially halted the enforcement of the states’ laws before the Sixth Circuit Court of Appeals reversed those decisions, allowing the bans to go into effect.
The Supreme Court’s refusal to intervene at this stage allows the Sixth Circuit’s decision to remain operative.
While the legal fight may continue, the court’s action signals that state legislatures will have broad authority to regulate gender transition treatments for minors unless a broader constitutional ruling is made.
In her remarks, Cole said, “I believe that every child in America deserves the chance to grow up whole and to be given the time to do so, and this is a ruling that is going to allow children that time that I never was given.”
With similar cases advancing in other courts, legal experts expect further review of the issue in the coming months.
For now, the Tennessee law remains in force, reflecting a growing trend among states seeking to restrict medical gender interventions for individuals under 18.
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