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In a landmark decision issued today in United States v. Skrmetti, the U.S. Supreme Court upheld Tennessee’s law banning medical transition procedures—including puberty blockers and cross-sex hormones—for minors. The ruling affirms that states have the constitutional authority to restrict these experimental medical interventions on children
“This ruling confirms what whistleblowers, parents, and detransitioners have been saying for years,” said Jamie Reed, Co-Executive Director of the LGB Courage Coalition and former case manager at the Washington University Transgender Center. “These are not settled, safe, or evidence-based practices. They are high-risk interventions being pushed on vulnerable children in the name of ideology.”
The Court upheld the law as a legitimate exercise of state power to protect minors from harm. In doing so, the justices rejected arguments that banning these interventions violates constitutional protections or constitutes sex-based discrimination. This represents a pivotal break with activist-driven policy.
“We would’ve liked the Court to go further in clarifying that gender identity is not a protected class under the Constitution. But today’s decision sends a clear message: states are not required to go along with this medical scandal,” Co-Director Lauren Leggieri said.
The LGB Courage Coalition, a grassroots organization made up of volunteers, detransitioners, and advocates, has testified in 13 states in support of protecting minors from medical transition. “These treatments are not neutral or reversible,” said Leggieri. “They result in sterility, lifelong dependency on hormones, and often deep regret. Most of these kids would grow up to be gay or lesbian if left alone. They deserve time—not a prescription pad.”
The Coalition is calling on legislators nationwide to act swiftly in the wake of Skrmetti and pass strong, constitutionally sound protections for children. “This is not a backlash,” said Reed. “This is long-overdue accountability. And it’s just the beginning.”
