Banning Gender‐Affirming Treatment for Minors: The Supreme Court Speaks

In United States v. Skrmetti, the U.S. Supreme Court considered the constitutionality of a Tennessee law prohibiting certain medical procedures for the treatment of minors with gender dysphoria. A majority of the justices agreed that the law failed to violate the U.S. Constitution's equal protection provision. Because the law failed to distinguish among patients on the basis of sex, they said, it required only a rational basis to survive constitutional scrutiny. A lack of solid evidence on appropriate treatment for transgender minors supplied this rational basis. The Skrmetti majority strained, however, to avoid acknowledging that Tennessee's law classifies people on the basis of sex.

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Publication Details

Journal
The Hastings Center Report
Published
2026-05-01
DOI
https://doi.org/10.1002/hast.70057
Primary Topic
Ethics and Legal Issues in Pediatric Healthcare
Type
article
Field-Weighted Citation Impact
0.00
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article

Banning Gender‐Affirming Treatment for Minors: The Supreme Court Speaks

Rebecca Dresser
The Hastings Center Report
Ethics and Legal Issues in Pediatric Healthcare
article

Banning Gender‐Affirming Treatment for Minors: The Supreme Court Speaks

Rebecca Dresser
article en

Abstract

In United States v. Skrmetti, the U.S. Supreme Court considered the constitutionality of a Tennessee law prohibiting certain medical procedures for the treatment of minors with gender dysphoria. A majority of the justices agreed that the law failed to violate the U.S. Constitution's equal protection provision. Because the law failed to distinguish among patients on the basis of sex, they said, it required only a rational basis to survive constitutional scrutiny. A lack of solid evidence on appropriate treatment for transgender minors supplied this rational basis. The Skrmetti majority strained, however, to avoid acknowledging that Tennessee's law classifies people on the basis of sex.

The Hastings Center ReportVol. 56(3)
Gender equality
Openalex Percentile: Top 7%
Ethics and Legal Issues in Pediatric Healthcare
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Banning Gender‐Affirming Treatment for Minors: The Supreme Court Speaks — Rebecca Dresser · The Hastings Center Report (2026) | TGRS Research Map | TGRS