Conservative groups have for years sought to reduce the government’s sway over parents’ childrearing choices, particularly when it comes to decisions about school and health care.

Dr. Susan Lacy had been caring for transgender patients for several years in Tennessee when, in 2023, everything changed. In the span of a few months, the Republican-governed state banned healthcare providers from treating minors for gender dysphoria.

The Ohio Supreme Court failed to reach a decision on whether a transgender woman can change the sex on her birth certificate.