One mother in Tennessee, who spoke on the condition on anonymity to protect her transgender child’s identity, described a roller coaster of anger and sadness once the family heard the ruling. It was difficult, she said, to explain to her child why lawmakers and the court were opposed to treatment that felt so essential.

The Supreme Court threw out appellate rulings in favor of transgender people in four states, ordering judges to reexamine the cases in the wake of the justices' decision to uphold a Tennessee ban on certain medical treatment for trans youths.