The U.S. Supreme Court threw out on Monday judicial decisions that favored transgender people in cases from North Carolina, West Virginia, Idaho and Oklahoma, including in legal challenges to state health insurance programs that deny coverage for patients seeking gender-affirming medical treatment.

The justices ordered lower courts to reconsider transgender cases in light of their recent ruling upholding a ban on transgender care for minors.

The rulings all included findings that the restrictions on transgender people imposed by the states violate the Constitution’s equal protection clause.