A U.S. Supreme Court decision Wednesday upholding Tennessee’s ban on gender-affirming care for minors is leaving transgender children and their parents uncertain and anxious about the future. Givens,

The Supreme Court on Wednesday upheld Tennessee’s ban on gender-affirming care for trans minors in a blockbuster ruling that will bolster efforts by conservative state lawmakers to pass and preserve other divisive laws targeting transgender Americans.

The ruling means groups challenging similar laws targeting medical care for gender dysphoria could face an uphill battle in court.