A U.S. Supreme Court ruling this week upholding a Tennessee ban on many gender-affirming treatments for minors could further strain Minnesota care providers. Minnesota’s protections for transgender youth remain in place under state law.

The Supreme Court has upheld Tennessee’s ban on gender-affirming care for transgender minors, a jolting setback to transgender rights.

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.