Idaho has the authority to impose a moratorium on transgender youth’s care.

While legal disputes are ongoing, lower courts are being overturned, and the Supreme Court permits Idaho to carry out its restrictions on gender-affirming care for transgender youth while allowing the state to impose it.

The judges’ decision on Monday allows the state to enact a 2023 rule that sentences doctors to up to 10 years in prison for treating patients under the age of 18 with hormones, puberty blockers, or other gender-affirming treatment. The two transgender teens who filed a lawsuit to challenge the rules may still be able to receive care under the court’s order.

The three liberal justices on the court may have kept the law in place. Justice Ketanji Brown Jackson argued that allowing the situation to proceed “unfettered by our intervention” would have been preferable.

The court reining in an extremely large lower court order is a welcome development, according to Justice Neil Gorsuch of the traditional majority.

After deciding that it was important to do so to protect the teenagers who are identified under nicknames in court documents, a federal prosecutor in Idaho decided to block the law in its entirety.

In court documents, the youths’ legal representatives claimed that puberty blockers and hormone treatments have significantly reduced their gender dysphoria.

The teenagers and their families represent the youth and their families, according to the American Civil Liberties Union, which describes the Supreme Court’s decision as an “awful outcome for transgender children and their communities across the state. The condition can halt the care that thousands of families rely on while creating new distress and disturbance thanks to today’s decision.”

Raul Labrador, the attorney general of Idaho, stated in a statement that the law guarantees that kids are safe from these life-altering substances and processes. “Those suffering from gender dysphoria deserve love, assistance, and health care rooted in natural reality. Our children are hurt by denying the fundamental fact that boys and girls are physiologically different.”

Gender-affirming treatment for children is supported by every key health organization, including the American Medical Association, the American Academy of Pediatrics, and the American Psychiatric Association.

Gender dysphoria is emotional problems experienced by those whose gender appearance does not complement their gender identity, according to medical experts.

The decision comes as the judges may also be considering whether to uphold restrictions that an appeals court permitted to get enforced in the midst of constitutional battles.

Most of those claims are facing legal action because at least 23 states have passed laws restricting or outlawing gender-affirming health care for transgender minors. A federal judge struck down Arkansas’ ban as unconstitutional. Montana’s restrictions also are partially on hold.

The states that have enacted legislation restricting or banning gender-affirming health care for transgender minors are Alabama, Arkansas, Arizona, Florida, Georgia, Idaho, Indiana, Iowa, Kentucky, Louisiana, Mississippi, Missouri, Montana, Nebraska, North Carolina, North Dakota, Ohio, Oklahoma, South Dakota, Tennessee, Texas, Utah, and West Virginia.