In United States v. Skrmetti, the Supreme Court takes on a pivotal case challenging Tennessee’s law that bans transgender youth from accessing gender-affirming healthcare, including hormone therapy and puberty blockers. Critics argue the law violates the Constitution’s Equal Protection Clause, as these same treatments remain available to non-transgender youth for other medical reasons. But the Court’s conservative majority stands poised to roll back access to this care. The question is, how far.