Dr. Susan Lacy had been caring for transgender patients for several years in Tennessee when, in 2023, everything changed. In the span of a few months, the Republican-governed state banned healthcare providers from treating minors for gender dysphoria.

Conservative groups have for years sought to reduce the government’s sway over parents’ childrearing choices, particularly when it comes to decisions about school and health care.

Tennessee challenges the Biden administration on ‘gender affirming’ medical treatments for children.