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@AFergusonFTC A year after Skrmetti, its central questions — the line between sex and transgender classifications, the appropriate level of judicial scrutiny, and who decides those questions — continues to be addressed across federal and state courts in real time.

@AFergusonFTC Post-Skrmetti, lawsuits by transgender activists challenging state laws aimed at protecting parental rights have faced a harder road. In April, the 8th Circuit upheld Iowa's law requiring schools to notify parents when a student seeks a gender-identity accommodation. In Iowa

@AFergusonFTC In the emerging world of detransition litigation, other courts are now asking exactly who bears responsibility when patients are harmed by medical transitions. In January, a New York jury returned a ~$2M verdict in Varian v. Einhorn & Chin — reportedly the first U.S. malpractice

The Supreme Court will soon issue a decision in Little v. Hecox, a case dealing with whether states can limit girls' and women's sports to biological females. The case deals with some of the same core issues in Skrmetti, plus a Title IX question Skrmetti did not address. In

Alabama's amicus brief in Skrmetti received widespread attention. The brief argued that the government leaned on WPATH's "evidence-based" guidelines while internal records suggested those standards were shaped by politics and litigation strategy, rather than science. Ed Whelan

In a 6–3 ruling, Chief Justice Roberts held in Skrmetti that Tennessee's SB1 doesn't trigger heightened scrutiny under the Equal Protection Clause — it classifies by age and medical use, not sex or transgender status — and survives rational basis review. Read the opinion:

One year ago today, the Supreme Court decided United States v. Skrmetti, upholding Tennessee's restrictions on certain gender-transition treatments for minors. A year later, the legal questions it touched continue to permeate throughout the courts. In just the past few months:

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