The conservative Supreme Court dealt a significant blow to transgender Americans on Wednesday, issuing a sweeping decision that may have implications beyond the medical care that was at center of one of the court’s highest-profile disputes this year.

The US Supreme Court Wednesday upheld a Tennessee ban on gender-affirming care for children and adolescents, in a ruling decried as “devastating,” “heartbreaking,” and “cruel” by advocates for transgender rights.

The U.S. Supreme Court on Wednesday upheld Tennessee's ban on gender-affirming care for transgender minors — a stunning setback to transgender rights.