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On Tuesday, we saw some of the earliest fallout from the Supreme Court’s decision earlier this summer in United States v. Skrmetti that allowed a Tennessee law that blocks health care for trans minors to go into effect. The new ruling hit neighboring Arkansas, but it actually covers a wide swath of the country, expands on the ruling in Skrmetti , embraces that decision’s indifference toward the health and safety of trans children, and inflicts grave harm on numerous families across the Midwest.

In Tuesday’s ruling, the U.S. Court of Appeals for the 8 th Circuit released a 8–2 decision in Brandt v. Griffin , holding that Arkansas’ ban on gender-affirm

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