
As Republicans in Congress look to gut Medicaid with President Donald Trump’s supposed “Big Beautiful Bill,” the Supreme Court ended its session ruling on United States vs. Skirmetti that Tennessee could bar gender-affirming care for minors. The ruling itself centered on whether or not such a ban would violate the 14th Amendment’s equal protection clause. In a 6-3 decision, with the three liberal justices dissenting, the court decided the Tennessee law did not violate the clause.To learn more about what gender affirming care does, and what providers working on the ground think of efforts to ban it, we spoke to Dr. Alex Dworak. He’s the associate medical director of family medicine at One World Community Health Centers and specializes in LGBTQ medicine.

