Oral argument will be had today in United States v. Skrmetti, challenging the Tennessee law prohibiting medical intervention for minors for gender dysphoria, pitting the Equal Protection Clause for sex discrimination against the unsettled medical nature of hormonal to surgical interventions for children.
The Tennessee law prohibits medical providers from prescribing puberty-delaying medication, offering hormone therapy or performing surgery to treat the psychological distress caused by incongruence between experienced gender and that assigned at birth. But the law allows those same treatments for other purposes.
The primary question for the justices is not whether Tennessee’s ban is wise or consistent with the views of medical experts. It is, instead, whether the law makes distinctions based on sex. If it does, a demanding form of judicial review — “heightened scrutiny” — kicks in. If it does not, the Tennessee law will almost certainly survive.
