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 U.S. Supreme Court said Tennessee did not violate the constitution by banning gender-affirming care for transgender minors. The case is sure to resonate nationally.

Chief Justice John Roberts' opinion says the "case carries with it the weight of fierce scientific and policy debates."