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The decision codifies transphobic language and opens the potential for the sex testing of youth athletes.
In one of its final decisions of the 2025-26 term, the Supreme Court of the United States solidified its place in the onslaught of eradicating trans rights, in a ruling that revolved largely around whether state bans of transgender athletes violated Title IX and the Equal Protection clause of the 14th Amendment.
In response to the question placed before the court of whether states could implement bans on transgender athlete participation in girls’ and women’s sports, 6 of the 9 justices said, “Yes.”
Outside of patchy citations and contradicting interpretations of legal precedents, the rationale behind the majority opinion of the court, written by Justice Brett Kavanaugh, echoed three key premises in the “sports context.” First, female bodies are inherently physiologically different from male bodies, which map onto sex-based athletic advantages for males. Second, regardless of these differences, girls and women should have equal opportunities to boys and men. And third, because of these differences and because of equal guarantees between the sexes, “competitive fairness” and “safety” look different for the female category as compared with the male category. Consequently, the only way to ensure equal sporting opportunities for girls and women is to keep transgender girls and women, or “biological males,” out of the female category.
Anti-transgender advocates in the broader “save women’s sports” movement frequently draw from these rationales, but also ignore the underlying deeply problematic and troubling considerations. On an ethical level, this approach undermines inclusive efforts and further stigmatizes transgender individuals. On a public health level, this reasoning deprives an exceptionally vulnerable population from enjoying the social, mental, and physical benefits from physical activity that should be enjoyed by all. And on a pragmatic level, these declarations overlook the minimal number of out transgender youth, of which even fewer participate in high school level sports.
Notably, of all the documented issues in and across women’s sports, there is no evidence demonstrating that transgender athletes, in any way, contribute to these inequalities.
Beyond parroting this tired transphobic logic, the majority opinion also points to other sports governing bodies, such as the National Collegiate Athletic Association (NCAA) and the US Olympic and Paralympic Committee, who have “drawn a biological line” to ensure safe and fair competition by banning transgender athletes. What Justice Kavanaugh omits, however, is that both organizations abruptly changed their policies following President Donald Trump’s Executive Order No. 14201, rather than in response to any scientific evidence or domination of transgender athletes (in response to a Senate hearing question about how many transgender athletes compete in the NCAA, NCAA President Charlie Baker infamously responded that of the more than 500,000 athletes competing, he knew of “only 10”).
While this ruling itself does not necessarily come as a surprise to those who have followed along with the US’ steady rollback of transgender rights, perhaps the most shocking element of the SCOTUS’ majority opinion is the brazen use of transphobic and misogynistic language in their ruling. “Biological males” and “biological females,” which are used 64 and 31 times respectively in Justice Kavanaugh’s 29-page majority opinion, are not rooted in medical terminology. Instead, these are terms that have become popularized and mobilized by anti-transgender advocates to reinforce a binary model of sex difference. This type of sex segregation is premised on patriarchal beliefs of male athletic superiority and female athletic inferiority, and has historically led to harmful body policing, racial discrimination, and erasure of intersex persons.
There is also reference to an “ongoing medical and scientific debate” surrounding whether transgender athletes maintain athletic and performative advantages after transitioning. What is absent from this brief discussion of science, however, is the concrete evidence that has shown the abundant health disparities experienced by the transgender community, particularly transgender youth. In 2024, the US Centers for Disease Control and Prevention (CDC) reported that, compared with their cisgender counterparts, transgender youth are more likely to report violence, victimization, unstable housing, and suicidal thoughts and behaviors. Similarly, a 2024 study in Nature Human Behavior found that anti-transgender state laws, including transgender sport participation bans, directly increased incidents of suicide attempts among transgender and nonbinary youth by as much as 72%.
The (mis)direction of attention to abstract ideas of “competitive fairness” and unsettled science also disregards the rampant incompliance of institutions with Title IX. In 2023, Florida State University (FSU) agreed to add women’s lacrosse as a varsity sport after threats of a sexual discrimination lawsuit from its women’s club lacrosse team. The threat came on the heels of an 18-month USA TODAY investigation, which revealed that the university was egregiously out of Title IX compliance. FSU was far from the exception, however, as the investigation exposed how hundreds of colleges and universities manipulated their roster numbers for women’s sports to create a mirage of compliance. These Title IX transgressions emerged under the backdrop of several systemic issues in women’s sports, such as the decline in the number of women coaches for women’s sports, consistent underfunding, disproportionate rates of harassment and abuse experienced by girls and women, and media underrepresentation. Notably, of all the documented issues in and across women’s sports, there is no evidence demonstrating that transgender athletes, in any way, contribute to these inequalities.
Despite these relevant considerations, and as Justice Sonia Sotomayer wrote in her dissent, “to the Court, the facts do not matter, even though the consequences are serious.”
In addition to the immediate impact on transgender athletes, this decision prompts questions around how girls’ and women’s sports will now be policed to “catch” athletes who do not fit within normative assumptions or understandings of female bodies. International sports governing organizations, such as World Athletics and the International Olympic Committee, have recently paired bans on transgender athlete participation with implementations of sex testing via chromosome tests, which has long been established as a fraught, unethical, and discriminatory practice.
The impacts on youth and high school sports are, and will be, more pronounced. Organizations at these levels lack the same resources and financial capacities, meaning that, for high school athletic associations, sex testing would most likely involve some type of genital or physical examination. While these might be conducted by medical personnel (though the Larry Nassar sex abuse scandal is evidence that this does not guarantee safeguarding minors), depending on access or finances, these could also be conducted by coaches, other parents, or officials, which prompts further questions and justified concerns surrounding training, confidentiality, consent, and protections of minors. These practices not only impact transgender athletes, but all athletes, regardless of gender identity or, to borrow from Justice Kavanaugh, “biological sex.”
The ruling closes with a half-hearted remark that “no student-athlete on either side of the issue, whether a biological female or transgender, deserves to be ostracized or vilified.” What the SCOTUS fails to recognize, however, is that their ruling is predicated on the misguided vilification of transgender athletes, with impacts that will continue to ostracize transgender people in sports and broader society.
When politicians attempt to ban gender-affirming care, bar trans kids from playing sports, and legally erase trans people, they are not protecting religious freedom; they are imposing Christian nationalism.
This week, the Supreme Court dealt transgender Americans another devastating blow, upholding state bans on transgender athletes’ participation in girls' and women's sports. The decision represents the latest in a long series of attacks on trans lives, as we remain in the crosshairs of a manufactured culture war. The architects of these attacks usually wrap their bigotry in a familiar defense: “religious freedom.” They claim their faith compels them to legislate a strict, inflexible gender binary, and that any deviation from it is a threat to their religious liberty.
But as a trans Jew, and a leader of a major national Jewish organization, I have a question for them: What about my religious freedom? What about the freedom to live our Judaism?
My grandmother was born at home on the Lower East Side of Manhattan, spoke Yiddish as her first language, and was raised by immigrants who worked 12 hour physical jobs six days a week. She would not have known the phrase “gender identity” if her life depended on it. And yet, when I transitioned two decades ago, she did not hesitate. She took a deep breath, took a long look at me, decided it was still me she was seeing, and accepted me completely from that moment on.
When politicians attempt to ban gender-affirming care, bar trans kids from playing sports, and legally erase trans people, they are not protecting religious freedom. They are imposing Christian nationalism. Real religious freedom—the principle this country was founded on—only counts if it applies to all of us. Christian nationalists advocating against the rights of LGBTQ+ people are actively suppressing Judaism and other religions that don't neatly align with their theology.
We cannot let that vocal and well-funded Christian nationalist minority implement laws that endanger transgender people like me.
For years, the far-right has successfully monopolized the concept of religious liberty in this country, weaponizing it as a license to discriminate. But our past does not have to be our future. The theology they are attempting to encode into law is not a universal truth. In fact, it runs in direct opposition to my own religious tradition.
Judaism is a deeply embodied religion. It does not view the physical body as a prison, a shameful secret, or a rigid test of obedience; it delights in it. More than a thousand years before the advent of contemporary thinking about gender identity, the rabbis of the Talmud recognized seven different embodied genders. When faced with the reality of human diversity, they didn’t panic or attempt to legislate it out of existence. They acknowledged it, discussed it, and made space for it in Jewish law.
Today, the major streams of American Judaism, including the Reform, Reconstructionist, and Conservative movements, as well as plenty of Orthodox communities, explicitly affirm that being transgender is real, and healthy, and holy. And again, that affirmation is grounded in ancient theology and Jewish religious law.
At Bend the Arc, we organize progressive Jews because we understand attacks on trans people are a part of the authoritarian playbook. The very same political forces attempting to erase trans lives are the ones mainstreaming antisemitism, suppressing votes, abducting immigrants, and attacking reproductive freedom. They demand conformity because human diversity is a fundamental threat to their consolidation of power.
When I transitioned, my Jewish grandmother understood on a theological level that I was still me, and still made in the image of God. She also taught me that we do not abandon our people to appease bullies.
We cannot let a vocal and well-funded Christian nationalist minority dictate the narrative on religious freedom in America. We cannot let that vocal and well-funded Christian nationalist minority implement laws that endanger transgender people like me. LGBTQ+ people and everyone who loves us must wield our joy and pride every day as a weapon against Christian nationalism and authoritarianism, and we must stand unapologetically in our own traditions as we insist on living that joy in public.
My faith commands it. My humanity demands it. And our democracy depends on it.
On the anniversary of both Dobbs v. Jackson Women’s Health and US v. Skrmetti, support independent clinics in hard places keeping the doors open.
We’ve been here before. When Dobbs came for abortion care in our states, we did two things: We opened clinics across state lines so our patients would still have a legal option. And we stayed. We kept our original clinics open, expanding the care we'd always offered or always wanted to offer. When Skrmetti came for gender-affirming care, we kept providing that too, because abortion care patients and transgender patients are not separate communities. The calculation patients make before they walk through the door is identical for both communities: Will I be seen? Will I be safe? Will the person across from me treat my body like a problem to be managed, or a life to be supported? June marks anniversaries of both Dobbs v. Jackson Women’s Health and US v. Skrmetti, and that conviction has never felt more urgent.
Long before Dobbs or Skrmetti, the intersection of abortion rights and trans rights was already living in our waiting rooms, in the patients who received reproductive care and gender-affirming hormone therapy (GAHT) under the same roof; in the person who drove hours across the state because we were the only provider they trusted; and in those who trust us with their whole-person care because their grandmothers, mothers, sisters, aunts, and friends have relied on our clinics for care for 50 years. Throughout that history, our organizations have been guided by a simple principle: When members of our community are targeted, excluded, or denied the care they need, we do not look away. We listen, we adapt, and we show up.
When abortion care moved across the border after Dobbs, the patients who remained still needed care they couldn’t access at home. The wall between reproductive healthcare and LGBTQIA+ healthcare that exists in policy language and funding categories has never existed in our exam rooms.
What connects every patient who walks through our doors, whether they’re coming in for an abortion or a hormone therapy appointment, is something our staff recognized long before we had language for it: the experience of arriving at a clinic while carrying the weight of a political target on your back. A clinic’s job of creating a space where people can receive care without shame or fear has always been exactly the same job regardless of why they came.
Bodily autonomy is the foundational principle of reproductive rights, and it only means something if it applies to everyone.
Marty had learned, growing up as a transgender person in rural Maryland, to brace himself before every medical appointment, because finding healthcare that was both competent and genuinely affirming had always required a fight. What he found at our clinic was a staff that met him without conditions, no justifications required, no explanations asked for. His mother has supported the Women’s Health Center (WHC) since its earliest days, and used to volunteer as a clinic escort. Watching the same clinic support her son in his gender-affirming care gave her, in her own words, a peace she hadn’t known she needed. When gaps in care left Ben, a transgender West Virginian, navigating painful dysphoric cycles and a transition that had stalled, he found his way to WHC West Virginia. Today, he says that every time he looks in the mirror, he sees more of himself looking back.
When one of our providers first interviewed to work for CHOICES, she didn't really know much about gender-affirming care. In the time she has been with CHOICES, she has cared for hundreds of gender-affirming care patients across the mid-South. "It's clear how important this care is for patients," she shared. "After patients start hormone replacement therapy, they come back as a much more energetic, vivacious person.” Since the state of Tennessee has restricted gender-affirming healthcare, including banning minors from accessing care, our patients are experiencing increased anxiety and fear about their privacy, safety, and continued access to care. CHOICES' provider shared, "Hormone replacement therapy is routine, like every other service we offer.” If something has such a profound impact on someone's life, why wouldn't we keep this care accessible?
The pattern behind Skrmetti is one reproductive rights advocates should recognize immediately, because it follows the same logic as the restrictions that led to Dobbs: They come for the most vulnerable first, in the states where the political ground is most hostile, and they build from there. Idaho passed the first transgender athlete ban in 2020, West Virginia followed with the Save Women’s Sports Act in 2021, and Tennessee’s restrictions on gender-affirming care for minors moved through the courts the same way abortion restrictions moved state by state in the years before Dobbs. Since abortion care moved across the border, thousands have received gender-affirming and LGBTQIA+ care at our clinics, even as the political, legal, and financial pressure on both organizations has intensified.
Bodily autonomy is the foundational principle of reproductive rights, and it only means something if it applies to everyone. When it becomes conditional, granted to some patients and denied to others, it stops being a principle and starts being a permission slip, and permission slips get revoked. The fights to protect abortion access and gender-affirming care are not parallel struggles that happen to share a difficult political moment. They are the same struggle, rooted in the same conviction, playing out in the same clinics with the same patients, and the forces working to end both of them have always understood that connection even when the rest of us have sometimes lost sight of it.
Between our two organizations, we’ve earned a century’s worth of experience at the practice of staying, enduring. CHOICES has kept their doors open for 52 years, and the Women’s Health Centers of West Virginia and Maryland will celebrate 50 years of care on June 24—the same day Roe v. Wade was overturned four years ago.
Support independent clinics in hard places keeping the doors open. And when the next fight comes, show up for the communities under pressure. Remember that those targeted first won’t be the last, but they will be the ones to lead the way.