WASHINGTON — The Supreme Court ruled Wednesday that states may ban hormone treatments for transgender teens, rejecting the claim that such gender-based discrimination is unconstitutional. In a 6-3 decision, the justices said states are generally free to decide on proper standards of medical care, particularly when health experts are divided.

In a huge setback for transgender rights, the Supreme Court said Tennessee's ban on gender-affirming care for trans minors did not violate the 14th Amendment.