FAQs Regarding the Skrmetti Decision for Healthcare Entities and Payors

On June 18, 2025, the Supreme Court of the United States issued a long-awaited decision in the matter of United States v. Skrmetti, upholding Tennessee’s law (SB1) that restricts access to gender-affirming care for minors. The 6-3 majority opinion, written by Chief Justice John Roberts, found the law constitutional under a rational basis review, concluding that SB1 does not discriminate based on sex or transgender status but, rather, classifies based on age and medical use.

This document outlines key takeaways for providers, hospitals, health systems, health plans, and employer plan sponsors who are navigating the implications of the ruling.