The Supreme Court decision upholding a Tennessee ban on gender transition care for trans youths means a state-by-state patchwork of policies will remain.

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.

Just because New Jersey is a "safe haven" for transgender youth, it doesn't mean their futures are certain in the Garden State, advocates say.