In L.W. v. Skrmetti, (6th Cir., July 8, 2023), the U.S. 6th Circuit Court of Appeals in a 2-1 decision stayed a district court's preliminary injunction against Tennessee's ban on providing puberty blockers and hormone therapy for minors suffering from gender dysphoria. Chief Judge Sutton's majority opinion first held that the district court had abused its power by issuing a state-wide injunction in the case. It went on to hold that plaintiffs are unlikely to prevail on their due process or equal protection challenges, saying in part:
Life-tenured federal judges should be wary of removing a vexing and novel topic of medical debate from the ebbs and flows of democracy by construing a largely unamendable federal constitution to occupy the field....
Parents, it is true, have a substantive due process right “to make decisions concerning the care, custody, and control of their children.”.... But the Supreme Court cases recognizing this right confine it to narrow fields, such as education ... and visitation rights.... No Supreme Court case extends it to a general right to receive new medical or experimental drug treatments.....
Gender-affirming procedures often employ FDA-approved drugs for non-approved, “off label” uses. Tennessee decided that such off-label use in this area presents unacceptable dangers.... Many medical professionals and many medical organizations may disagree. But the Constitution does not require Tennessee to view these treatments the same way as the majority of experts or to allow drugs for all uses simply because the FDA has approved them for some....
Equal protection.... The Act bans gender-affirming care for minors of both sexes. The ban thus applies to all minors, regardless of their biological birth with male or female sex organs. That prohibition does not prefer one sex to the detriment of the other.....
The plaintiffs separately claim that the Act amounts to transgender-based discrimination, violating the rights of a quasi-suspect class. But neither the Supreme Court nor this court has recognized transgender status as a quasi-suspect class. Until that changes, rational basis review applies to transgender-based classifications....
These initial views, we must acknowledge, are just that: initial. We may be wrong. It may be that the one week we have had to resolve this motion does not suffice to see our own mistakes. In an effort to mitigate any potential harm from that possibility, we will expedite the appeal of the preliminary injunction....
Judge White dissented in part, agreeing that the injunction was too broad, but concluding that plaintiffs would likely succeed on their Equal Protection challenge because the law discriminates on the basis of sex.
Politico reports on the decision.
