The Supreme Court on Monday wiped away a series of lower court decisions that favored transgender litigants, sending the cases back to the appellate level for reconsideration in light of the court’s recent ruling upholding a Tennessee ban on puberty blockers and hormone therapy for minors.

The Supreme Court has thrown out appellate rulings in favor of transgender people in four states following the justices’ recent decision upholding a Tennessee ban on certain medical treatment for transgender youths.