The U.S. Supreme Court threw out on Monday judicial decisions that favored transgender people in cases from North Carolina, West Virginia, Idaho and Oklahoma, including in legal challenges to state health insurance programs that deny coverage for patients seeking gender-affirming medical treatment.

The justices ordered lower courts to reconsider transgender cases in light of their recent ruling upholding a ban on transgender care for minors.

The Supreme Court threw out appellate rulings in favor of transgender people in four states, ordering judges to reexamine the cases in the wake of the justices' decision to uphold a Tennessee ban on certain medical treatment for trans youths. The four cases come from Idaho, North Carolina, Oklahoma, and West Virginia.