Three court rulings across the U.S. this week delved into laws restricting the rights of transgender kids, including the first time the U.S. Supreme Court has gotten involved in a ban on gender-affirming care.

Most Republican-controlled states have now banned gender-affirming health care such as puberty blockers and hormones for transgender minors, and blocked transgender girls from participating in girls sports competitions.

Most of the measures face legal challenges, and this week’s rulings went both ways. The Supreme Court said Idaho can enforce its ban against gender-affirming health for minors while lawsuits proceed. An Ohio state judge put on hold a law against health care and sports participation that was about to kick in there. And a federal appeals court ruled that West Virginia cannot keep a transgender girl from participating on her school’s track team.