Access to gender-affirming care is taking center stage in state governments across the U.S., with some states passing restrictions and others protections. The debates and lawsuits have raged throughout 2023 so far. This week’s developments included a Missouri judge blocking enforcement of a rule that would have barred treatments such as puberty blockers and hormone therapy for children and adults. In Montana, a transgender lawmaker was kicked off the House floor for her comments on restrictions. The federal government sued over a care ban in Tennessee. And governors in Minnesota and Washington became the latest to sign laws preserving access.