More specifically, the ruling doesn’t necessary rule out a heightened scrutiny for trans status, but it does rule out heightened scrutiny for gender dysphoria as a medical diagnosis. So, states and potentially even federal agencies like the FDA and CMS can just rule out gender dysphoria as a valid diagnosis for HRT or other procedures.
This is a terrible decision regardless, and more than lays the groundwork for gender affirming care bans across the country, and even at a federal level. It would also uphold the trans military ban and even a ban for trans federal employees.
If any trans comrade living in an unfriendly state and local environment somewhere in the Eastern or Central time zones wants someplace to relocate to, message me; I have contacts in organizations that are dedicated specifically to rehousing/accommodating queer people.
And if you’re just fleeing blindly; steven miller, who was probably behind this, is from santa monica CA, so van-life there for the pure spite. I bet if you tell the locals why, you’ll get some amount of break.