The Supreme Court on Wednesday upheld a Tennessee law banning some types of medical care, including puberty blockers and hormone therapies, for transgender youth.

Here’s what we know so far about what the decision could mean.

The decision most likely allows 24 other states with similar bans to bar some treatments for transgender youth.

The justices, by a 6 to 3 vote, found that Tennessee could enact legislation that outlawed some types of medical care for transgender youth. In all, twenty-five states restrict doctors from providing puberty blockers, hormone therapies or surgery to transgender minors. Two other states, New Hampshire and Arizona, ban only surgeries.

The court announced that it believed the Tennessee law, which is similar to the other states’ measures, was constitutional. In the majority opinion, the justices said it was not the court’s role “to judge the wisdom, fairness or logic” of the state’s law, declining to delve into the scientific debate around the treatments. Such policy questions, the justices said, should be left to the democratic process.

The court’s decision will not directly affect states without bans.

The court’s decision focused narrowly on the Tennessee law banning transgender care. The states that allow medical treatment for transgender youth — many of them Democratic-led states on the West Coast and in the Northeast — will be able to continue providing such treatment.