The Supreme Court upheld a Tennessee ban on gender-affirming care for adolescents, but legal experts said the ruling was narrower than it could have been.

The conservative Supreme Court dealt a significant blow to transgender Americans on Wednesday, issuing a sweeping decision that may have implications beyond the medical care that was at center of one of the court’s highest-profile disputes this year.

The court handed the Trump administration and Republican-led states a significant victory by effectively protecting them from at least some of the legal challenges against efforts to repeal safeguards for transgender people.