The U.S. Supreme Court threw out on Monday judicial decisions that favored transgender people in cases from North Carolina, West Virginia, Idaho and Oklahoma, including in legal challenges to state health insurance programs that deny coverage for patients seeking gender-affirming medical treatment.

The Supreme Court tossed out several lower court rulings that favored transgender people in four states, less than a week after the conservative majority of justices upheld a ban on gender-affirming care for transgender youth.

The Supreme Court told lower courts to revisit pro-trans rulings after upholding Tennessee’s ban on gender-affirming care for trans youth.