A federal appeals court has upheld an Indiana law banning the use of puberty blockers and hormones for transgender children under 18, amidst increasing similar legislation across Republican-led states. Advocates of the law view it as a protective measure, while opponents argue it restricts parental rights and discriminates against transgender minors. The decision follows a trend where at least 26 states have implemented similar bans, with the U.S. Supreme Court possibly influencing future enforcement in Tennessee's upcoming case.