While the legislative fight over transgender care has been largely limited to states to date, a spate of campaign ads from Republicans and worried trans advocates both indicate that could change if Republicans take control of Congress and the White House.
Even as GOP presidential nominee Donald Trump has focused, particularly in the final weeks of his campaign, on limiting gender-affirming care for transgender people, top Republican senators have launched inquiries into the legitimacy of the use of puberty blockers for minors.
And in December, the Supreme Court will hear arguments in a landmark case that could determine the fate of access to gender-affirming care for children.