West Virginia has banned gender-affirming healthcare for transgender minors, joining at least 10 other states that have enacted similar laws. The law makes an exception in cases where an adolescent is deemed to be at risk for self-harm or suicide, is diagnosed with severe gender dysphoria by two healthcare specialists, and has received parental consent.

In Kentucky, Republican lawmakers on Wednesday voted to override Democratic Governor Andy Beshear’s veto of a sweeping anti-trans bill, which bans gender-affirming healthcare and forces people to use public restrooms that do not align with their gender. Protesters chanted from the House gallery during Wednesday’s proceedings, leading to 19 arrests.