The court's conservative majority granted the state's request for a stay over the objections of the three liberals, Justices Sonia Sotomayor, Elena Kagan and Ketanji Brown Jackson. The stay does not apply to the two transgender teenage plaintiffs in the case and the care they are seeking, but blocks the more expansive portions of the lower court's decision.

"The district court's order promised to run for the life of this lawsuit, thus preventing Idaho from executing any aspect of its law for years. Meanwhile, the plaintiffs face no harm from the partial stay the State requests," Justice Neil Gorsuch wrote in an opinion that was joined by Justices Clarence Thomas and Samuel Alito.