President Donald Trump named three justices in his first term, establishing a conservative supermajority on the Supreme Court. And now, even without an imminent vacancy, Trump is positioned to push the court farther to the right.

The Supreme Court case on Tennessee’s SB1 asks the justices to determine whether a ban on certain types of gender-related treatments, such as hormone therapy, fuels sex discrimination by making access to care dependent on a patient’s sex at birth.