Families of transgender minors challenged Alabama’s Vulnerable Child Compassion and Protection Act, which prohibited puberty blockers and cross-sex hormones when prescribed to affirm a gender identity inconsistent with the child’s sex. The Eleventh Circuit held that the district court had applied the wrong constitutional test: the record did not establish a fundamental right to these treatments or a sex-based classification, so rational-basis review applied at the preliminary-injunction stage. It vacated the injunction and remanded.