 Texas is the largest of at least 25 states that have passed laws banning some gender-affirming care for minors. A federal judge in Kansas has blocked a federal rule expanding Title IX to include transgenderism from being enforced in four states and a patchwork of places elsewhere across the nation. U.S. District Judge John Broom's decision is the third against the rule from a federal judge in recent weeks. It applies in Alaska, Kansas, Utah, and Wyoming because they sued.