Glenda Starke wears a transgender flag as a counter protest during a rally in favor of a ban on gender-affirming health care legislation, March 20, 2023, at the Missouri Statehouse in Jefferson City, Mo. A judge's ruling striking down Arkansas' first-in-the-nation ban on gender-affirming care for minors, on June 20, is offering hope to transgender people, families and providers after a historic wave of restrictions on trans people's lives sailed through Republican statehouses this year. (AP Photo/Charlie Riedel, File)