FILE - A person holds up a sign reading, "Trans People Belong in Alabama," during a rally outside the Alabama Statehouse in Montgomery, Ala., on International Transgender Day of Visibility, Friday, March 31, 2023. On Monday, Aug. 21, 2023, a federal appeals court ruled that Alabama can enforce a ban outlawing the use of puberty blockers and hormones to treat transgender children, the second such appellate victory for gender-affirming care restrictions that have been adopted by a growing number of Republican-led states.

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