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The U.S. Supreme Court on March 31, 2026 ruled 8-1 that Coloradoâs 2019 law banning âconversion therapyâ for minors, as applied to talk therapy by licensed counselor Kaley Chiles, violates the First Amendment.
Writing for the majority, Justice Neil Gorsuch said the statute âcensors speech based on viewpointâ and sent the case back to lower courts to apply the most rigorous level of constitutional scrutiny.
The court left open that states might still regulate aversive physical interventions, but held that speechâonly therapies cannot be categorically prohibited without meeting strict First Amendment standards.
Justice Ketanji Brown Jackson was the lone dissenter, warning that the decision weakens statesâ longâstanding authority to regulate medical care.
The case was brought with support from the Alliance Defending Freedom and the Republican administration; Colorado and major medical groups had defended the ban as a safety measure, citing research tying conversion practices to psychological harm.
The ruling is likely to affect similar bans in more than 20 states and could prompt new litigation and legislative revisions.








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