A federal judge has overturned key provisions of a new Florida law that bars minors whose gender identity differs from their sex at birth from receiving certain medical treatments, such as puberty blockers and cross-sex hormones.

Judge Robert Hinkle of the Northern District of Florida enjoined defendants including the state’s surgeon general, Joseph Ladapo, from enforcing parts of Senate Bill 254, which bars certain medical care options for transgender minors and also restricts options for transgender adults. Hinkle’s opinion found that multiple provisions of the bill violated constitutional protections.

“Gender identity is real,” he said in the June 11 opinion. “Those whose gender identity does not match their natal sex often suffer gender dysphoria. … Florida has adopted a statute and rules that ban gender-affirming care for minors even when medically appropriate. The ban is unconstitutional.”