U.S. Supreme Court building on Wednesday, March 18, 2026.

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Jenna Sundel

By Jenna Sundel

News Reporter

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Liberal Supreme Court Justices Sonia Sotomayor and Elena Kagan joined the court's conservative justices in a ruling in favor of a challenge to Colorado's law banning "conversion therapy for minors."

Liberal Justice Ketanji Brown Jackson was the lone dissent in the 8-1 decision released Tuesday.

U.S. Supreme Court building on Wednesday, March 18, 2026.

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The court held that the law, when applied to talk therapy provided by Kaley Chiles, who is a licensed counselor in Colorado, regulates speech based on viewpoint. The court said lower courts failed to apply "sufficiently rigorous" First Amendment scrutiny.

The court said Colorado's law also "goes further to prescribe what views she may and may not express, discriminating on the basis of viewpoint." The court said the state cannot establish that the application of its law to Chiles falls within permissible content regulation.

Kagan filed a concurring opinion joined by Sotomayor, noting that "if Colorado had instead enacted a content-based but viewpoint-neutral law, it would raise a different and more difficult question."

"Fuller consideration of that question, though, can wait for another day. We need not here decide how to assess viewpoint-neutral laws regulating health providers’ expression because, as the Court holds, Colorado’s is not one," Kagan wrote.

The court's decision reversed a judgment by the Tenth Circuit Court of Appeals, and the case was remanded for further proceedings consistent with the court's opinion.

What is the Supreme Court Case Surrounding Conversion Therapy?

The case centers around a law adopted by Colorado in 2019 prohibiting licensed counselors from engaging in “conversion therapy” with minors. The law forbids "any practice or treatment...that attempts...to change an individual’s sexual orientation or gender identity.” It also forbids any effort "to change behaviors or gender expressions or to eliminate or reduce sexual or romantic attraction or feelings toward individuals of the same sex.”

Chiles filed a lawsuit against the state and sought a preliminary injunction prohibiting the state from enforcing the law against her. She argued that the law violated her First Amendment right to speak with her clients in ways she believes might help them reach “their own goals.”

Chiles has clients with varying goals, including some who "are content with" their sexual orientation and gender identity and others who are hoping to “reduce or eliminate unwanted sexual attractions, change sexual behaviors, or grow in the experience of harmony" with their bodies, the court said. Chiles helps clients reach their stated goals and "does not prescribe any medicines, perform any physical treatments, or engage in any coercive or aversive practices," the court said.

The district court and the appeals court found that Chiles was not entitled to the relief she sought. They determined that the law triggered a “rational basis review” under the First Amendment, requiring the State to show that its law is rationally related to a legitimate governmental interest, which they said the state satisfied.

How Did the Supreme Court Rule?

The Court ruled in favor of Chiles, finding that the lower courts "failed to apply sufficiently rigorous First Amendment scrutiny in this case."

"Colorado may regard its policy as essential to public health and safety. Certainly, censorious governments throughout history have believed the same. But the First Amendment stands as a shield against any effort to enforce orthodoxy in thought or speech in this country," Justice Neil Gorsuch wrote, delivering the Court's majority opinion. "It reflects instead a judgment that every American possesses an inalienable right to think and speak freely, and a faith in the free marketplace of ideas as the best means for discovering truth. However well-intentioned, any law that suppresses speech based on viewpoint represents an 'egregious' assault on both of those commitments."

Jackson, the lone dissent in the case, argued that states have traditionally regulated the provision of medical care without incident.

"The Constitution does not pose a barrier to reasonable regulation of harmful medical treatments just because substandard care comes via speech instead of scalpel. Accordingly, I cannot agree with the majority’s analysis or its conclusions in this case," Jackson wrote.

How Many Supreme Court Justices Are There?

There are nine Supreme Court justices. The justices are Chief Justice John Roberts, Justice Samuel Alito, Justice Clarence Thomas, Kagan, Sotomayor, Gorsuch, Justice Brett Kavanaugh, Justice Amy Coney Barrett and Jackson.

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