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. Alabama can begin immediately enforcing a ban outlawing the use of puberty blockers and hormones to treat transgender people under 19, a federal appeals court ruled Thursday, Jan. 11, 2024, granting the state’s request to stay a preliminary injunction that had blocked enforcement of the 2022 law. (AP Photo/Kim Chandler, File)