The Supreme Court is poised to grapple with one of the most hotly-contested culture war disputes before the end of this year: whether parents have a right to defend their children from undergoing transgender procedures.

As early as December, the nine justices could hear oral arguments over a constitutional challenge to a Tennessee law that restricts access to puberty blockers, hormone therapies, and surgeries for the purpose of gender transitions for minors. The law does not bar these procedures for transgender adults.

Tennessee Attorney General John Skrmetti (R) recently described the battle to defend the state’s law as one between “a few scrappy Tennessee attorneys” versus the American Civil Liberties Union and Lambda Legal, two of the largest firms that often promote pro-LGBT and transgender causes.