Aaron and Lacey Jennen’s roots in Arkansas run deep. They’ve spent their entire lives there, attended the flagship state university, and are raising a family. So they’re heartbroken at the prospect of perhaps having to move to one of an ever-dwindling number of states where gender-affirming health care for their transgender teenage daughter, Sabrina, is not threatened.

“We were like, ‘OK, if we can just get Sabrina to 18 … we can put all this horrible stuff behind us,’” Aaron Jennen said, “and unfortunately that’s not been the case, as you’ve seen a proliferation of anti-trans legislation here in Arkansas and across the country.”

At least 17 states have enacted laws restricting or banning gender-affirming care for transgender minors, though judges have temporarily blocked their enforcement in some, including Arkansas. An Associated Press analysis found that often those bills sprang not from grassroots or constituent demand, but from the pens of a handful of conservative interest groups.