Ohio has banned gender-affirming care for minors and restricted transgender women’s and girls’ participation on sports teams, a move that has families of transgender children scrambling over how best to care for them.

The Republican-dominated Senate voted Wednesday to override GOP Gov. Mike DeWine’s veto. The new law bans gender-affirming surgeries and hormone therapies, and restricts mental health care for transgender individuals under 18. The measure also bans transgender girls and women from girls and women’s sports teams at both the K-12 and collegiate level.