The law, which requires public K-12 students to participate on sports teams based on the biological sex listed on their birth certificate, has sparked criticism among transgender support groups.

“Transgender and nonbinary youth are already at higher risk for poor mental health and suicide because of bullying, discrimination, and rejection,” Amit Paley, CEO of The Trevor Project, a suicide prevention and crisis intervention organization for LGBTQ youth, said in a statement. “This misguided legislation will only make matters worse.”

As of late November 2021, 37 states have introduced bills imposing restrictions on participation in school sports based on a student’s biological sex. Of those 37 states, nine of them have successfully passed those bills into law. Another state, South Dakota, enacted restrictions through an executive order.