A law in Ohio that would outlaw transgender treatments for children can take effect after a judge struck down a challenge by the American Civil Liberties Union Tuesday.

The bill, first passed in December, had been on hold for months. It makes it illegal for heathcare professionals to perform transgender surgeries or prescribe puberty blockers to patients under the age of 18.

Ohio Gov. Mike DeWine, a Republican, vetoed the bill, but state lawmakers overrode the veto in January. In March, the ACLU filed a lawsuit against the state over the ban, which put the measure on hold while legal challenges played out.

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