Judge James M. Moody Jr. of Federal District Court in Little Rock said the law both discriminated against transgender people and violated the constitutional rights of doctors. He also said that the state of Arkansas had failed to substantially prove a number of its claims, including that the care was experimental or carelessly prescribed to teenagers.
To add: there is a lot of history with socialist movements in the American midwest! Eugene Debs was from Indiana, Sewer Socialists ran Milwaukee for years, and the rural midwest had early populist uprisings against railroad monopolies.
The ghouls know this too and act against it in all the ways you listed above