CHARLESTON, W.Va. (WTVO) — West Virginia’s Republican super majority Senate has followed a growing national trend of Republican opposition to healthcare for transgender youth.

Lawmakers passed a bill to ban certain treatments and therapies. They approved an exception, however, that would allow medical interventions when the transgender youth is considered at risk of self-harm or suicide.

The bill faces steep opposition in the state House, which passed a proposed ban with no exemptions for mental health.