(in order for laws that limit freedoms to be constitutional, the standard usually is that the state has to prove a compelling state interest.)

The American Civil Liberties Union (ACLU) filed a lawsuit against Indiana for its law that banned all gender-affirming care for minors that was signed by the state’s governor Wednesday, saying the statute violates patient rights.

The national and Indiana state branch of the ACLU filed the suit in a federal court after Indiana Gov. Eric Holcomb signed the bill that saw his state join at least 12 others that have restricted or banned such care.

But the lawsuit filed by the ACLU on behalf of four transgender youth, a doctor and a health care clinic alleges that the new law violates the equal protection clause of the 14th Amendment and federal Medicaid and Affordable Care Act requirements by prohibiting care that would otherwise be authorized and reimbursed by the federal government programs.

The 47-page lawsuit asks the court to find the law unconstitutional and asks for it to block the state from enforcing the measures.

The bill that blocks people under the age of 18 from accessing hormone therapies, puberty blockers and gender-affirming surgeries in the state was signed just a day after Holcomb criticized the legislation as being “as clear as mud.”

“It wasn’t part of my agenda,” Holcomb told reporters Tuesday. “I’ve told some people very close to me: This is clear as mud. There’s some vagueness to it. So I want to make sure I completely understand.”

But after signing the bill on Wednesday, Holcomb said in a statement that gender-affirming surgeries should happen “as an adult.”

“Permanent gender-changing surgeries with lifelong impacts and medically prescribed preparation for such a transition should occur as an adult, not as a minor,” the statement said.

But ACLU leaders said the bill would have “devastating” effects for minors seeking such care.

“This law would be devastating to trans youth and their families, causing them serious injuries and forcing those who can to uproot their lives and leave the state to access the gender-affirming care they need,” Ken Falk, ACLU of Indiana legal director, said in a statement.

An ACLU spokesperson said on Twitter that the Indiana lawsuit was the first of eight different suits the group plans to file on new bans on youth transgender care in the coming weeks. That includes suits in Oklahoma, Kentucky, Tennessee and more.