A law prohibiting the provision of puberty blockers, gender reassignment surgery, and hormones to children identifying as transgender in Alabama took effect on Sunday.

Providing such care is now considered a Class C felony in the state and can result in a prison sentence of up to 10 years.

Under the law, medical professionals are prohibited from administering hormones, puberty blockers, or providing other procedures “intended to alter the minor child's gender” to those under the age of 19.

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The legislation was signed by Republican Gov. Kay Ivey on April 8.

A federal judge is weighing whether or not to grant a hold on the legislation after a motion was filed in a lawsuit in opposition to the ban.

U.S. District Judge Liles Burke has yet to indicate how he will rule on the motion, according to a report.

"This is a complicated case that raises complex and important issues and consists of many hundreds of pages of briefing and exhibits," Burke wrote. "The Court has made very substantial progress toward crafting an opinion in this matter and expects to file the opinion by the end of this week, if not sooner."

The lawsuit was filed by multiple organizations including GLBTQ Legal Advocates and Defenders and the Human Rights Campaign on behalf of at least four transgender children, a minister, and two physicians.

The Alabama ban would result in "irreparable physical and psychological harm" and violate rights granted by the Constitution, according to the lawsuit.

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The new law stands in violation of the equal protection clause of the 14th Amendment, according to the Justice Department.