DeWine clashed with his fellow Republicans over a different law that bans gender-affirming care for minors and blocks transgender girls and women from playing in female sports. The American Civil Liberties Union of Ohio continues to fight the ban on gender-affirming care after a Franklin County judge ruled in August that it could take effect.

Before the vote, LGBTQ advocates urged lawmakers to reconsider, saying trans students are already bullied and feel their safety is threatened.

A bill that would ban transgender students from using school bathrooms and locker rooms that align with their gender identity is going to Ohio Gov. Mike DeWine’s desk.