This is the same base result — the laws will remain in effect — as when the same panel ruled on the stay request in July: https://www.lawdork.com/p/sixth-circuit-tenn-trans-care-ban-stay-ruling 

 I'll have a full report at Law Dork on Friday, but here's the opinion: https://www.documentcloud.org/documents/23998283-6th-lwvskrmetti-opinion