As it stands now, a federal judge has enjoined Arkansas from enforcing its ban on gender-affirming care. However, the state has petitioned the Eighth Circuit Court of Appeals to nullify the injunction.
Some of what happens will depend upon the three judge panel. There are four Trump appointed judges in the circuit. One is very good, two are acceptable and one is batshit crazy. There is one Obama appointee and the rest are were appointed by one of the Bushes. Conservative judges are often more likely to sustain a lower court ruling.
The appellate court review is limited to legal issues.
A bench trial is now scheduled for July 25, 2022.