The South Carolina Senate on Thursday approved a ban on gender-affirming care for transgender minors after supporters defeated efforts to only ban treatments that would be considered irreversible.

The 27-8 vote in favor included all Republicans present and one Democrat voting for the ban. That came after the remaining Democrats tried to walk out so there wouldn’t be enough senators to stay in session, but the vote was called too fast.

The bill bars health professionals from performing gender-transition surgeries, prescribing puberty blockers and overseeing hormone treatments for patients under 18.

School principals or vice principals would have to notify parents or guardians if a child wanted to use a name other than their legal one, or a nickname or pronouns that did not match their sex assigned at birth.