(CNN) A Florida judge ruled Monday that the parents of a 4-year-old boy with leukemia lost their bid Monday to regain custody after their struggle with the state over giving him chemotherapy.

Noah McAdams was removed from his parents' custody in April when they skipped a chemotherapy session and left the state in pursuit of alternative treatments.

Noah's parents, Taylor Bland and Joshua McAdams, and their fight for natural cancer treatment garnered national attention after a multi-state police search ensued when they skipped the chemotherapy appointment and took Noah for a consultation in Cincinnati, Ohio, with an alternative medicine practitioner.

Hillsborough County Unified Family Court Judge Thomas Palermo in court Monday ordered Noah remain a dependent of the state, ruling that he will stay in the care of his maternal grandmother, according to Brooke Elvington, an attorney for Bland and McAdams.

Noah's parents will still be allowed to visit and attend medical appointments under supervision, the attorney said.

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