Missouri Senate Bill 49

Last updated
Missouri Senate Bill 49
Seal of Missouri.svg
Missouri Legislature
  • AN ACT To repeal sections 208.152, 217.230, and 221.120, RSMo, and to enact in lieu thereof four new sections relating to gender transition procedures.
Citation
Territorial extentFlag of Missouri.svg  Missouri
Enacted by Missouri Senate
Enacted by Missouri House of Representatives
Signed by Mike Parson
SignedJune 7, 2023
Effective August 28, 2023
Date of expiryAugust 28, 2027
Legislative history
First chamber: Missouri Senate
IntroducedDecember 1, 2022
First reading January 4, 2023
Second reading January 12, 2023
Third reading March 23, 2023
Voting summary
  • 24 voted for
  • 8 voted against
  • 2 absent
Second chamber: Missouri House of Representatives
First readingMarch 23, 2023
Second readingMarch 24, 2023
Third readingMay 10, 2023
Voting summary
  • 108 voted for
  • 50 voted against
  • 4 absent
Summary
Restricts medical professionals from administering gender-affirming medical care to Missourians under eighteen years of age.
Status: In force

Missouri Senate Bill 49 (SB 49), also known as the Missouri Save Adolescents from Experimentation (SAFE) Act, is a 2023 law in the state of Missouri that restricts access to gender-affirming medical care for minors, such as hormone replacement therapy (HRT), puberty blockers, and sex reassignment surgery. [1] It was signed into law by Governor Mike Parson on June 7, 2023 and entered into force on August 28. [2] [3] [4] As a result of negotiations in the legislature, the law is set to expire on August 28, 2027. [5]

Contents

It was passed alongside Senate Bill 39, which restricts transgender Missourians from competing in sports differing from their biological sex. [2] The bill was filibustered by Missouri Democrats in the legislature and only passed after a compromise was made to allow the law to expire in 2027. [6] [7] Lawsuits were filed against Senate Bill 49 following its passage, [8] including one by the ACLU of Missouri and Lambda Legal in July 2023. [9] In November 2024, a Missouri circuit judge ruled in favor of upholding the law. [10] [11] [12]

Provisions

Senate Bill 49 prohibits medical professionals in the state of Missouri from administering gender-affirming hormone therapy, which can include estradiol valerate, testosterone, and puberty blockers. [13] Sex reassignment surgery is also prohibited. It followed emergency regulations issued by Attorney General Andrew Bailey, which included an 18-month waiting period before minors could be prescribed any such treatment. [14]

See also

References

  1. ↑ Cross, Greta; Szuch, Susan (2024-08-28). "Missouri anti-transgender laws went into effect 1 year ago". Springfield News-Leader. Retrieved 2025-06-30.
  2. 1 2 Iyer, Kaanita; Forrest, Jack; Cole, Devan (2023-06-07). "Missouri Gov. Mike Parson signs bills banning gender-affirming care, trans athletes". CNN .
  3. ↑ Hensel, Andrew (2023-09-14). "Illinois lawmakers react to Missouri law restricting transgender procedures". Advantage News. Retrieved 2025-06-30.
  4. ↑ Schneider, Joey; Manley, Emily (2023-08-25). "Five new Missouri laws to know that become official Monday". Fox 2 NOW. Retrieved 2025-06-30.
  5. ↑ Palermo, Gregg (2023-08-09). "No Missouri rules yet for ban of transgender athletes". Spectrum News. Retrieved 2025-06-30.
  6. ↑ Hanshaw, Annelise (2023-03-20). "Missouri Democrats once again filibuster ban on medical procedures for transgender minors". Missouri Independent. Retrieved 2025-06-30.
  7. ↑ Hays, Gabrielle (2023-08-29). "Judge denies request to halt Missouri's gender-affirming medical care ban". PBS News. Retrieved 2025-06-30.
  8. ↑ Cunningham, Meg (2023-03-30). "Parents of trans children fights ban on gender-affirming care". The Beacon News. Retrieved 2025-06-30.
  9. ↑ "Families and Medical Providers Sue Missouri to Block Transgender Youth Medical Care Ban". ACLU of Missouri. 2023-07-25. Retrieved 2025-06-30.
  10. ↑ Rose, Andy (2024-11-26). "Missouri ban on gender-affirming care for minors upheld by judge". CNN. Retrieved 2025-06-30.
  11. ↑ Richey, Jacob (2024-11-25). "Ban upheld on gender-affirming care for minors in Missouri". KOMU 8. Retrieved 2025-06-30.
  12. ↑ Warnke, Tom (2024-11-25). "Court Upholds Missouri's Ban on Essential Health Care for Transgender Missourians". Lambda Legal. Retrieved 2025-06-30.
  13. ↑ "Former transgender patients speak out at SAFE Act press conference". The Missouri Times. 2023-03-20. Retrieved 2025-06-30.
  14. ↑ Szuch, Susan; Bacharier, Galen (2023-03-21). "Missouri lawmakers OK limits on transgender health care and athletics". USA TODAY. Retrieved 2025-06-30.
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