Missouri Senate Bill 49

Missouri Senate Bill 49
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[1]
Territorial extent Missouri
Enacted byMissouri Senate
Enacted byMissouri House of Representatives
Signed byMike Parson
SignedJune 7, 2023
EffectiveAugust 28, 2023
Date of expiryAugust 28, 2027
Legislative history
First chamber: Missouri Senate
IntroducedDecember 1, 2022
First readingJanuary 4, 2023
Second readingJanuary 12, 2023
Third readingMarch 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]

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. ^ a b 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.