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Missouri Supreme Court Upholds State’s Gender-Transition Care Restrictions

The court upheld Senate Bill 49 banning surgeries and hormone treatments for minors and Medicaid funding restrictions, with rational-basis review cited in the unanimous decision.

  • On Tuesday, the Missouri Supreme Court upheld a law banning gender-affirming care for minors, using rational-basis review in its ruling from Jefferson City, Mo.
  • Plaintiffs, represented by Lambda Legal, filed suit in July 2023 against the SAFE Act, also called Senate Bill 49, which bans gender-transition procedures and Medicaid funding.
  • In its opinion, the court concluded no fundamental right exists for minors to seek gender-affirming care and applied rational-basis review, with Judge Kelly C. Broniec writing the majority opinion.
  • The Missouri Supreme Court upheld the SAFE Act, with Hanaway praising the decision and Kressly criticizing its impact on families.
  • Looking ahead, a November ballot initiative seeks to ban gender-affirming care indefinitely, with the law set to expire in 2027, following recent national court decisions including the 2025 U.S. Supreme Court ruling on Tennessee.
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Missouri Supreme Court upholds state’s gender-transition care restrictions

The state’s highest court rejected arguments that a ban on gender-affirming care is discriminatory in nature

·United States
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Missouri Supreme Court upholds ban on gender-affirming care for transgender youth

Missouri's Supreme Court has upheld a ban on gender-affirming care for transgender youth.

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kcur.org broke the news in on Tuesday, January 13, 2026.
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