03/14/2026
STL!! This is happening March 23! WE MUST SHOW UP for our transgender kids, our family and our friends!!
Transgender rights in Missouri are under significant threat, characterized by a, by-now permanent, ban on gender-affirming care for minors, restrictions on care for adults, and active legislative efforts to limit transgender participation in sports and access to public facilities.
Unhinged details happening now are below.
Missouri regarding trans rights includes:
* Gender-Affirming Care Bans Upheld: In January 2026, the Missouri Supreme Court unanimously upheld a 2023 law (SB 49) that bans puberty blockers, hormones, and surgeries for minors.
* Expansion of Restrictions: Lawmakers are currently moving to make these restrictions permanent by removing a 2027 expiration date (“sunset”) on the ban for minors.
* Medicaid Restrictions: The upheld law also prohibits Medicaid coverage for gender-affirming care for transgender people of any age.
* Restrictions on Athletic Participation: The Missouri House passed legislation in February 2026 to make permanent a ban on transgender athletes competing in sports that align with their gender identity.
* “Bathroom Bill” Advancements: Multiple bills have moved through the House in 2026 that aim to restrict the use of bathrooms, locker rooms, and other facilities in government-owned buildings—including schools—based on s*x assigned at birth.
* Forced Outing and Policy Attacks: In early 2026, legislative attacks continue to focus on public school policies, including proposals that could force the outing of transgender students to their parents.
* Impact on Medical Providers: The 2023 law, still in effect, allows for the revocation of medical licenses for doctors who provide gender-affirming care to minors, causing many providers to stop offering care.
* Upcoming Constitutional Changes: In November 2026, Missourians are set to vote on a potential constitutional amendment that could outlaw gender-affirming care for minors, a move that would make the prohibition extremely difficult to reverse.