Missouri Senate Bill 49
Missouri Senate Bill 49 , also known as the Missouri Save Adolescents from Experimentation 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. It was signed into law by Governor Mike Parson on June 7, 2023 and entered into force on August 28. As a result of negotiations in the legislature, the law is set to expire on August 28, 2027.
It was passed alongside Senate Bill 39, which restricts transgender Missourians from competing in sports differing from their biological sex. 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. Lawsuits were filed against Senate Bill 49 following its passage, including one by the ACLU of Missouri and Lambda Legal in July 2023. In November 2024, a Missouri circuit judge ruled in favor of upholding the law.