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
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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. 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.