JEFFERSON CITY, Mo. (AP) 鈥 Missouri lawmakers approved two bills Wednesday that ban gender-affirming health care for minors, and prevent transgender girls and women from participating on female sports teams. But local officials in Kansas City moved to defy the state, as they heard testimony about creating a sanctuary for people seeking gender-affirming treatment.
minors in Missouri would no longer have access to puberty blockers, hormones or gender-affirming surgery under one bill passed by the Republican-led House. The ban also affects some adults 鈥 Medicaid health care won鈥檛 cover any gender-affirming care in the state, and surgery will no longer be available to prisoners and inmates.
Another bill bans transgender student-athletes from joining girls鈥 and women鈥檚 teams from kindergarten through college, both at public and private schools. Schools that allow transgender girls and women to play on such teams would lose state funding.
Gov. Mike Parson is expected to sign both bills, which would expire in 2027 thanks to concessions made through Republican negotiations with Senate Democrats.
Parson threatened to beyond the normal end of their session if they didn鈥檛 approve the gender-affirming care ban, which would take effect Aug. 28. The ban includes exceptions for minors already getting such treatments.
The ACLU of Missouri called the two measures 鈥渨eaponization of the government to intimidate people through the denial of basic health care and exclusion from extracurricular activities.鈥
Republican State Rep. Chris Sander, who is gay, said he鈥檚 considering leaving his party after most of his GOP colleagues voted for the bills without allowing him to speak on the House floor.
鈥淚t鈥檚 not a partisan thing to be gay or trans,鈥 Sander, who represents the Kansas City suburb of Lone Jack, told reporters after the vote. 鈥淚t has nothing to do with being a Republican or a Democrat. They want to make it about party politics by zipping my lips.鈥
As the bills were clearing the Republican-controlled Legislature, a City Council committee in Kansas City opened a hearing on a resolution to designate the city as a sanctuary for people seeking or providing gender-affirming care. The committee approved the resolution, forwarding it to the full council, which plans to consider it Thursday.
鈥淚t would minimize the legal violence toward trans people in accessing gender-affirming care,鈥 Merrique Jenson, a transgender woman and founder of a nonprofit that advocates for trans women of color, told the council committee.
Missouri鈥檚 bans come amid a by conservatives to put restrictions on transgender and nonbinary people that has become, alongside abortion, a major theme running through legislative sessions across the country in 2023.
鈥淲hen you have kids being surgically and or chemically altered for life for no good reason, yes, it鈥檚 time for the government to get involved,鈥 Republican Rep. Brad Hudson told colleagues on the House floor Wednesday.
At least 16 states have now enacted laws restricting or banning gender-affirming care for minors, and several states are still considering bills this year to restrict or ban care, for many families. Florida and Texas have banned or restricted the care via regulations or administrative orders, and a is on Republican Florida Gov. ’ desk.
At least 21 other states have passed restrictions on transgender athletes鈥 participation in sports.
Missouri鈥檚 legislative leaders vowed to stop minors from accessing puberty blockers, hormones and surgeries this year. And Missouri鈥檚 Republican attorney general, Andrew Bailey, took up the charge after Parson appointed him to fill the vacant position in January.
Democrats wept during the Missouri House debate.
鈥淭o deny these children care is to deny them their very existence,鈥 Democratic Rep. Joe Adams said.
Kansas City鈥檚 resolution is coming from a Democratic-leaning city in a Republican-led state that already controls the city鈥檚 police department. In Texas, the state capital of Austin declared last year that it should be considered a sanctuary for transgender youth and their families, and Harris County, home to Houston, declared it wouldn鈥檛 pursue cases against parents over gender-affirming care.
, have declared themselves sanctuary states for gender-affirming care, as have the cities of Chicago; Minneapolis, Minnesota; and West Hollywood, California.
The Kansas City resolution says the city will not prosecute or fine any person or organization that seeks, provides, receives or helps someone receive gender-affirming care such as puberty blockers, hormones and surgery. It also says city personnel will make enforcing requirements against gender-affirming care 鈥渢heir lowest priority.鈥
Supporters acknowledged that the city could face retaliation from the state.
But council member Melissa Robinson said, 鈥淚 do believe in good trouble, and this might just be one of those lines of good trouble.鈥
Bailey, now campaigning to keep the state attorney general鈥檚 job in 2024, launched an investigation in February into St. Louis鈥 Washington University Transgender Center following a former staffer鈥檚 complaints that doctors were prescribing hormones too quickly and without enough mental health wraparound services. An internal Washington University review found .
Bailey has since expanded his investigation to any clinic offering pediatric gender-affirming care in Missouri, and from a St. Louis Planned Parenthood where doctors provide such health care.
In April, Bailey took the novel step of on adults as well as children under Missouri鈥檚 consumer-protection law. A judge temporarily from taking effect as she considers a legal challenge.
Under Bailey鈥檚 rules, before gender-affirming medical treatments can be provided by physicians, people would have to document that they experienced an 鈥渋ntense pattern鈥 of gender dysphoria for at least three years and undergo at least 15 hourly sessions with a therapist for at least 18 months.
Screening for autism and 鈥渟ocial media addiction鈥 would be required, and a treatment provider would have to declare that any mental health issues are resolved. Some patients could maintain their prescriptions as long as they promptly receive the required assessments.
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Hanna reported from Topeka, Kansas. Also contributing was Margaret Stafford in Kansas City, Missouri.
