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flag Missouri's Supreme Court upheld a ban on gender-affirming care for minors, calling it constitutional.

flag The Missouri Supreme Court unanimously upheld Senate Bill 49, banning gender-affirming care for minors, including puberty blockers, cross-sex hormones, and surgeries, and prohibiting Medicaid from covering such treatments for any age. flag The ruling, issued on January 13, 2026, rejected constitutional challenges from transgender youth, families, and medical providers, stating the law does not violate fundamental rights and is rationally related to the state’s interest in regulating medical care for minors. flag The court cited precedents from Tennessee and Arkansas, affirming the legislature’s authority. flag Advocates condemned the decision as harmful and politically driven, while state leaders praised it as protection for youth. flag The law remains in effect, with future appeals possible.

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