A Missouri law banning gender-affirming health care for transgender minors and some adults will take effect Monday after a circuit court judge on Friday declined to block it.

St. Louis Circuit Court Judge Steven Ohmer on Friday rejected a request to temporarily block the enforcement of Missouri’s gender-affirming care ban, writing in an order that “petitioners have not clearly shown a sufficient threat of irreparable injury absent injunctive relief.”

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    A Missouri law banning gender-affirming health care for transgender minors and some adults will take effect Monday after a circuit court judge on Friday declined to block it.

    St. Louis Circuit Court Judge Steven Ohmer on Friday rejected a request to temporarily block the enforcement of Missouri’s gender-affirming care ban, writing in an order that “petitioners have not clearly shown a sufficient threat of irreparable injury absent injunctive relief.”

    The law, Senate Bill 49, prohibits health care providers from administering medications including puberty blockers and hormone replacement therapy to treat gender dysphoria in minors, with an exception carved out for transgender young people who began treatment before Aug. 28.

    The measure also bars transgender youths under 18 from receiving gender-affirming surgeries and prohibits MO HealthNet, the state’s Medicaid program, from covering transition-related procedures.

    Missouri prisons, jails and correctional centers under the new law are also unable to provide gender-affirming medical care to transgender inmates irrespective of age.

    The law, which hit several stumbling blocks before it was able to advance through both chambers of the legislature, will lapse after four years thanks to a “sunset” provision added after hours of closed-door negotiations between party leadership in the state Senate.


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