Bill > HJR142

This joint resolution proposes a constitutional amendment to establish a fundamental right for individuals to make their own medical decisions without government interference, subject to certain conditions. Specifically, medical decisions must be made freely by the individual, supported by a licensed physician, and consistent with widely accepted and evidence-based standards of care. The amendment prohibits the state from burdening, penalizing, or discriminating against individuals exercising this right, unless the state can demonstrate it is using the least restrictive means to advance the individual's health. The resolution explicitly extends this right to include gender-affirming care decisions for individuals 18 and older, comprehensively detailing various medical procedures such as hormone treatments, chest and facial surgeries, genital surgeries, voice procedures, reproductive surgeries, and body modifications. The proposed amendment would be submitted to Missouri voters for adoption or rejection at the next general election in November 2026 or at a special election called by the governor, and defines "state" to include governmental entities and political subdivisions.

https://house.mo.gov/Bill.aspx?bill=HJR142&year=2026&code=R