search
Sections List
American Journal News

Missouri attorney general restricts gender-affirming care for people of all ages

The ’emergency regulation’ issued by Andrew Bailey adds several hurdles patients must get past if they’re seeking gender-affirming care, including being screened for ‘social contagion.’

By Will Fritz - April 14, 2023
Share
FILE - Missouri Attorney General Andrew Bailey speaks with reporters outside the Supreme Court on Capitol Hill in Washington, on Feb. 28, 2023. Minors in Missouri soon will be required to undergo 18 months of therapy before receiving gender-affirming health care under an emergency rule released Thursday, April 13, by Bailey. (AP Photo/Patrick Semansky, File)

Missouri Republican Attorney General Andrew Bailey issued an “emergency regulation” Thursday afternoon that appears to restrict gender-affirming care for people of all ages within the state.

Bailey’s office released a statement announcing the new regulation at 12:13 p.m. on April 13. While the announcement makes repeated references to protecting minors from harm allegedly caused by gender-affirming care, the rule itself includes several requirements that patients of any age must meet before they can receive what the regulation refers to as “gender transition interventions.”

The order defines gender transition interventions as “the provision or prescription of any puberty-blocking drugs, cross-sex hormones, or surgery, for the purpose of transitioning gender, decreasing gender incongruence, or treating gender dysphoria,” and declares it “an unfair, deceptive, fraudulent, or otherwise unlawful practice” for any health care provider to provide such care unless a patient goes through a checklist of assessments and evaluations.

Specifically, it requires anyone seeking transition-related care to have a documented diagnosis of gender dysphoria for at least three consecutive years and receive a “full psychological or psychiatric assessment” consisting of at least 15 separate hour-long sessions over 18 months to explore “whether the person has any mental health comorbidities.” Any existing “mental health comorbidities” must be treated and resolved before the patient can receive gender-affirming care.

The regulation also requires patients to receive screening for autism and “social contagion with respect to the patient’s gender identity,” stipulates that patients who are minors must be screened for “social media addiction or compulsion,” and requires providers to create a procedure to “track all adverse effects” of gender-affirming care for a period of at least 15 years from the start of treatment.

Bailey cites authority for the regulation under the state’s Merchandising Practices Act of 2020, which prohibits fraud in advertising.

“As Attorney General, I will always fight to protect children because gender transition interventions are experimental,” Bailey says in his office’s statement. He adds, with no evidence to support the claim, “My office has uncovered a clandestine network of clinics across the state who are harming children by ignoring the science.”

The regulation is set to go into effect April 27, exactly two weeks after it was announced, and expire Feb. 6, 2024.

The rule will apply to patients currently receiving gender-affirming care in Missouri. It states that medical providers may continue to issue prescriptions in cases in which treatment has already begun, but only as long as the provider or patient “promptly seeks to initiate” compliance with the various requirements in the regulation.

Not all gender-affirming care is restricted by the regulation. It specifically exempts treatment for precocious puberty and of intersex people.

Asked why the regulation applies broadly to trans people of all ages seeking gender-affirming care when its stated purpose is to protect children, Madeleine Sieren, a spokesperson for the Missouri attorney general’s office, told the American Independent Foundation via email: “We have serious concerns about how children are being treated throughout the state, but we believe everyone is entitled to evidence-based medicine and adequate mental health care.”

The emergency regulation appeared likely to face swift legal challenges. Just a few hours after it was announced, the ACLU of Missouri and pro-LGBTQ legal advocacy organization Lambda Legal announced they would sue to stop it.

“The Attorney General’s so-called emergency rule is based on distorted, misleading, and debunked claims and ignores the overwhelming body of scientific and medical evidence supporting this care as well as the medical experts and doctors who work with transgender people every day,” the two groups said Thursday in a joint statement. “This rule is a shocking attempt to exploit Missouri’s consumer protection laws in order to play politics with life-saving medical care.”

Published with permission of The American Independent Foundation.


Read More
Biden campaign launches new ad focused on Affordable Care Act

Biden campaign launches new ad focused on Affordable Care Act

By Kim Lyons, Pennsylvania Capital-Star - May 08, 2024
Ohio doctors fear effects of emergency abortion care case set to go before U.S. Supreme Court

Ohio doctors fear effects of emergency abortion care case set to go before U.S. Supreme Court

By Susan Tebben, Ohio Capital Journal - April 23, 2024
House GOP votes to end flu, whooping cough vaccine rules for foster and adoptive families

House GOP votes to end flu, whooping cough vaccine rules for foster and adoptive families

By Anita Wadhwani, Tennessee Lookout - March 26, 2024
U.S. House Speaker Johnson says IVF should be protected — just not by Congress

U.S. House Speaker Johnson says IVF should be protected — just not by Congress

By Jennifer Shutt, States Newsroom - March 14, 2024
Idaho bill banning public funds for gender-affirming care goes to Senate

Idaho bill banning public funds for gender-affirming care goes to Senate

By Mia Maldonado, Idaho Capital Sun - March 14, 2024
Alabama passed a new IVF law. But questions remain.

Alabama passed a new IVF law. But questions remain.

By Alander Rocha, Alabama Reflector - March 11, 2024
AJ News
Latest
Big investors are buying up single-family homes. Sen. Sherrod Brown has a plan to stop them.

Big investors are buying up single-family homes. Sen. Sherrod Brown has a plan to stop them.

By Jesse Valentine - July 09, 2024
New Mexico Senate nom Nella Domenici earned up to $1 million renting out Connecticut home

New Mexico Senate nom Nella Domenici earned up to $1 million renting out Connecticut home

By Jesse Valentine - July 08, 2024
GOP’s Mark Robinson blames bad fathers for social ills despite own son’s criminal record

GOP’s Mark Robinson blames bad fathers for social ills despite own son’s criminal record

By Jesse Valentine - July 03, 2024
Kelly Ayotte’s history of backing Medicare cuts could be hurdle in governor’s race

Kelly Ayotte’s history of backing Medicare cuts could be hurdle in governor’s race

By Jesse Valentine - July 02, 2024
Texas Republican Ken Paxton enlisted outside group to gut rights for pregnant workers

Texas Republican Ken Paxton enlisted outside group to gut rights for pregnant workers

By Jesse Valentine - June 24, 2024
Ted Cruz leverages Trump conviction on podcast for own personal gain

Ted Cruz leverages Trump conviction on podcast for own personal gain

By Jesse Valentine - June 11, 2024
Arizona Republican Kari Lake proposes massive cuts to Medicaid and Medicare

Arizona Republican Kari Lake proposes massive cuts to Medicaid and Medicare

By Jesse Valentine - June 10, 2024
Virginia U.S. Senate candidate Hung Cao says workplace diversity is ‘Marxism’

Virginia U.S. Senate candidate Hung Cao says workplace diversity is ‘Marxism’

By Jesse Valentine - June 06, 2024
Republican Bernie Moreno’s rags-to-riches story exposed as a lie

Republican Bernie Moreno’s rags-to-riches story exposed as a lie

By Jesse Valentine - May 24, 2024
What happens to clinics after a state bans abortion? They fight to survive.

What happens to clinics after a state bans abortion? They fight to survive.

By Chabeli Carrazana and Shefali Luthra - May 22, 2024
Former Sen. Kelly Ayotte took job at Caterpillar after tax fraud probe

Former Sen. Kelly Ayotte took job at Caterpillar after tax fraud probe

By Jesse Valentine - May 21, 2024
Alabama OB-GYN residencies dropped over 20% after Dobbs, state abortion ban, says analysis

Alabama OB-GYN residencies dropped over 20% after Dobbs, state abortion ban, says analysis

By Alander Rocha, Alabama Reflector - May 21, 2024
House GOP celebrates National Police Week while pushing to defund local law enforcement

House GOP celebrates National Police Week while pushing to defund local law enforcement

By Jesse Valentine - May 16, 2024
Evolution denier Mark Robinson could reshape North Carolina’s education system

Evolution denier Mark Robinson could reshape North Carolina’s education system

By Jesse Valentine - May 16, 2024
Republican Jay Ashcroft backs anti-abortion clinics that push lies and disinformation

Republican Jay Ashcroft backs anti-abortion clinics that push lies and disinformation

By Jesse Valentine - May 14, 2024
Republican Sam Brown’s assault on teacher unions could backfire

Republican Sam Brown’s assault on teacher unions could backfire

By Jesse Valentine - May 09, 2024
Florida abortion ban puts GOP Rep. Anna Paulina Luna’s anti-choice views in spotlight

Florida abortion ban puts GOP Rep. Anna Paulina Luna’s anti-choice views in spotlight

By Jesse Valentine - May 07, 2024
Trump leaves door open to banning medication abortion nationwide

Trump leaves door open to banning medication abortion nationwide

By Jennifer Shutt, States Newsroom - April 30, 2024
Republican Caroleene Dobson wants Alabama abortion ban to go nationwide

Republican Caroleene Dobson wants Alabama abortion ban to go nationwide

By Jesse Valentine - April 30, 2024
Ohio Gov. DeWine said he didn’t know of millions in FirstEnergy support. Is it plausible?

Ohio Gov. DeWine said he didn’t know of millions in FirstEnergy support. Is it plausible?

By Marty Schladen, Ohio Capital Journal - April 29, 2024
GOP Rep. Zach Nunn suggests laws against hate crime aren’t needed

GOP Rep. Zach Nunn suggests laws against hate crime aren’t needed

By Jesse Valentine - April 15, 2024
GOP Senate candidate Hung Cao blames racial equity for Baltimore bridge tragedy

GOP Senate candidate Hung Cao blames racial equity for Baltimore bridge tragedy

By Jesse Valentine - March 29, 2024
GOP Rep. Jennifer Kiggans donates thousands to far-right extremists

GOP Rep. Jennifer Kiggans donates thousands to far-right extremists

By Jesse Valentine - March 08, 2024
Ohio senate candidate Bernie Moreno: “Absolute pro-life no exceptions.”

Ohio senate candidate Bernie Moreno: “Absolute pro-life no exceptions.”

By Jesse Valentine - March 07, 2024
Anti-China Republicans pocket thousands from Chinese owned conglomerate

Anti-China Republicans pocket thousands from Chinese owned conglomerate

By Jesse Valentine - March 04, 2024
Republican Eric Hovde makes inconsistent statements about family history

Republican Eric Hovde makes inconsistent statements about family history

By Jesse Valentine - February 26, 2024
Republican David McCormick invests millions in website that platforms Holocaust denial

Republican David McCormick invests millions in website that platforms Holocaust denial

By Jesse Valentine - February 09, 2024
Lawmakers will again take up bills expanding, tightening gun laws

Lawmakers will again take up bills expanding, tightening gun laws

By Annmarie Timmins, New Hampshire Bulletin - January 31, 2024
UAW delivers rousing presidential endorsement for Biden over ‘scab’ Trump

UAW delivers rousing presidential endorsement for Biden over ‘scab’ Trump

By Ashley Murray, States Newsroom - January 24, 2024
Republicans Sam Brown and Jeff Gunter sling mud in Nevada senate primary

Republicans Sam Brown and Jeff Gunter sling mud in Nevada senate primary

By Jesse Valentine - January 17, 2024
A Young Texas Woman Almost Died Due To The Texas Abortion Bans – Now She’s Battling To Save Other Women

A Young Texas Woman Almost Died Due To The Texas Abortion Bans – Now She’s Battling To Save Other Women

By Bonnie Fuller - January 10, 2024
Health care legislation preview: Maryland advocates want to focus on access, patients in 2024 session

Health care legislation preview: Maryland advocates want to focus on access, patients in 2024 session

By Danielle J. Brown, Maryland Matters - January 08, 2024
How GOP senate hopefuls try to excuse the  January 6 insurrection

How GOP senate hopefuls try to excuse the  January 6 insurrection

By Jesse Valentine - January 05, 2024
NH lawmakers will be taking up major voting bills this year. Here are some to watch for.

NH lawmakers will be taking up major voting bills this year. Here are some to watch for.

By Ethan DeWitt, New Hampshire Bulletin - January 04, 2024
Republican US Senate candidates want to make Trump’s tax cuts permanent 

Republican US Senate candidates want to make Trump’s tax cuts permanent 

By Jesse Valentine - December 22, 2023
Rand Paul went all in on the Kentucky governor’s race. It didn’t work.

Rand Paul went all in on the Kentucky governor’s race. It didn’t work.

By - December 15, 2023
Texas governor and attorney general do little to curb state’s chemical plant crisis

Texas governor and attorney general do little to curb state’s chemical plant crisis

By Jesse Valentine - December 08, 2023
Likely GOP Senate candidate Eric Hovde proposed tax hike for poorer workers and retirees

Likely GOP Senate candidate Eric Hovde proposed tax hike for poorer workers and retirees

By Jesse Valentine - December 07, 2023
Whitmer signs specific criminal penalties for assaulting health care workers into law

Whitmer signs specific criminal penalties for assaulting health care workers into law

By Anna Liz Nichols, Michigan Advance - December 06, 2023
105 Republicans voted to expel Santos for things Trump has also done

105 Republicans voted to expel Santos for things Trump has also done

By Jesse Valentine - December 05, 2023
For Texas Sen. Ted Cruz, another Trump term is another chance to kill Obamacare

For Texas Sen. Ted Cruz, another Trump term is another chance to kill Obamacare

By Jesse Valentine - December 04, 2023
Florida Sen. Rick Scott backs Donald Trump in revived push to repeal Obamacare

Florida Sen. Rick Scott backs Donald Trump in revived push to repeal Obamacare

By Jesse Valentine - November 30, 2023
Tate Reeves took donations from power company that hiked customer rates

Tate Reeves took donations from power company that hiked customer rates

By Jesse Valentine - November 06, 2023
Daniel Cameron ran on depoliticizing the Kentucky AG’s office. He made it more political.

Daniel Cameron ran on depoliticizing the Kentucky AG’s office. He made it more political.

By Jesse Valentine - November 03, 2023
Republican operatives sound every alarm on current trajectory of 2023 governor’s race

Republican operatives sound every alarm on current trajectory of 2023 governor’s race

By Adam Ganucheau, Mississippi Today - October 24, 2023
State university board of governors vote to freeze tuition for Pennsylvania residents

State university board of governors vote to freeze tuition for Pennsylvania residents

By Peter Hall - July 17, 2024
On outskirts of RNC, Heritage Foundation touts controversial Project 2025 plan

On outskirts of RNC, Heritage Foundation touts controversial Project 2025 plan

By Ashley Murray, States Newsroom - July 17, 2024
Abortion amendment supporters ask Arkansas Supreme Court to overturn Secretary of State’s rejection

Abortion amendment supporters ask Arkansas Supreme Court to overturn Secretary of State’s rejection

By - July 16, 2024
Gov. Greg Abbott defends trip to East Asia during Hurricane Beryl

Gov. Greg Abbott defends trip to East Asia during Hurricane Beryl

By Jasper Scherer, Texas Tribune - July 16, 2024
FactCheck: Republican Sheehy revives discredited abortion claim in Senate race

FactCheck: Republican Sheehy revives discredited abortion claim in Senate race

By Matt Volz - July 15, 2024
Lawsuit seeks to overturn Michigan’s ban on conversion therapy for minors

Lawsuit seeks to overturn Michigan’s ban on conversion therapy for minors

By Jon King, Michigan Advance - July 15, 2024