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Missouri's 2026 Legislative Session Yields One Anti-Trans Law Amid 58 Anti-LGBTQ+ Bills

5/19/2026, 5:32:40 AM

One Anti-Trans Bill Passes After a Wave of Proposals

In the 2026 session, the Missouri General Assembly approved a measure that permanently extends the 2023 SAFE Act’s ban on gender-affirming care for minors, removing the 2027 sunset clause. All other anti-LGBTQ+ proposals failed before adjournment.

Missouri’s History of Anti-LGBTQ+ Legislation

Missouri, with Republican supermajorities, has introduced 371 anti-LGBTQ+ bills since 2015, ranking among the nation’s most active states. The 2026 session alone saw 58 proposals covering gender-affirming care, bathroom access, drag performances and school policies.

Primary Advocates

PROMO, the state’s leading LGBTQ+ advocacy organization, is led by executive director Katy Erker-Lynch and senior public-policy director Shira Berkowitz.

Legislative Numbers

  • 58 anti-LGBTQ+ bills introduced in 2026 (PROMO).
  • Only 1 anti-trans measure passed.
  • Over 5,000 Missourians participated in advocacy.

Legislative Outcome Summary

The bill codifies the existing ban on gender-affirming treatments for minors and eliminates the 2027 expiration date. No additional commentary was issued by state officials.

Advocacy Perspective

PROMO argues the legislative push sought to scapegoat LGBTQ+ people for political gain and stresses that community mobilization prevented further restrictions.

Editorial Correction

An editor’s note corrects an earlier claim that no anti-LGBTQ+ measure became law, confirming the passage of the gender-affirming care restriction.

Verbatim Quotes

  • “This moment — this win — belongs to all LGBTQ+ Missourians and every single person who loves someone who is LGBTQ+,” — Katy Erker-Lynch, executive director, PROMO
  • “A recent conversation with a parent of a trans kid reminded me of one simple truth: lawmakers don’t understand that we will never stop fighting,” — Katy Erker-Lynch, executive director, PROMO
  • “We will fight with everything we have to protect the rights of LGBTQ+ Missourians and their families.” — PROMO, LGBTQ+ advocacy organization
  • “Despite state leaders fixating on restricting LGBTQ+ rights as their core priority year after year, Missourians have continued to make it clear that LGBTQ+ people will not be scapegoated to win political popularity,” — Shira Berkowitz, senior director of public policy and advocacy, PROMO
  • “yet our community’s incredible power and willingness to continue showing up ensured our win.” — Shira Berkowitz, senior director of public policy and advocacy, PROMO

Future Legislative Landscape

PROMO now targets Missouri’s proposed Amendment 3, a ballot initiative that would repeal the state’s reproductive-rights amendment, ban most abortions, and constitutionally bar gender-transition procedures for minors. The vote’s outcome will shape policy beyond the 2026 session.