HJR 54 Missouri House · 2025 Regular Session

Proposes a constitutional amendment establishing provisions relating to reproductive health care

HJR 54 proposes a constitutional amendment in Missouri that would restrict abortion access, allowing it only in cases of medical emergency, fetal anomaly, rape, or incest (with a 12-week gestation limit and 48-hour law enforcement reporting required for rape/incest). It also prohibits abortions based on disability diagnoses, bans public funding for most abortions, and prohibits gender transition surgeries, cross-sex hormones, and puberty-blocking drugs for minors under 18 (except for treating certain medical conditions). The amendment includes a provision ensuring access to care for miscarriages, ectopic pregnancies, and medical emergencies, and would require voter approval to take effect. This measure would directly affect individuals seeking reproductive health services, medical providers, and minors seeking gender-related care in Missouri.

Issues: ✗ Healthcare

Bill status in committee 1 of 4 stages cleared

Introduction

Jan 2025

Committee Review

Floor Vote

Governor

Introduced Jan 14, 2025 Last action May 5, 2025

Maddy AI version diff · 1 comparison

What changed between versions

Introduced → House Committee Substitute · 8 edits

MODERATE

The House Committee Substitute version of HJR 54 significantly expanded the original abortion restrictions by adding parental consent requirements for minors, prohibiting fetal organ harvesting after abortion, and clarifying that public funds cannot be used for abortions except in specific cases. The bill also added language about the state's duty to protect public health and welfare while regulating medical practices, and included additional provisions about physician admitting privileges and facility inspections.

Scope change

The bill's scope expanded from primarily restricting abortion to also include parental consent for minors, fetal organ harvesting prohibitions, and broader regulatory language about medical practice standards and facility requirements.

REQUIREMENT

Added parental consent requirements for minors seeking abortion, requiring written consent from a parent or guardian except in medical emergencies.

Added prohibition on fetal organ harvesting after abortion under any circumstances.

Added provisions requiring physicians providing abortion care to have admitting privileges at nearby hospitals.

Added requirements for abortion facilities to be licensed and inspected for clean and safe conditions.

Added requirement that ultrasounds be performed only by physicians or licensed medical technicians.

Added requirement that physicians perform sufficient examination to determine gestational age and preexisting medical conditions.

Added provision requiring informed consent be given freely and without coercion for all abortions.

FISCAL

Modified public funding restrictions to include exceptions for cases authorized by law, beyond the original specific exceptions.

Floor votes

How they voted

No floor votes recorded yet.

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Apr 3, 2025

Lower · Passed

Reported Do Pass (H) - AYES: 7 NOES: 3 PRESENT: 0

lower

Apr 3, 2025

Lower · Passed

Voted Do Pass (H)

lower

Apr 2, 2025

Committee

Referred: Rules - Administrative(H)

lower

Apr 2, 2025

Lower · Passed

HCS#2 Reported Do Pass (H) - AYES: 6 NOES: 3 PRESENT: 0

lower

Apr 1, 2025

Lower · Passed

HCS#2 Voted Do Pass (H)

lower

Mar 31, 2025

Committee

Referred: Legislative Review(H)

lower

Mar 31, 2025

Lower · Passed

HCS Reported Do Pass (H) - AYES: 11 NOES: 5 PRESENT: 0

lower

Mar 31, 2025

Lower · Passed

HCS Voted Do Pass (H)

lower

Jan 29, 2025

Committee

Referred: Children and Families(H)

lower

Jan 14, 2025

Introduced

Introduced and Read First Time (H)

lower

1 primary · 3 co-sponsors