Proposes a constitutional amendment establishing the right to make medical decisions, including decisions on gender-affirming care

HJR 69 proposes a constitutional amendment in Missouri that would establish an individual's right to make their own medical decisions, including gender-affirming care, without government interference. It directly affects transgender adults aged 18+ and healthcare providers who assist with such care. The bill requires that any state action restricting these decisions must use the "least restrictive means" to advance health, while ensuring decisions are made freely, supported by a licensed physician, and follow evidence-based standards. It specifically protects gender-affirming care like hormone therapy and surgeries (e.g., chest, facial, genital procedures). The amendment would take effect if approved by voters in 2026, but it has only recently been introduced and referred to committee.