HB 2033 Missouri House · 2026 Regular Session

Modifies provisions relating to gender transition procedures

HB 2033, known as the "Missouri Save Adolescents from Experimentation (SAFE) Act," prohibits health care providers in Missouri from performing gender transition surgeries or prescribing cross-sex hormones and puberty-blocking drugs for gender transition to individuals under 18 years old. The law includes a temporary exception allowing continued treatment for minors who began such care before August 28, 2023, until March 1, 2027. Violations would be deemed unprofessional conduct, risking license revocation for providers, and could lead to civil lawsuits against them. This bill directly affects transgender and gender-diverse minors under 18 seeking medical transition care and the health care providers who treat them in Missouri.

Issues: ✗ Healthcare

Bill status passed 3 of 5 stages cleared

Introduction

Dec 2025

Committee Review

Apr 2026

House Passage

Feb 2026

Senate Passage

Governor

Introduced Dec 1, 2025 Last action Apr 8, 2026

Maddy AI version diff · 2 comparisons

What changed between versions

House Committee Substitute → Perfected · 2 edits

MINOR

The bill was amended to remove a provision that would have allowed individuals to sue healthcare providers for prescribing puberty-blocking drugs or cross-sex hormones to minors. This change eliminates a potential legal liability for doctors treating young patients with gender dysphoria, aligning the text with the bill's intent to protect such medical care.

Scope change

The bill's scope was narrowed by removing a specific enforcement mechanism (civil liability) that restricted the practice of certain gender-affirming medications for individuals under eighteen.

ENFORCEMENT

Deleted language creating a cause of action against healthcare providers who prescribe puberty blockers or cross-sex hormones to minors.

DEFINITION

Reordered the definition of 'gender transition' to place the core concept before the explanatory clause regarding social, legal, or physical changes.

Floor votes

How they voted

This bill passed the House by voice vote (no roll call recorded).

Full legislative history

Actions timeline

Total actions

Key actions

Committee

Apr 8, 2026

Upper · Passed

Voted Do Pass (S)

upper

Feb 26, 2026

Committee

Second read and referred: Families, Seniors and Health(S)

upper

Feb 12, 2026

Lower · Passed

Third Read and Passed (H) - AYES: 102 NOES: 40 PRESENT: 2

lower

Feb 9, 2026

Lower · Passed

HCS Adopted (H)

lower

Feb 2, 2026

Lower · Passed

Reported Do Pass (H) - AYES: 9 NOES: 3 PRESENT: 0

lower

Feb 2, 2026

Lower · Passed

Voted Do Pass (H)

lower

Jan 29, 2026

Committee

Referred: Rules - Legislative(H)

lower

Jan 28, 2026

Lower · Passed

HCS Reported Do Pass (H) - AYES: 9 NOES: 4 PRESENT: 0

lower

Jan 27, 2026

Lower · Passed

HCS Voted Do Pass (H)

lower

Jan 12, 2026

Committee

Referred: Emerging Issues(H)

lower

Dec 1, 2025

Introduced

Prefiled (H)

lower

1 primary · 13 co-sponsors