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

HJR 142 is a proposed constitutional amendment that would add a new right to Missouri's state constitution, protecting individuals' ability to make medical decisions - including gender-affirming care - without government interference. It would require that any medical decision be freely made by the individual, supported by a licensed physician, and consistent with evidence-based standards of care. The amendment specifically includes the right for adults to make decisions about gender-affirming procedures (such as hormone therapy, surgeries, and fertility preservation) and prohibits state interference or discrimination against individuals or providers supporting these choices. If approved by voters in the 2026 election, this would become a constitutional right in Missouri, not an immediate law.