KANSAS CITY, Mo. — Missouri’s attorney general has a warning for several providers across the state, including Kansas City’s Children’s Mercy and Planned Parenthood.

Senate Bill 49 took effect Monday, banning transgender children and some adults from receiving gender-affirming care.


What you need to know about Missouri’s new laws

The law blocks access to puberty blockers, hormones and gender-affirming surgeries for those under 18. Additionally, Medicaid will no longer cover gender-affirming treatments for adults, and the state will not provide gender-affirming surgeries to prisoners.

On Monday, Attorney General Andrew Bailey issued a letter to multiple health care providers saying they must “immediately cease and desist performing gender transition surgeries on minors.”

Physicians who violate the law face some big risks. Violations could lead to the state revoking licenses, and patients with an illegal procedure could file a lawsuit seeking up to $500,000 in damages.

Bailey said he sent the letter to the following health care facilities:

Washington University, St. Louis

Southampton Healthcare, St. Louis

Children’s Mercy, Kansas City

Planned Parenthood Great Plains, Kansas City

Planned Parenthood, St. Louis

AIDS Project of the Ozarks, Springfield

“The people of Missouri have spoken decisively on this issue through their elected representatives, and the courts, after a full evidentiary hearing, have declined to enjoin the law. The time for experimenting on Missouri’s children is over,” Bailey said.

A Missouri judge ruled just days ago that the law could take effect as scheduled.

The ACLU of Missouri, Lambda Legal, and Bryan Cave Leighton Paisner had sued last month to overturn the law on behalf of doctors, LGBTQ+ organizations, and three families of transgender minors, arguing that it is discriminatory.

They asked that the law be temporarily blocked as the court challenge against it plays out. 

Every major medical organization in the U.S., including the American Medical Association, has opposed bans on gender-affirming care for minors and supported the medical care for youth when administered appropriately.

But proponents of the law argued gender-affirming medical treatments are unsafe and untested.