An emergency rule introduced this week by Missouri’s Republican Attorney General Andrew Bailey will impose numerous restrictions on both adults and children before they can receive puberty-blocking drugs, hormones or gender-affirming surgeries
aimed at nearly every facet of transgender existence, with a particular emphasis on health care.
Three states have imposed restrictions on gender-affirming care via regulation or administrative order, but Missouri’s regulation is the only one that also limits treatments for adults. Dr. Meredithe McNamara, an assistant professor of pediatrics specializing in adolescent medicine at the Yale School of Medicine, said evidence widely supports maintaining access to hormone therapy and other gender-affirming care.
A 2020 study from natural sciences journal Nature Communications estimated that transgender and gender-diverse people, or those whose gender expressions do not conform to gender norms, are 3-6 times more likely to be autistic compared to cisgender people. They were also more likely to have other developmental and psychiatric conditions, including depression.
Missouri falls under the 8th U.S. Circuit Court of Appeals — the same court that upheld a preliminary injunction last year preventingfrom enforcing a first-in-the-nation ban on trans children receiving gender-affirming treatments. Federal judges have also blocked enforcement of a similar law in Alabama.
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