Text of MO HJR 47 (2025)
Proposes a constitutional amendment establishing provisions relating to reproductive health care
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As introduced
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FIRST REGULAR SESSION
HOUSE JOINT
RESOLUTION NO. 47
103RD GENERAL ASSEMBLY
INTRODUCED BY REPRESENTATIVE LEWIS.
2047H.01I
JOSEPH ENGLER, Chief Clerk
JOINT RESOLUTION
Submitting to the qualified voters of Missouri an amendment to Article I of the Constitution
of Missouri, by adopting one new section relating to reproductive health care.
Be it resolved by the House of Representatives, the Senate concurring therein:
That at the next general election to be held in the state of Missouri, on Tuesday next
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following the first Monday in November, 2026, or at a special election to be called by the
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governor for that purpose, there is hereby submitted to the qualified voters of this state, for
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adoption or rejection, the following amendment to Article I of the Constitution of the state of
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Missouri:
Section A.
Article I, Constitution of Missouri, is amended by adopting one new
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section, to be known as Section 36(a), to read as follows:
Section 36(a). 1.
Notwithstanding any provision of Section 36 of Article I of this
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Constitution to the contrary, the right to reproductive freedom shall not be construed to
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include:
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(1)
The performance of gender transition surgeries or the prescription or
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administration of cross-sex hormones or puberty-blocking drugs to children for the
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purpose of gender transition;
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(2) The performance and inducement of abortions, except in cases of medical
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emergencies, fetal anomalies, rape, or incest.
In the case of abortions performed or
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induced in cases of rape or incest, the abortion may be performed or induced no later
EXPLANATION —
Matter enclosed in bold-faced brackets [thus] in the above bill is not enacted and is
intended to be omitted from the law. Matter in bold-face type in the above bill is proposed language.
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than twenty weeks gestational age of the unborn child and only if a police report has
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been filed alleging the offense of rape or incest; and
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(3) The expenditure of public funds for the purpose of performing or inducing,
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or otherwise assisting, any abortion, except in cases of medical emergencies, rape, or
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incest.
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2. Notwithstanding any provision of Section 36 of Article I of this Constitution to
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the contrary, the right to reproductive freedom shall not be construed to exempt any
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person, firm, or corporation from civil liability for medical malpractice, negligence, or
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wrongful death.
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3. The general assembly shall have the authority to enact laws to carry out the
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provisions of this section.
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4. As used in this section, the following terms mean:
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(1) "Cross-sex hormones", testosterone, estrogen, or other androgens given to an
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individual in amounts that are greater or more potent than would normally occur
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naturally in a healthy individual of the same age and sex, but shall not include hormones
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used to treat individuals born with a medically-verifiable disorder of sex development or
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the treatment of any infection, injury, disease, or disorder unrelated to the purpose of
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gender transition;
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(2)
"Fetal anomaly", a structural or functional abnormality in the unborn
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child's gestational development that would make life outside the womb impossible and
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that would present a serious physical risk to the mother to carry the child to term;
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(3)
"Gender transition surgery", a surgical procedure performed for the
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purpose of assisting an individual with identifying with and living as a gender different
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from his or her biological sex, but shall not include surgical procedures for individuals
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born with a medically verifiable disorder of sex development or the treatment of any
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infection, injury, disease, or disorder unrelated to the purpose of gender transition;
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(4)
"Medical emergency", a condition which, based on reasonable medical
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judgment, so complicates the medical condition of a pregnant woman as to necessitate
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the immediate abortion of her pregnancy to avert the death of the pregnant woman or
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for which a delay will create a serious risk of substantial and irreversible physical
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impairment of a major bodily function of the pregnant woman;
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(5)
"Puberty-blocking drugs", gonadotropin-releasing hormone analogues or
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other synthetic drugs used to stop luteinizing hormone secretion and follicle stimulating
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hormone secretion, synthetic antiandrogen drugs to block the androgen receptor, or any
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other drug used to delay or suppress pubertal development in children for the purpose
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of assisting an individual with a gender transition, but shall not include drugs used to
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treat individuals born with a medically verifiable disorder of sex development or the
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treatment of any infection, injury, disease, or disorder unrelated to the purpose of
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gender transition.
Section B. Pursuant to chapter 116, and other applicable constitutional provisions and
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laws of this state allowing the general assembly to adopt ballot language for the submission of
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this joint resolution to the voters of this state, the official summary statement of this
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resolution shall be as follows:
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"Shall the Missouri Constitution be amended to:
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• Protect children from gender transition surgeries, hormones, and drugs;
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•
Guarantee that reproductive freedom includes abortions only for medical
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emergencies, fetal anomalies, rape, or incest;
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•
Guarantee that reproductive freedom does not limit liability for malpractice,
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negligence, or wrongful death; and
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• Prohibit taxpayer funded abortions?".
✔
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