Missouri High Court upholds gender-affirming care ban and Medicaid exclusion

The Missouri Supreme Court unanimously upheld a 2024 law barring minors from cross-sex hormones, puberty blockers, and gender-transition surgeries and prohibiting Medicaid coverage of gender-affirming care for all ages, applying rational-basis review and rejecting discrimination claims; adults may still obtain care out-of-pocket, and challengers have not announced an appeal yet.