Missouri 2026 Regular Session Status: Passed House 14 R cosponsors

HB 2033 — Modifies provisions relating to gender transition procedures

Last action — Voted Do Pass (S)

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. 3
    Passed House
  4. 4
    Passed Senate
  5. 5
    To Executive
  6. 6
    Enacted

This bill has passed the House. Introduced December 01, 2025. It now moves to the second chamber.

Next likely step: consideration and a floor vote in the Senate.

Odds of enactment

Moderate chance

Based on the sponsor, cosponsors, and committee posture, this bill has a moderate chance of becoming law.

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A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Advancing 58% · moderate confidence

  • Passed House

    Current position in the legislative process.

  • 14 sponsors

    1 primary, 13 co-sponsors signed on.

  • Single-party support

    Sponsorship is currently within one party (14 R).

  • Cleared a recorded vote

    Passed 3 recorded votes so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Bill Text

What changed in the latest version

2 added · 1 removed

Plain-language change summary

In the updated version of Bill HB 2033, a phrase has been added to indicate that it is a perfected version, which means it has gone through improvements or revisions to address concerns raised during earlier discussions. This change is important because it clarifies that the bill is now in its final form, ready for further consideration or voting.

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SECOND REGULAR SESSION HOUSE COMMITTEE SUBSTITUTE FOR HOUSE BILL NOS.
SECOND REGULAR SESSION [PERFECTED] HOUSE COMMITTEE SUBSTITUTE FOR HOUSE BILL NOS.
2033, 1608, 1672 & 103RD GENERAL ASSEMBLY 5827H.02C JOSEPH ENGLER, Chief Clerk AN ACT To repeal section 191.1720, RSMo, and to enact in lieu thereof one new section relating to gender transition procedures.
2033, 1608, 1672 & 103RD GENERAL ASSEMBLY 5827H.02P JOSEPH ENGLER, Chief Clerk AN ACT To repeal section 191.1720, RSMo, and to enact in lieu thereof one new section relating to gender transition procedures.
(4) "Gender transition", the process in which an individual transitions from identifying with and living as a gender that corresponds to his or her biological sex to identifying with and living as a gender different from his or her biological sex, and may involve social, legal, or physical changes;
(4) "Gender transition", the process in which an individual transitions from identifying with and living as a gender that corresponds to his or her biological sex to EXPLANATION — Matter enclosed in bold-faced brackets [thus] in the above bill is not enacted and is intended to be omitted from the law.
EXPLANATION — Matter enclosed in bold-faced brackets [thus] in the above bill is not enacted and is intended to be omitted from the law.
HCS HBs 2033, 1608, 1672 & 1854 2 (5) "Gender transition surgery", a surgical procedure performed for the purpose of assisting an individual with a gender transition, including, but not limited to:
HCS HBs 2033, 1608, 1672 & 1854 2 identifying with and living as a gender different from his or her biological sex, and may involve social, legal, or physical changes;
(5) "Gender transition surgery", a surgical procedure performed for the purpose of assisting an individual with a gender transition, including, but not limited to:
(1) The prescription or administration of cross-sex hormones or puberty-blocking drugs to an individual under eighteen years of age for the purpose of a gender transition shall be considered grounds for a cause of action against the health care provider.
(1) The prescription or administration of cross-sex hormones or puberty-blocking drugs to an individual under eighteen years of age for the purpose of a gender transition shall HCS HBs 2033, 1608, 1672 & 1854 3 be considered grounds for a cause of action against the health care provider.
HCS HBs 2033, 1608, 1672 & 1854 3 (2) An action brought pursuant to this subsection shall be brought within fifteen years of the individual injured attaining the age of twenty-one or of the date the treatment of the injury at issue in the action by the defendant has ceased, whichever is later.
(2) An action brought pursuant to this subsection shall be brought within fifteen years of the individual injured attaining the age of twenty-one or of the date the treatment of the injury at issue in the action by the defendant has ceased, whichever is later.
(1) Services to individuals born with a medically-verifiable disorder of sex development, including, but not limited to, an individual with external biological sex HCS HBs 2033, 1608, 1672 & 1854 4 characteristics that are irresolvably ambiguous, such as those born with 46,XX chromosomes with virilization, 46,XY chromosomes with undervirilization, or having both ovarian and testicular tissue;
HCS HBs 2033, 1608, 1672 & 1854 4 (1) Services to individuals born with a medically-verifiable disorder of sex development, including, but not limited to, an individual with external biological sex characteristics that are irresolvably ambiguous, such as those born with 46,XX chromosomes with virilization, 46,XY chromosomes with undervirilization, or having both ovarian and testicular tissue;
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Action History

  1. Voted Do Pass (S)

  2. Executive Session Held (S)

  3. Public Hearing Held (S)

  4. Public Hearing Scheduled (S) - Wednesday, March 25, 2026, 8:00 a.m., Senate Commiittee Room 1 - 1st Floor

  5. Second read and referred: Families, Seniors and Health(S)

  6. Reported to the Senate and First Read (S)

  7. Third Read and Passed (H) - AYES: 102 NOES: 40 PRESENT: 2

  8. Taken Up for Third Reading (H)

  9. Perfected (H)

  10. HCS Adopted (H)

  11. Title of Bill - Agreed To

  12. Taken Up for Perfection (H)

  13. Placed on the Informal Perfection Calendar (H)

  14. Reported Do Pass (H) - AYES: 9 NOES: 3 PRESENT: 0

  15. Voted Do Pass (H)

  16. Executive Session Completed (H)

  17. Referred: Rules - Legislative(H)

  18. HCS Reported Do Pass (H) - AYES: 9 NOES: 4 PRESENT: 0

  19. HCS Voted Do Pass (H)

  20. Executive Session Completed (H)

  21. Public Hearing Completed (H)

  22. Referred: Emerging Issues(H)

  23. Read Second Time (H)

  24. Read First Time (H)

  25. Prefiled (H)

Sponsors

Sponsorship breakdown

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1 sponsors · 13 co-sponsors · 185 not signed on

Sponsors (1)

Co-sponsors (13)

Not signed on (185)

185 members have not signed on to this bill.

Show all 185 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Subjects

civil-rights healthcare
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

Who sponsors HB 2033?
HB 2033 is sponsored by Danny Busick (Republican), Brad Banderman (Republican), Don Mayhew (Republican), John Simmons (Republican), Steve Jordan (Republican), Bill Irwin (Republican), Lisa Durnell (Republican), Burt Whaley (Republican), John Hewkin (Republican), Bob Titus (Republican), Deanna Self (Republican), Brian Seitz (Republican), Bill Hardwick (Republican), and Melissa Schmidt (Republican).
What is the current status of HB 2033?
This bill has passed the House. Introduced December 01, 2025. It now moves to the second chamber.
Where can I track HB 2033?
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