| 1 | 1 | | |
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| 2 | 2 | | FIRST REGULAR SESSION |
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| 3 | 3 | | SENATE JOINT RESOLUTION NO. 9 |
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| 4 | 4 | | 103RD GENERAL ASSEMBLY |
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| 5 | 5 | | INTRODUCED BY SENATOR MOON. |
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| 6 | 6 | | 1072S.01I KRISTINA MARTIN, Secretary |
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| 7 | 7 | | JOINT RESOLUTION |
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| 8 | 8 | | Submitting to the qualified voters of Missouri, an amendment to article I of the Constitution of |
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| 9 | 9 | | Missouri, by adding thereto one new section relating to reproductive health care. |
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| 10 | 10 | | |
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| 11 | 11 | | Be it resolved by the Senate, the House of Representatives concurring therein: |
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| 12 | 12 | | That at the next general election to be held in the 1 |
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| 13 | 13 | | state of Missouri, on Tuesday next following the first Monday 2 |
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| 14 | 14 | | in November, 2026, or at a special election to be called by 3 |
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| 15 | 15 | | the governor for that purpose, there is he reby submitted to 4 |
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| 16 | 16 | | the qualified voters of this state, for adoption or 5 |
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| 17 | 17 | | rejection, the following amendment to article I of the 6 |
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| 18 | 18 | | Constitution of the state of Missouri:7 |
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| 19 | 19 | | Section A. Article I, Constitution of Missouri, is amended 1 |
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| 20 | 20 | | by adding thereto one new section, to be known as section 36(a), 2 |
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| 21 | 21 | | to read as follows:3 |
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| 22 | 22 | | Section 36(a). 1. Notwithstanding any provision of 1 |
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| 23 | 23 | | section 36 of article I of this Constitution to the contrary: 2 |
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| 24 | 24 | | (1) No abortion shall be performed or induced upon a 3 |
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| 25 | 25 | | woman, except in cases of medical emergency; 4 |
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| 26 | 26 | | (2) No gender transition surgeries shall be knowingly 5 |
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| 27 | 27 | | performed on children under eighteen years of age and no 6 |
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| 28 | 28 | | cross-sex hormones or puberty -blocking drugs shall be 7 |
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| 29 | 29 | | knowingly prescribed or administered for the purpose of 8 |
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| 30 | 30 | | gender transition to children under eighteen years of age. 9 |
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| 31 | 31 | | The provisions of this section shall not apply to the use of 10 |
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| 32 | 32 | | such surgeries, drugs, or hormones to treat children born 11 SJR 9 2 |
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| 33 | 33 | | with a medically verifiable disorder of sex development or 12 |
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| 34 | 34 | | to treat any infection, injury, disease, or disorder 13 |
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| 35 | 35 | | unrelated to the purpose of a gender transition; and 14 |
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| 36 | 36 | | (3) The right to reproductive freedom shall not be 15 |
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| 37 | 37 | | construed to exempt any person, firm, or corporation from 16 |
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| 38 | 38 | | civil liability for medical malpr actice, negligence, or 17 |
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| 39 | 39 | | wrongful death. 18 |
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| 40 | 40 | | 2. The general assembly shall have the authority to 19 |
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| 41 | 41 | | enact laws to carry out the provisions of this section. 20 |
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| 42 | 42 | | 3. As used in this section, the following terms mean: 21 |
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| 43 | 43 | | (1) "Cross-sex hormones", testoster one, estrogen, or 22 |
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| 44 | 44 | | other androgens given to an individual in amounts that are 23 |
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| 45 | 45 | | greater or more potent than would normally occur naturally 24 |
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| 46 | 46 | | in a healthy individual of the same age and sex; 25 |
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| 47 | 47 | | (2) "Gender transition surgery", a surgical procedure 26 |
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| 48 | 48 | | performed for the purpose of assisting an individual with 27 |
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| 49 | 49 | | identifying with and living as a gender different from his 28 |
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| 50 | 50 | | or her biological sex; 29 |
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| 51 | 51 | | (3) "Medical emergency", a condition which, based on 30 |
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| 52 | 52 | | reasonable medical judgment, so complicates the medical 31 |
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| 53 | 53 | | condition of a pregnant woman as to necessitate the 32 |
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| 54 | 54 | | immediate abortion of her pregnancy to avert the death of 33 |
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| 55 | 55 | | the pregnant woman or for which a delay will create a 34 |
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| 56 | 56 | | serious risk of substantial and irreversible physical 35 |
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| 57 | 57 | | impairment of a major bodily function of the pregnant woman; 36 |
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| 58 | 58 | | (4) "Puberty-blocking drugs", gonadotropin -releasing 37 |
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| 59 | 59 | | hormone analogues or other synthetic drugs used to stop 38 |
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| 60 | 60 | | luteinizing hormone secretion and follicle stimulating 39 |
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| 61 | 61 | | hormone secretion, synthetic antiandrogen drugs to block the 40 |
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| 62 | 62 | | androgen receptor, or any other drug used to delay or 41 |
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| 63 | 63 | | suppress pubertal development in children for the purpose of 42 |
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| 64 | 64 | | assisting an individual with a gender transition. 43 SJR 9 3 |
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| 65 | 65 | | Section B. Pursuant to chapter 116, and other 1 |
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| 66 | 66 | | applicable constitut ional provisions and laws of this state 2 |
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| 67 | 67 | | allowing the general assembly to adopt ballot language for 3 |
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| 68 | 68 | | the submission of this joint resolution to the voters of 4 |
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| 69 | 69 | | this state, the official summary statement of this 5 |
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| 70 | 70 | | resolution shall be as follows: 6 |
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| 71 | 71 | | "Shall the Missouri Constitution be amended to: 7 |
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| 72 | 72 | | ● Prohibit surgeries, hormones, and drugs used 8 |
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| 73 | 73 | | on children for gender transitions; 9 |
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| 74 | 74 | | ● Permit abortions only in cases of medical 10 |
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| 75 | 75 | | emergencies; and 11 |
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| 76 | 76 | | ● Guarantee the right to reproductive health 12 |
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| 77 | 77 | | care does not limit liability for malpractice, 13 |
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| 78 | 78 | | negligence, or wrongful death?". 14 |
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| 79 | 79 | | |
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