SB1141 • 2026

Creates provisions relating to the right to refuse to participate in certain medical treatment

Healthcare

Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor: Hudson, Brad; House handler: N/A
Last action: 2026-01-15
Official status: Second Read and Referred S Families, Seniors and Health Committee
Effective date: 2026-08-28

Plain English Breakdown

Using official source text because the generated explanation was unavailable or could not be confirmed against the official bill text.

Creates provisions relating to the right to refuse to participate in certain medical treatment

The following summaries of this bill are available: Print All Summaries Introduced Print SB 1141 - Under this act, no health care institution, health care professional, or other person shall be required to perform, assist, or participate in medical procedures, treatments, counseling, prescriptions, or surgeries related to sex reassignment or gender identity transitioning if such procedures, treatments, counseling, prescriptions, or surgeries are contrary to the established policy of, or the moral, ethical, or religious beliefs of, such institution or professional or other person.

What This Bill Does

The following summaries of this bill are available: Print All Summaries Introduced Print SB 1141 - Under this act, no health care institution, health care professional, or other person shall be required to perform, assist, or participate in medical procedures, treatments, counseling, prescriptions, or surgeries related to sex reassignment or gender identity transitioning if such procedures, treatments, counseling, prescriptions, or surgeries are contrary to the established policy of, or the moral, ethical, or religious beliefs of, such institution or professional or other person.
No person shall be denied or discriminated against in the receipt of any public benefit, assistance, or privilege or denied or discriminated against in the public or private employment on the grounds of refusal to perform, assist, or participate in sex reassignment or gender identity transitioning medical procedures, treatments, counseling, prescriptions, or surgeries, as described in the act.
No cause of action shall accrue against an institution, professional, or other person on account of the refusal to perform, assist, or participate in such described activities.
An institution, professional, or other aggrieved person may bring a civil action for a violation of the rights set forth in this act.

Limits and Unknowns

This entry is temporarily using official source text because the generated explanation could not be confirmed against the official bill text during the last sync.

Bill History

2026-01-15 S189
Second Read and Referred S Families, Seniors and Health Committee
2026-01-07 S64
S First Read
2025-12-01 Missouri House of Representatives and Missouri Senate
Prefiled

Official Summary Text

The following summaries of this bill are available:

Print All Summaries

Introduced

Print

SB 1141 - Under this act, no health care institution, health care professional, or other person shall be required to perform, assist, or participate in medical procedures, treatments, counseling, prescriptions, or surgeries related to sex reassignment or gender identity transitioning if such procedures, treatments, counseling, prescriptions, or surgeries are contrary to the established policy of, or the moral, ethical, or religious beliefs of, such institution or professional or other person.

No person shall be denied or discriminated against in the receipt of any public benefit, assistance, or privilege or denied or discriminated against in the public or private employment on the grounds of refusal to perform, assist, or participate in sex reassignment or gender identity transitioning medical procedures, treatments, counseling, prescriptions, or surgeries, as described in the act.

No cause of action shall accrue against an institution, professional, or other person on account of the refusal to perform, assist, or participate in such described activities. An institution, professional, or other aggrieved person may bring a civil action for a violation of the rights set forth in this act.

This act is similar to HB 1519 (2024).
SARAH HASKINS

Current Bill Text

Read the full stored bill text

SECOND REGULAR SESSION
SENATE BILL NO. 1141
103RD GENERAL ASSEMBLY
INTRODUCED BY SENATOR HUDSON.
4462S.02I KRISTINA MARTIN, Secretary
AN ACT
To amend chapter 191, RSMo, by adding thereto one new section relating to the right to refuse to
participate in certain medical treatments.
Be it enacted by the General Assembly of the State of Missouri, as follows:
Section A. Chapter 191, RSMo, is amended by adding thereto 1
one new section, to be known as section 191.1705, to read as 2
follows:3
191.1705. 1. As used in this section, the following 1
terms mean: 2
(1) "Health care institution", any public or private 3
hospital, outpatient center for primary care, medical 4
center, physician organization, health care professional 5
association, outpatient center for surgical services, 6
private physician's office, pharmacy, long-term care 7
facility, medical school, nursing school, medical training 8
facility, or other entity or location in which health care 9
services are performed; 10
(2) "Health care professional", any physician; nurse 11
practitioner or other nurse; physician assistant; nurse's 12
aide; allied health professional; medical assistant; 13
employee of a hospital, outpatient center for primary care, 14
outpatient center for surgical services, long-term care 15
facility, or pharmacy; pharmacist; pharmacy technician; 16
medical school faculty member or student; nursing school 17
SB 1141 2
faculty member or student; psychology or counseling faculty 18
member or student; medical researcher; laboratory 19
technician; counselor; social worker; or other person who 20
facilitates or participates in a health care service; 21
(3) "Sex reassignment or gender identity 22
transitioning", the process in which a person transitions 23
from identifying with and living as a gender that 24
corresponds to his or her biological sex to identifying with 25
and living as a gender different from his or her biological 26
sex and may involve social, legal, or physical changes. 27
2. No health care institution or any health care 28
professional or other person shall be required to perform, 29
assist, or participate in medical procedures, treatments, 30
counseling, prescriptions, or surgeries related to sex 31
reassignment or gender identity transitioning if such 32
procedures, treatments, counseling, prescriptions, or 33
surgeries are contrary to the established policy of, or the 34
moral, ethical, or religious beliefs of, such health care 35
institution, health care professional, or other person. 36
3. No person or institution shall be: 37
(1) Denied or discriminated against in the receipt of 38
any public benefit, assistance, or privilege whatsoever; or 39
(2) Denied or discriminated against in any public or 40
private employment by any means including, but not limited 41
to, any adverse action related to hiring, promotion, 42
advancement, transfer, licensing, education, training, or 43
granting of hospital privileges or staff appointments on the 44
grounds that the person or institution refuses to perform, 45
assist, or participate in medical procedures, treatments, 46
counseling, prescriptions, or surgeries related to sex 47
reassignment or gender identity transitioning. 48
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4. No cause of action shall accrue against any such 49
health care institution, health care professional, or other 50
person on account of such refusal to perform, assist, or 51
participate in medical procedures, treatments, counseling, 52
prescriptions, or surgeries related to sex reassignment or 53
gender identity transitioning. This section may be used as 54
a defense in any purported action related to or arising out 55
of the exercise of the rights protected by this section. A 56
health care institution, health care professional, or other 57
person protected by this section who is aggrieved by a 58
violation of the protections afforded under this section may 59
commence a civil action at law, or in equity, for damages 60
and injunctive or other appropriate relief. A prevailing 61
party who establishes a violation of the rights protected by 62
this section shall be awarded reasonable attorney's fees. 63
5. Nothing in this section shall be construed to allow 64
any person to deny visitation, recognition of a designated 65
representative for health care decision-making, or emergency 66
medical treatment necessary to cure an illness or injury as 67
required by law in accordance with the Emergency Medical 68
Treatment and Labor Act, 42 U.S.C. Section 1395dd, in effect 69
on January 1, 2026. 70
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