密苏里州收紧了性别变化身份证要求,增加了手术或法院命令的证据。 Missouri tightens gender change ID requirements, adding proof of surgery or court order.

密苏里州税务局对改变国家签发的身份证上的性别提出了更严格的要求,要求出示性别确认手术或法院命令的证据。 Missouri's Revenue Department has introduced stricter requirements for changing gender on state-issued IDs, requiring proof of gender-affirmation surgery or a court order. 以前,只需要医生批准。 Previously, only a doctor's approval was needed. 这一变化受到LGBT-Q 权利倡导团体PROMO的批评,PROMO声称这一变革是未经事先宣布而实施的。 This change has faced criticism from LGBTQ+ rights advocacy group PROMO, who claim it was implemented without prior announcement. 密苏里州是24个州之一,其法律限制或禁止为未成年人提供以性别为主的医疗护理。 Missouri is among 24 states with laws restricting or banning gender-affirming medical care for minors.