Politics
Transgender Missourians say this legislative session made them ‘refugees’ in their own state

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Linda, Pat and their 15-year-old son Alex describe themselves as refugees of Missouri.
Alex, which is a pseudonym to protect his privacy, is transgender. He’s lived his entire life in Missouri, and though his family imagined him leaving state for college, they truly believed Missouri would always be home.
It wasn’t until March, when Democrats in the state Senate were trying to block a bill banning transgender minors from puberty blockers and cross-sex hormones, that they knew Missouri was no longer safe for their son.
Access to medication, sports teams and even his mental well being could no longer be guaranteed in Missouri.
So that month, around the time efforts to stop the legislation fell short, Linda and Pat bought a house on the West Coast sight unseen and began to pack.
Linda’s job allows her to work remotely, so she was able to swiftly make a plan to relocate. She describes her family as privileged.
“So many people cannot escape,” Linda said. “We are some of the fortunate ones that we are able to actually (move). If people can leave, they’re trying to leave.”
Alex’s family isn’t alone.
Republican lawmakers have become laser focused on legislation affecting transgender Missourians. That reality is pushing some to flee with their families or send transgender teenagers to out-of-state universities.
Most can’t leave, or are determined to stay. But regardless of where these families choose to live, the last five months have left deep scars as these families watch lawmakers and the state’s attorney general take direct aim at their lives in a way most couldn’t imagine possible just a few months earlier.
“I think adults, for the first time, felt the real, palpable fear of the types of things that are happening in Florida and Texas,” Shira Berkowitz, senior director of public policy and advocacy for LGBTQ+ organization PROMO, said. “It’s both about wanting to move now before Missouri could ever get to that point and to not have to think about this.”
Similar legislation has been percolating in Missouri for the past three years. But Berkowitz said the avalanche of bills, and the priority they were given, made 2023 different.
“Actionably, trans Missourians have to think differently about protecting themselves this year than any other year,” Berkowitz said.
By the end of the 2023 legislative session, the American Civil Liberties Union was tracking 48 bills in Missouri it deemed anti-LGBTQ. Only one state, Texas, had more bills on the ACLU’s list.
Annelise Hanshaw
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Missouri IndependentA transgender teenager, born and raised in Missouri, prepares to leave the state after he and his parents pursue a safer environment.
For some, even the threat of the legislation was enough to push them to other states. Then, they must look at what legislation is passing in their potential new home.
“It’s not just (Missouri) that has bills that are very clearly moving through the process and are not being stopped, it’s that other states all around us are passing the same laws,” Berkowitz said.
Transgender Missourians are looking to states with more welcoming laws, Berkowitz said, specifically those that are “doubling down on ‘trans health care is health care.’”
Speaking to reporters on the legislative session’s final day, House Speaker Dean Plocher, R-Des Peres, defended the legislature’s actions.
“I think we addressed transgender [sic] as we thought we should,” he said. He went on to say: “Our children don’t need to have these transformative surgeries or drugs given to them when they’re teenagers. They need to be 18.”
Linda has heard from transgender kids who wonder whether to speed up plans to start cross-sex hormones prior to August, when a bill banning minors from access hormones goes into effect. Anyone receiving treatment prior to Aug. 28 will be permitted to continue.
For her family, and many others, moving just made more sense.
“There’s no point staying,” she said. “I consider it dangerous here.”
Mental health
Carol Sattler assists Columbia-based LGBTQ+ community center The Center Project as a program coordinator for a parent group. She said she felt a “real shift” in the group last week as more people consider moving out of state.
“I really felt like people are seriously thinking about this,” she said. “Because people know that next year is going to be worse.”
Sattler has attended the group since 2016 to support her nonbinary child, and parents started worrying more about the state legislature last year, she told The Independent.
“Starting last year, people’s blood pressure is just going way up,” she remarked.
Annelise Hanshaw
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/Missouri IndependentLGBTQ advocates speak at a rally on the steps of the Missouri Capitol Feb. 7, 2023.
The parents begin meetings discussing the latest legislation — a means to address the issue and refocus on their children for the rest of the gathering.
“The nonstop stuff we have to pay attention to takes time and energy and focus,” Sattler said. “When you could be out having fun, or in my case, working in my garden or whatever. But instead you’re looking at bills and seeing where they are.”
Families traveled from across the state to the Capitol throughout the legislative session to testify against the proposed bills. But in most cases, testimony was limited, leaving those who made the trip unable to share their thoughts.
For those who did testify, they feel their pleas were not considered.
“Our families are having to come up and testify repeatedly, sharing their stories and trying to change the hearts and minds of elected leaders,” Berkowitz said. “It has created an environment where they have to sit in the harm and that fear, and they know they’re not being heard.”
In a national poll by The Trevor Project, a nonprofit supporting LGBTQ+ youth’s mental health, 86% of transgender and nonbinary youth reported that “recent debates about state laws restricting the rights of transgender people have negatively impacted their mental health.”
In another survey by The Trevor Project, 55% of young transgender and nonbinary Missourians said they “seriously considered attempting suicide in the past year.”
Although Alex says his peers sometimes make flippant comments about transgender people, he surrounds himself with affirming friends. If not for the new laws being enacted, he wouldn’t want to move.
Carlos Moreno
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KCUR 89.3Marchers in Kansas City protest with students from Crossroads Preparatory Academy on April 13, 2022 who walked out of class to protest anti-LGBTQ bills in the Missouri legislature.
Reaction
One day after state lawmakers passed anti-transgender bills, Kansas City passed a resolution labeling itself a “safe haven for gender-affirming health care.”
The resolution says city personnel will not prosecute or punish people or organizations helping others receive gender-affirming care. If Missouri imposes a law punishing those involved in or receiving care, “city personnel shall make enforcement of said law or regulation their lowest priority.”
“Kansas City government is committed to ensuring Kansas City is a welcoming, inclusive, and safe place for everyone, including our transgender and LGBTQ+ community,” Mayor Quinton Lucas said in a statement.
Berkowitz said PROMO and other organizations are having to thoughtfully consider their approach. While some families are leaving the state, groups want to support those who remain.
“Are there going to be mutual aid to help keep this care available? Are parents going to have to establish telehealth networks outside of the state? Do they need doctors in Illinois?” Berkowitz said. “Those conversations started months ago.”
Planned Parenthood offers gender-affirming care for patients 16 and older. Yamelsie Rodríguez, president and CEO of Planned Parenthood of the St. Louis Region and Southwest Missouri, said her organization’s location in Fairview Heights, Illinois, will welcome Missourians willing to travel just across the state line.
The ACLU of Missouri, which already sued to block the attorney general’s emergency order blocking access to gender-affirming care for both adults and minors, has vowed to “explore all options” to combat legislation passed this year.
Asked about families leaving the state because of the legislature’s actions, Plocher said they shouldn’t be fearful and that the Missouri GOP doesn’t have “any disdain for anybody.”
“What we’re doing is protecting children from undergoing what we believe are harmful procedures,” he said.
He pointed to the legislation regarding transgender student athletes.
“I have a 14-year-old daughter. I don’t want her playing sports against a guy,” Plocher said. “We passed this common-sense reform to protect our children, and I’m sorry that families feel that way. But this is Missouri, and we’re gonna protect the vulnerable.”
House Minority Leader Crystal Quade, D-Springfield, said she doesn’t think Plocher is listening to families with transgender kids.
“I personally have been contacted by many families who are leaving our state,” she said. “What I continue to say to them is, ‘I understand, and I’m sorry that we weren’t able to stop this from happening, and I’m sorry that you don’t live in a state that you feel safe in.’”
Alex said he is “terrified” to start over in a new school in a new state. But his anxiety about the change isn’t enough to keep him in Missouri.
“It feels like, wow, things are actually happening, and we are moving. It’s very stressful,” he said. “If I had the option, I would stay here. But that isn’t an option for me.”
Alex said his parents aren’t forcing him to move. Instead, it’s Missouri elected officials pushing him away.
It is a quick move, Linda acknowledged, but the tension has been building for years.
“There are certain times where it was like, when do you leave the place where you’re comfortable and is your home?” she said. “When do you choose to be either internally displaced in your country or become a refugee?”
This story was originally published on the Missouri Independent.
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Poll: Support for Missouri abortion rights amendment growing

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A proposed constitutional amendment legalizing abortion in Missouri received support from more than half of respondents in a new poll from St. Louis University and YouGov.That’s a boost from a poll earlier this year, which could mean what’s known as Amendment 3 is in a solid position to pass in November.SLU/YouGov’s poll of 900 likely Missouri voters from Aug. 8-16 found that 52% of respondents would vote for Amendment 3, which would place constitutional protections for abortion up to fetal viability. Thirty-four percent would vote against the measure, while 14% aren’t sure.By comparison, the SLU/YouGov poll from February found that 44% of voters would back the abortion legalization amendment.St. Louis University political science professor Steven Rogers said 32% of Republicans and 53% of independents would vote for the amendment. That’s in addition to nearly 80% of Democratic respondents who would approve the measure. In the previous poll, 24% of Republicans supported the amendment.Rogers noted that neither Amendment 3 nor a separate ballot item raising the state’s minimum wage is helping Democratic candidates. GOP contenders for U.S. Senate, governor, lieutenant governor, treasurer and secretary of state all hold comfortable leads.“We are seeing this kind of crossover voting, a little bit, where there are voters who are basically saying, ‘I am going to the polls and I’m going to support a Republican candidate, but I’m also going to go to the polls and then I’m also going to try to expand abortion access and then raise the minimum wage,’” Rogers said.Republican gubernatorial nominee Mike Kehoe has a 51%-41% lead over Democrat Crystal Quade. And U.S. Sen. Josh Hawley is leading Democrat Lucas Kunce by 53% to 42%. Some GOP candidates for attorney general, secretary of state and treasurer have even larger leads over their Democratic rivals.
Brian Munoz
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St. Louis Public RadioHundreds of demonstrators pack into a parking lot at Planned Parenthood of St. Louis and Southwest Missouri on June 24, 2022, during a demonstration following the Supreme Court’s reversal of a case that guaranteed the constitutional right to an abortion.
One of the biggest challenges for foes of Amendment 3 could be financial.Typically, Missouri ballot initiatives with well-funded and well-organized campaigns have a better chance of passing — especially if the opposition is underfunded and disorganized. Since the end of July, the campaign committee formed to pass Amendment 3 received more than $3 million in donations of $5,000 or more.That money could be used for television advertisements to improve the proposal’s standing further, Rogers said, as well as point out that Missouri’s current abortion ban doesn’t allow the procedure in the case of rape or incest.“Meanwhile, the anti side won’t have those resources to kind of try to make that counter argument as strongly, and they don’t have public opinion as strongly on their side,” Rogers said.There is precedent of a well-funded initiative almost failing due to opposition from socially conservative voters.In 2006, a measure providing constitutional protections for embryonic stem cell research nearly failed — even though a campaign committee aimed at passing it had a commanding financial advantage.Former state Sen. Bob Onder was part of the opposition campaign to that measure. He said earlier this month it is possible to create a similar dynamic in 2024 against Amendment 3, if social conservatives who oppose abortion rights can band together.“This is not about reproductive rights or care for miscarriages or IVF or anything else,” said Onder, the GOP nominee for Missouri’s 3rd Congressional District seat. “Missourians will learn that out-of-state special interests and dark money from out of state is lying to them and they will reject this amendment.”Quade said earlier this month that Missourians of all political ideologies are ready to roll back the state’s abortion ban.“Regardless of political party, we hear from folks who are tired of politicians being in their doctor’s offices,” Quade said. “They want politicians to mind their own business. So this is going to excite folks all across the political spectrum.”
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Democrat Mark Osmack makes his case for Missouri treasurer

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Mark Osmack has been out of the electoral fray for awhile, but he never completely abandoned his passion for Missouri politics.Osmack, a Valley Park native and U.S. Army veteran, previously ran for Missouri’s 2nd Congressional District seat and for state Senate. Now he’s the Democratic nominee for state treasurer after receiving a phone call from Missouri Democratic Party Chairman Russ Carnahan asking him to run.“There’s a lot of decision making and processing and evaluation that goes into it, which is something I am very passionate and interested in,” Osmack said this week on an episode of Politically Speaking.Osmack is squaring off against state Treasurer Vivek Malek, who was able to easily win a crowded GOP primary against several veteran lawmakers including House Budget Chairman Cody Smith and state Sen. Andrew Koenig.While Malek was able to attract big donations to his political action committee and pour his own money into the campaign, Osmack isn’t worried that he won’t be able to compete in November. Since Malek was appointed to his post, Osmack contends he hasn’t proven that he’s a formidable opponent in a general election.“His actions and his decision making so far in his roughly two year tenure in that office have been questionable,” Osmack said.Among other things, Osmack was critical of Malek for placing unclaimed property notices on video gaming machines which are usually found in gas stations or convenience stores. The legality of the machines has been questioned for some time.As Malek explained on his own episode of Politically Speaking, he wanted to make sure the unclaimed property program was as widely advertised as possible. But he acknowledged it was a mistake to put the decals close to the machines and ultimately decided to remove them.Osmack said: “This doesn’t even pass the common sense sniff test of, ‘Hey, should I put state stickers claiming you might have a billion dollars on a gambling machine that is not registered with the state of Missouri?’ If we’re gonna give kudos for him acknowledging the wrong thing, it never should have been done in the first place.”Osmack’s platform includes supporting programs providing school meals using Missouri agriculture products and making child care more accessible for the working class.He said the fact that Missouri has such a large surplus shows that it’s possible to create programs to make child care within reach for parents.“It is quite audacious for [Republicans] to brag about $8 billion, with a B, dollars in state surplus, while we offer next to no social services to include pre-K, daycare, or child care,” Osmack said.Here’s are some other topics Osmack discussed on the show:How he would handle managing the state’s pension systems and approving low-income housing tax credits. The state treasurer’s office is on boards overseeing both of those programs.Malek’s decision to cut off investments from Chinese companies. Osmack said that Missouri needs to be cautious about abandoning China as a business partner, especially since they’re a major consumer of the state’s agriculture products. “There’s a way to make this work where we are not supporting communist nations to the detriment of the United States or our allies, while also maintaining strong economic ties that benefit Missouri farmers,” he said.What it was like to witness the skirmish at the Missouri State Fair between U.S. Sen. Josh Hawley and Democratic challenger Lucas Kunce.Whether Kunce can get the support of influential groups like the Democratic Senatorial Campaign Committee, which often channels money and staff to states with competitive Senate elections.
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As Illinois receives praise for its cannabis equity efforts, stakeholders work on system’s flaws

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Medical marijuana patients can now purchase cannabis grown by small businesses as part of their allotment, Illinois’ top cannabis regulator said, but smaller, newly licensed cannabis growers are still seeking greater access to the state’s medical marijuana customers.Illinois legalized medicinal marijuana beginning in 2014, then legalized it for recreational use in 2020. While the 2020 law legalized cannabis use for any adult age 21 or older, it did not expand licensing for medical dispensaries.Patients can purchase marijuana as part of the medical cannabis program at dual-purpose dispensaries, which are licensed to serve both medical and recreational customers. But dual-purpose dispensaries are greatly outnumbered by dispensaries only licensed to sell recreationally, and there are no medical-only dispensaries in the state.As another part of the adult-use legalization law, lawmakers created a “craft grow” license category that was designed to give more opportunities to Illinoisans hoping to legally grow and sell marijuana. The smaller-scale grow operations were part of the 2020 law’s efforts to diversify the cannabis industry in Illinois.Prior to that, all cultivation centers in Illinois were large-scale operations dominated by large multi-state operators. The existing cultivators, mostly in operation since 2014, were allowed to grow recreational cannabis beginning in 2019.Until recently, dual-purpose dispensaries have been unsure as to whether craft-grown products, made by social equity licensees — those who have lived in a disproportionately impacted area or have been historically impacted by the war on drugs — can be sold medicinally as part of a patient’s medical allotment.Erin Johnson, the state’s cannabis regulation oversight officer, told Capitol News Illinois last month that her office has “been telling dispensaries, as they have been asking us” they can now sell craft-grown products to medical patients.“There was just a track and trace issue on our end, but never anything statutorily,” she said.
Dilpreet Raju
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Capitol News IllinoisThe graphic shows how cannabis grown in Illinois gets from cultivation centers to customers.
No notice has been posted, but Johnson’s verbal guidance comes almost two years after the first craft grow business went online in Illinois.It allows roughly 150,000 medical patients, who dispensary owners say are the most consistent purchasers of marijuana, to buy products made by social equity businesses without paying recreational taxes. However — even as more dispensaries open — the number available to medical patients has not increased since 2018, something the Cannabis Regulation Oversight Office “desperately” wants to see changed. Johnson said Illinois is a limited license state, meaning “there are caps on everything” to help control the relatively new market.Berwyn Thompkins, who operates two cannabis businesses, said the rules limited options for patients and small businesses.“It’s about access,” Thompkins said. “Why wouldn’t we want all the patients — which the (adult-use) program was initially built around — why wouldn’t we want them to have access? They should have access to any dispensary.”Customers with a medical marijuana card pay a 1% tax on all marijuana products, whereas recreational customers pay retail taxes between roughly 20 and 40% on a given cannabis product, when accounting for local taxes.While Illinois has received praise for its equity-focused cannabis law, including through an independent study that showed more people of color own cannabis licenses than in any other state, some industry operators say they’ve experienced many unnecessary hurdles getting their businesses up and running.The state, in fact, announced last month that it had opened its 100th social equity dispensary.But Steve Olson, purchasing manager at a pair of dispensaries (including one dual-purpose dispensary) near Rockford, said small specialty license holders have been left in the lurch since the first craft grower opened in October 2022.“You would think that this would be something they’re (the government) trying to help out these social equity companies with, but they’re putting handcuffs on them in so many different spots,” he said. “One of them being this medical thing.”Olson said he contacted state agencies, including the Department of Financial and Professional Regulation, months ago about whether craft products can be sold to medical patients at their retail tax rate, but only heard one response: “They all say it was an oversight.”This potentially hurt social equity companies because they sell wholesale to dispensaries and may have been missing out on a consistent customer base through those medical dispensaries.Olson said the state’s attempts to provide licensees with a path to a successful business over the years, such as with corrective lotteries that granted more social equity licenses, have come up short.“It’s like they almost set up the social equity thing to fail so the big guys could come in and swoop up all these licenses,” Olson said. “I hate to feel like that but, if you look at it, it’s pretty black and white.”Olson said craft companies benefit from any type of retail sale.“If we sell it to medical patients or not, it’s a matter of, ‘Are we collecting the proper taxes?’ That’s all it is,” he said.State revenue from cannabis taxes, licensing costs and other fees goes into the Cannabis Regulation Fund, which is used to fund a host of programs, including cannabis offense expungement, the general revenue fund, and the R3 campaign aiming to uplift disinvested communities.For fiscal year 2024, nearly $256 million was paid out from Cannabis Regulation Fund for related initiatives, which includes almost $89 million transferred to the state’s general revenue fund and more than $20 million distributed to local governments, according to the Illinois Department of Revenue.Medical access still limitedThe state’s 55 medical dispensaries that predate the 2020 legalization law, mostly owned by publicly traded multistate operators that had been operating in Illinois since 2014 under the state’s medical marijuana program, were automatically granted a right to licenses to sell recreationally in January 2020. That gave them a dual-purpose license that no new entrants into the market can receive under current law.Since expanding their clientele in 2020, Illinois dispensaries have sold more than $6 billion worth of cannabis products through recreational transactions alone.Nearly two-thirds of dispensaries licensed to sell to medical patients are in the northeast counties of Cook, DuPage, Kane, Lake and Will. Dual-purpose dispensaries only represent about 20 percent of the state’s dispensaries.While the state began offering recreational dispensary licenses since the adult-use legalization law passed, it has not granted a new medical dispensary license since 2018. That has allowed the established players to continue to corner the market on the state’s nearly 150,000 medical marijuana patients.But social equity licensees and advocates say there are more ways to level the playing field, including expanding access to medical sales.Johnson, who became the state’s top cannabis regulator in late 2022, expressed hope for movement during the fall veto session on House Bill 2911, which would expand medical access to all Illinois dispensaries.“We would like every single dispensary in Illinois to be able to serve medical patients,” Johnson said. “It’s something that medical patients have been asking for, for years.”Johnson said the bill would benefit patients and small businesses.“It’s something we desperately want to happen as a state system, because we want to make sure that medical patients are able to easily access what they need,” she said. “We also think it’s good for our social equity dispensaries, as they’re opening, to be able to serve medical patients.”Rep. Bob Morgan, D-Deerfield, who was the first statewide project coordinator for Illinois’ medical cannabis program prior to joining the legislature, wrote in an email to Capitol News Illinois that the state needs to be doing more for its patients.“Illinois is failing the state’s 150,000 medical cannabis patients with debilitating conditions. Too many are still denied the patient protections they deserve, including access to their medicine,” Morgan wrote, adding he would continue to work with stakeholders on further legislation.Capitol News Illinois is a nonprofit, nonpartisan news service covering state government. It is distributed to hundreds of newspapers, radio and TV stations statewide. It is funded primarily by the Illinois Press Foundation and the Robert R. McCormick Foundation, along with major contributions from the Illinois Broadcasters Foundation and Southern Illinois Editorial Association.
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