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Missouri bill allows birth certificate sex designation changes via personal attestation

Original title: Modifies provisions relating to sex designations on birth certificates

Last action · February 5, 2026: Second Read and Referred S Emerging Issues and Professional Registration CommitteeSponsor: Patty Lewis

Introduced
Committee
Floor Vote
Passed
Law

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What This Bill Would Do

Official description

SB 1570 - Under current law, a birth certificate may be amended by a court order to reflect a surgical sex change. This act repeals that provision of law. Under this act, the State Registrar shall amend the birth certificate of a person born in this state to indicate a male, female, or X sex designation upon receipt of a statement signed by the person attesting to a gender identity other than that which is recorded on the birth certificate. SARAH HASKINS

Why it matters

Changes the documentation requirements for residents seeking to update their birth certificate sex marker by shifting from judicial and surgical verification to a self-attestation process.

Background
  • Missouri vital statistics laws govern how birth certificates and other official records are maintained and amended. context

Who It Would Affect

Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.

Directly affected

Individuals born in Missouri

Residents born in the state gain the ability to update their birth certificate sex designation using a signed statement rather than a court order and surgical documentation.

Directly affected

State Registrar

The State Registrar must update birth certificates based on individual self-attestation statements instead of verifying court orders and surgical procedures.

Key Facts

You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.

Frequently Asked Questions

What is required to change the sex designation on a Missouri birth certificate under this bill?
An individual must submit a signed statement attesting to a gender identity other than that currently recorded on the birth certificate.
Does the bill still require a court order or surgical procedure for a sex designation change?
No, the bill repeals the provision requiring a court order reflecting a surgical sex change.

What else do you want to know?

News Coverage

No news coverage found yet. Articles are indexed twice daily.

Where This Stands

Currently in committee. The next step in the legislative lifecycle is Floor Vote.

Procedural history

2 actions
  1. Feb 5, 2026SenateFloor
    Second Read and Referred S Emerging Issues and Professional Registration Committee
  2. Jan 20, 2026SenateIntroduced
    S First Read

Version history

Only one version on file - nothing to compare yet. The text on record is the 6284S.01I - Introduced version. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.

View official text →

Lobbying Activity

No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.

Full breakdown

Who this bill affects and the strongest case for and against it, written only from the bill’s own text.

Sponsors

Discoveries

1 pattern noticed across the record

Patterns POLISCOPE noticed across the record. These are observations to investigate, not conclusions.

policy shift95% confidence

Shift from Judicial to Self-Attestation Standard

The bill replaces a court-ordered, surgery-verified standard for birth certificate sex designation changes with an administrative self-attestation process.

Connected Entities

State Registrar, Department of Health and Human Services
OrganizationState Registrar“Responsible for amending certificates of birth and vital records”Map →
OrganizationDepartment of Health and Human Services“Prescribes minimum requirements for paternity acknowledgment forms”Map →

Sources

Open source document

www.senate.mo.gov

Analysis Score

0–100
  • Significance65
    How much this matters to a regular citizen
  • Controversy85
    Intensity of disagreement among stakeholders
  • Entertainment10
    Compellingness for a non-policy-wonk reader
  • Buzz50
    Current news / social attention level

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