State Profiles

Missouri’s Sex Education Snapshot

Advocates in Missouri have successfully made incremental advancements to Missouri’s sex education requirements and are now considering further efforts to revise the state’s current mandate. In 2015, Representative Genise Montecillo successfully championed House Bill 501, which requires sex education instruction to include information on the dangers of sexual predators and how to remain safe on the internet. In 2018, the legislature passed House Bill 1601, sponsored by Representative Holly Rehder and written collaboratively with University of Missouri students, requiring sex education curriculum to include instruction on consent and sexual violence. Such efforts demonstrate consistent support to make sex education more comprehensive in Missouri and provide a framework that advocates may reference to make further advancements.

In addition to these statewide efforts, grassroots advocacy efforts have also focused on advancing local sex education requirements. Missouri advocates report that there are only a few schools that are providing comprehensive sex education, while the majority of districts provide abstinence-only or abstinence-plus instruction. Parkway School District and Lindbergh School District successfully amended their requirements to ensure students receive more comprehensive and inclusive instruction in 2016 and 2017 respectively, and two additional districts are currently in the process of updating their curriculum. Still, the patchwork nature of Missouri’s sex education curriculum requirements fail to ensure that all students receive the same quality of sex education. Students report that their sex education curriculum continues to lack vital information related to reproductive health, including topics such as endometriosis and other uterine disorders. Further, an abysmal three percent of Missouri students reported receiving LGBTQ-inclusive sex education, according to GLSEN’s 2017 National School Climate Survey.

Since Missouri schools are not required to provide sex education to students, school districts are left to decide what type of sex education–if any at all–they provide to youth. Mandating local control over sex education presents unique challenges that have resulted in a glaring disparity regarding the quality of sex education that students receive. Such discretion allows for the implementation of policies and curriculum that stigmatize marginalized youth, such as students of color and LGBTQ youth, and presents further challenges in ensuring that low income districts have access to the resources needed to implement comprehensive sex education.

To bridge the gaps in education, advocates recommend legislation that requires Missouri schools to include instruction on sexual orientation and gender identity in their sex education curriculum. To ensure more youth have access to comprehensive instruction, they also recommend that the Missouri legislature amend current provisions that prohibit Planned Parenthood educators from teaching sex education. Further, passing legislation that requires all schools to provide comprehensive sex education would ensure that every student in the state receives quality instruction.

Right now, advocates can take action to ensure young people in their community have access to quality sex education. After contacting their local school board, advocates can determine what topics are missing from sex education instruction, such as instruction on consent, sexual orientation and gender identity, and contraceptives. They can then vocalize the important need for advancing sex education requirements in their community. Further, advocates can contact their representatives to discuss the critical need for advancing comprehensive sex education requirements. Advocates are encouraged to use the SIECUS Community Action Toolkit to guide local efforts to advance sex education.

State Sex Education Policies and Requirements at a Glance

  • Missouri schools are not required to teach sex education. However, they are required to teach health education, including HIV/AIDS prevention education.
  • Curriculum is not required to be comprehensive.
  • Curriculum must present abstinence as the preferred choice of behavior.
  • If sex education is offered, curriculum is not required to include instruction on sexual orientation or gender identity.
  • If sex education is offered, curriculum must include instruction on consent.
  • Parents and guardians can remove their children from any part of their sex education instruction. This is referred to as an “opt-out” policy.
  • All course materials related to HIV/AIDS, along with sex education curriculum if offered, must be medically accurate.

State House Highlights

This section highlights sex education bills that were introduced during the 2020 state legislative session as well as bills that have been introduced thus far in 2021. These proposed bills ​provide a brief overview of both recent and current legislative action taken to advance or restrict sex education. For a more comprehensive look at relevant legislation concerning sex education and related topics such as reproductive health care, LGBTQ rights, and HIV/AIDS, continue reading on to the “State Legislative Activity” section of Missouri’s profile.

2021 Legislative Session

House Bill 786 (failed): Sought to require parental notification if any curriculum, including sex education, includes instruction related to sexual orientation or gender identity and to make curriculum available for review.

2020 Legislative Session ​


House Bill 2200 (failed): Sought to require parents and guardians to provide their written consent for their children to participate in sex education.

Senate Bill 786 (failed): Sought to require any course materials related to sexual orientation or gender identity to be subject to the notice of parents and guardians and allow for their refusal, and removal of their children from such instruction.

House Bill 1565 (failed): Sought to clarify the ability of parents and guardians to remove their children from all or part of the district’s or school’s instruction relating to human sexuality or STDs.


More on sex ed in Missouri…


State Law

Missouri schools are required by Missouri Revised Statute § 170.015 to teach health education, including human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS) prevention education, beginning in elementary school. If a school chooses to provide additional sex education, Missouri law mandates that all instruction must be medically and factually accurate and “present abstinence from sexual activity as the preferred choice of behavior in relation to all sexual activity for unmarried pupils.” In addition, instruction must “advise students that teenage sexual activity places them at a higher risk of dropping out of school because of the consequences of sexually transmitted diseases [STDs] and unplanned pregnancy.”

Among other requirements, the instruction must also:

  • Stress that [STDs] are serious, possible, health hazards of sexual activity. Pupils shall be provided with the latest medical information regarding exposure to [HIV], [AIDS], human papillomavirus [HPV], hepatitis, and other [STDs];
  • Present students with the latest medically factual information regarding both the possible side effects and health benefits of all forms of contraception, including the success and failure rates for the prevention of pregnancy and [STDs]; or shall present students with information on contraceptives and pregnancy in a manner consistent with the provisions of the federal abstinence education law, 42 U.S.C. Section 510;
  • Include a discussion of the possible emotional and psychological consequences of preadolescent and adolescent sexual activity and the consequences of adolescent pregnancy[iv]

The statute was first amended in 2015 to include instruction on “the dangers of sexual predators, including online predators when using electronic communication methods” and “the consequences, both personal and legal, of inappropriate text messaging.” Later, in 2018, the statute was amended again to include instruction on sexual harassment, sexual violence, and consent.

The specific content of human sexuality instruction must be determined by the school board of each school district or charter school. School districts and charter schools are prohibited from providing abortion services and allowing a person and/or entity that provides abortion services to “offer, sponsor, or furnish” course materials related to human sexuality and STDs.

Prior to instruction, school districts and charter schools must make all curriculum materials available for public inspection. Parents have the right to remove their child from any part of the district’s or school’s human sexuality instruction. This is referred to as an “opt-out” policy.

State Standards

Missouri provides the Health Education Grade-Level Expectations to guide schools in developing a health education curriculum. Teen pregnancy, contraception, and the transmission, treatment, and prevention of sexually transmitted infections (STIs) are mentioned, as are “behaviors that could enhance HIV transmission.”

State Legislative Activity

State legislative activity related to sex education does not take place in isolation from the broader embroiled political and policy climate. Attacks on the rights of lesbian, gay, bisexual, transgender, queer, or questioning (LGBTQ) individuals, and efforts to limit access to abortion care and other reproductive health care services prevent students from receiving comprehensive sex education and accessing sexual and reproductive healthcare services. Below are highlights of current legislative activity related to these topics. Missouri’s 2021 session convened on January 6, 2021. 

TitleDescriptionStatusLegislative Topic
House Bill 2008Requires increased curriculum transparency for public school districts and charter schoolsReported Do Pass out of House Rules and Legislative Oversight Committee (2022)Parental Rights and Curriculum Transparencyhttps://legiscan.com/MO/text/HB2008/id/2559148/Missouri-2022-HB2008-Comm_Sub.pdf
House Joint Resolution 110Establishes right of parents to participate in and direct the education of their child by viewing curricula, to opt out child of any instruction they object to, etcReferred to House Committee on Fiscal Review (2022)Parental Rights and Curriculum Transparencyhttps://legiscan.com/MO/text/HJR110/id/2517799/Missouri-2022-HJR110-Comm_Sub.pdf
Senate Bill 843Prohibits physicians from providing gender affirming care to minorsReported Do Pass to Senate Seniors, Families, Veterans, & Military Affairs Committee (2022)Sexual Orientation and Gender Identityhttps://s3.amazonaws.com/fn-document-service/file-by-sha384/0a19d025af988d2b6b6ba67b6c166a3c2dd76a07d1bb1cd016ecad519c84d4c1cc5fbc882c7412f264684b41c4f87d71
Senate Bill 781Prohibits school districts and charter schools from allowing a student of a certain biological sex to participate in sports teams designated for the opposite biological sex.Reported Do Pass out of Senate Committee (2022)Sexual Orientation and Gender Identityhttps://s3.amazonaws.com/fn-document-service/file-by-sha384/4a4df41663d393774155bac5f54af61c6fbedbe4407a494d1a0e9dbd25e798509b81b605c9e5fb2122d7f37505c7a2ae
House Bill 2735Prohibits school districts and charter schools from allowing a student of a certain biological sex to participate in sports teams designated for the opposite biological sex.House Second Read (2022)Sexual Orientation and Gender Identityhttps://s3.amazonaws.com/fn-document-service/file-by-sha384/69ad980bfcef61670bb22de61ce7a8c0cec9449898a4c699b667eff5f9d851f242108487f79505aaae568c897dab4a22
House Bill 2461Prohibits school districts and charter schools from allowing a student of a certain biological sex to participate in sports teams designated for the opposite biological sex.Reported Do Pass House Committee on General Laws (2022)Sexual Orientation and Gender Identityhttps://s3.amazonaws.com/fn-document-service/file-by-sha384/c2c97d1be0da9b35d168131cffc6968f2580fbe0fc1536e99355ae26798ac31f03552ba33192086c87044c920708a3e6
Senate Bill 1184Prohibits teaching of divisive concepts.Reported Do Pass out of Senate Education Committee (2022)Racial Equity & Justicehttps://s3.amazonaws.com/fn-document-service/file-by-sha384/8ea317008f334c3310734706879ce47d83eadae3316c9c2fbb01debd52e729d0ed48a76993e8a240e7bfd06de5a6ebf3
House Bill 2766Prohibits mental health professionals from engaging in conversion therapy or sexual orientation change efforts with minorsHouse Second Read (2022)Sexual Orientation and Gender Identityhttps://s3.amazonaws.com/fn-document-service/file-by-sha384/8eb12117e6de6d9e1480090b90a40fb3129f2a04f45141ebdc10a87d9cc9ea21282618c5885e09a351c2c395d4f80d0f
House Bill 2734Prohibits school districts and charter schools from allowing a student of a certain biological sex to participate in sports teams designated for the opposite biological sex.Reported do Pass out of House Committee on General Laws (2022)Sexual Orientation and Gender Identityhttps://s3.amazonaws.com/fn-document-service/file-by-sha384/4cc8b1325280fd3724bf31db77ba10faa592875b60d00dd4f2e4b304cfaa78960c19a6264588b17385d6d7198fd45062
House Bill 2649Prohibits physicians from providing gender affirming care to minorsHouse Second Read (2022)Sexual Orientation and Gender Identityhttps://s3.amazonaws.com/fn-document-service/file-by-sha384/7a47196ca3ec23bce0a1ef343c679b80a6c2171cda39282e106aca736855aafb6d7d66bb5ab80f1d1724c55d2444e0ea
House Bill 2591Requiring menstrual hygiene products to be provided free of charge in middle and high schools and charter schools and repealing provisions prohibiting entities associated with abortion care from providing instruction on human sexuality or STIsHouse Second Read (2022)Health Disparities and Menstrual Equityhttps://www.house.mo.gov/billtracking/bills221/hlrbillspdf/5292H.01I.pdf
House Bill 2342Protects confidentiality of minors seeking mental health counseling or treatment, with exceptions in cases of emergency disclosureHouse Second Read (2022)Mental Healthhttps://s3.amazonaws.com/fn-document-service/file-by-sha384/035466a3adb4557fbe6138f9cae2842fb15da116b27e62877bd418eae55f1c3cc4b6b3e5b99b1a24da1ce1efcb7dde32
House Bill 2294Affirms the right of parent/guardian to review and object to course material and curricula as well as be able to make copies of it, the right to access information on teachers, lecturers, and guest speakersReferred to House Committee on elementary and Secondary Education (2022)Parental Rights and Curriculum Transparencyhttps://legiscan.com/MO/text/HB2294/id/2466295/Missouri-2022-HB2294-Introduced.pdf
House Bill 2189Makes instructional material even more accessible to parents, requiring teaching an overall "positive" portrayal of the United States. Has elements similar to other legislation prohibiting instruction on divisive concepts. Does not allow any class to be based on surveys or assessments on students identity or social/emotional issuesReferred to House Rules Committee (2022)Parental Rights and Curriculum Transparencyhttps://s3.amazonaws.com/fn-document-service/file-by-sha384/26b7b3f8b9c414235d4ba3e63a37f12a4b90fa771c61582c7fbb6e4b25ad95cdf1c3e8e78a1bf3ec70191a4bbab38258
House Bill 2197Requires that students are classified on sports teams based upon biological sex which would effectively targets transgender students from being able to participate in school sportsReported Do Pass out of House Committee on General Laws (2022)Sexual Orientation and Gender Identityhttps://s3.amazonaws.com/fn-document-service/file-by-sha384/c2d69d6fb7bb7a44175ee772512914dc74c501bd8bb30ecb270c515164ba5abbf04ff273582bb6ebb9f28827db01f35e
House Bill 2195Affirms the right of parent/guardian to review and object to course material and curricula as well as be able to make copies of it, the right to access information on teachers, lecturers, and guest speakersReferred to House Committee on elementary and Secondary Education (2022)Parental Rights and Curriculum Transparencyhttps://s3.amazonaws.com/fn-document-service/file-by-sha384/e27afeb746bb97f1a572e9db3aca534393e6ad5794be5db6b9d26333455a82fe3870ea163473fa4f9856016d8efd1053
House Bill 2068Establishing "Parents' Bill of Rights" which among other rights would seek to increase parental involvement in the education systemHouse Second Read (2022)Parental Rights and Curriculum Transparencyhttps://www.house.mo.gov/billtracking/bills221/hlrbillspdf/4521H.01I.pdf
Senate Bill 915Prohibits conversion therapy in minorsSenate Second Read (2022)Sexual Orientation and Gender Identityhttps://s3.amazonaws.com/fn-document-service/file-by-sha384/f282026ac9b0f1184c4e42497a4815479697270527c113913212fb2d9cc61b49ef6527204b18e0caa2fa3eca651e58b4
Senate Bill 638Prohibits instruction on divisive conceptsReported Do Pass out of Senate Education Committee (2022)Racial Equity & Justicehttps://s3.amazonaws.com/fn-document-service/file-by-sha384/320cf909e898d256429ce461ed42da5b5e3bafc1ac0eb90624cab6ae92b35d6eea260e0dc5390437a6da3bdd5b9e0a24
Senate Bill 645Makes instructional material even more accessible to parents, requiring teaching an overall "positive" portrayal of the United States. Has elements similar to other legislation prohibiting instruction on divisive concepts. Does not allow any class to be based on surveys or assessments on students identity or social/emotional issuesReported Do Pass out of Senate Education Committee (2022)Parental Rights and Curriculum Transparencyhttps://s3.amazonaws.com/fn-document-service/file-by-sha384/38f8bb52ef0bbfea8ded04a08229bc7df0640a69e3ecc233a455521b0f1cd034fc2df1cad2902ef4490e3fa2baf7c7dc
Senate Bill 647Creates a process through which parents can object to curriculumReported Do Pass out of Senate Committee (2022)Parental Rights and Curriculum Transparencyhttps://s3.amazonaws.com/fn-document-service/file-by-sha384/598016f160cb484564d988d0403219c041f053742cddb91bc335511580a4655c37d6075624711102e5685030feebda65
Senate Bill 653Establishes Parents' Bill of Rights which increases parental involvement in public schoolsSenate Second Read (2022)Parental Rights and Curriculum Transparencyhttps://s3.amazonaws.com/fn-document-service/file-by-sha384/e52566666a6e62f8f408004b74ffffa6f883c7eea62713eb91374326427129f6b3bb9ef4fa7a4b1228e1d0ce46d7c100
Senate Bill 676Prohibits instruction on divisive concepts and critical race theoryReported Do Pass out of Senate Education Committee (2022)Racial Equity & Justicehttps://s3.amazonaws.com/fn-document-service/file-by-sha384/7400075933d1e5aef8016ae84f6ad8546790b742261473b13f9bb44c85db2cae0e6cd63e07a8e8a1fe0ffffb561e62b6
Senate Bill 694Prohibits instruction on divisive concepts and critical race theoryReported Do Pass out of Senate Education Committee (2022)Racial Equity & Justicehttps://s3.amazonaws.com/fn-document-service/file-by-sha384/6b9a11eb051116c7f4b066770bf052949f29c5e0094a9a0b61fea6c56be5bc0cc27646fb197d31d1db6ef97553471e97
Senate Bill 699Abolishes abortion entirely and establishes criminal penalties for abortion. It also changes from allowing parents to opt their child OUT of sex education to opt IN.Referred to Senate Seniors, Families, Veterans, & Military Affairs Committee (2022)Sex Educationhttps://s3.amazonaws.com/fn-document-service/file-by-sha384/f71ee0f5ce8cf5aef00bf43eb91e362e50b52e30700a1bb26e8e1e841bd5b0c9373ce7c56859bcac03dbb9af7859285c
Senate Bill 734Prohibits instruction on divisive concepts in public school curriculaReported Do Pass out of Senate Education Committee (2022)Racial Equity & Justicehttps://s3.amazonaws.com/fn-document-service/file-by-sha384/3a97f972be89758ca3037e3164ec2ad2e722f029208731340f4490078cef67047ceb915c7e39bc210e7d0d09aaee1747
House Bill 1995Establishes "Parents Bill of Rights for Student Wellbeing" which among other things would increase parental involvement in learning at schools and create procedures for them to object to curriculum and opt their child out of that instructionReported Do Pass out of House Rules Committee (2022)Parental Rights and Curriculum Transparencyhttps://s3.amazonaws.com/fn-document-service/file-by-sha384/c4542d53ad48360ebf9101201f9941fd2194748c2119668f343e0bdb0175cd1382d3e33e779cd863cd952f7f978414e7
Senate Bill 810Requires parental notification and consent before surveying students about sensitive or controversial topics and establishes "parents bill of rights for student well being" which would allow for parents to object to instructional materialSenate Second Read (2022)Parental Rights and Curriculum Transparencyhttps://s3.amazonaws.com/fn-document-service/file-by-sha384/8e9e3c7fc134939e3d42748446e0367e25a3e77d7aa93f30839df853c605c618588f68d988e65bcea6ea086478930944
House Bill 1474Establishes parental bill of rights and also prohibits instruction on critical race theory while giving specific examples of what material cannot be taughtReported Do Pass out of House Committee (2022)Parental Rights and Curriculum Transparencyhttps://s3.amazonaws.com/fn-document-service/file-by-sha384/7e25d9baabc22111095f16cf397d5f6a96f97dac52a3b78852ac3e0596e6196ad2c830e0dcc21ffe787f4a82091ad8f1
House Bill 1634Prohibits the use of any curriculum implementing critical race theory in the public schools and institutions of higher education of the stateHouse Second Read (2022)Racial Equity & Justicehttps://s3.amazonaws.com/fn-document-service/file-by-sha384/44d50a339b51a47467a2f9ae0fc582ba55436d0d360f8652557b0f816071e24cbe16c8beca07951a4fa4a97a504d1a71
Senate Bill 711Adds new clauses to anti-discrimination laws based on sexual orientation & gender identityReferred to Senate Small Business and Industry Committee (2022)Sexual Orientation and Gender Identityhttps://s3.amazonaws.com/fn-document-service/file-by-sha384/ddf011d8aecbf2bf50ec7ec248d63e9fe196a7f5dbde198d77e850d2ce4fe5e3abd95b657466c52378f797e922bca8dc
House Bill 1737Adds new clauses to anti-discrimination laws based on sexual orientation & gender identityHouse Second Read (2022)Sexual Orientation and Gender Identityhttps://s3.amazonaws.com/fn-document-service/file-by-sha384/3481838fe00d76761bfc895c301101dd846f9051ac740acf3204bcd8be811e8808a68f619cdf48538c2bbf0603fb1948
House Bill 1752Requires curriculum to continue to emphasize abstinence and discourage adolescent sexual activity. Additionally, it would stress the negative consequences of sexually transmitted infections but require medically accurate information on contraception. It would also emphasize adoption as an alternative and allows for separation on the basis of gender for classroom instructionReferred to House Committee on elementary and Secondary Education (2022)Sex Educationhttps://s3.amazonaws.com/fn-document-service/file-by-sha384/f316fd2ace52b8a4f4ee33ac4f2c530fe54699e9e723a6b625cac07cd7c4600eb0f0a168ebd63d26b28344d5c245caf1
House Bill 1755States that all school boards must develop and adopt a policy to increase parental involvement in public schools including developing procedures to remove child from comprehensive health education programsReferred to House Committee on elementary and Secondary Education (2022)Parental Rights and Curriculum Transparencyhttps://s3.amazonaws.com/fn-document-service/file-by-sha384/a58747477f81fa32eae0cf3276dff5ca8ab995d8a6c3f5e5b3d7cb7534ca031356fdf717434a97e25b5a3ca0a0dbd8eb
House Bill 1781Creates the Office of Racial Equity under the administration to explore and identify systemic racism and racial disparities in various institutionsHouse Second Read (2022)Racial Equity & Justicehttps://s3.amazonaws.com/fn-document-service/file-by-sha384/f8b72a61916adf832fe16b53c4dd121cced1a5b4908b6f7f43520fe3199eb1fe3c2039739bfdda489b815ca365570b53
House Bill 1815Prohibits instruction involving critical race theoryHouse Second Read (2022)Racial Equity & Justicehttps://s3.amazonaws.com/fn-document-service/file-by-sha384/58e808bce2b3fa78d0da2b4b48ea7ab131ef73dc774bd5991e7ce2c960734ae251a3639d336eac8831c5803eeba61c45
House Bill 1835Prohibits instruction on divisive concepts in training or in school curriculumReferred to House Rules Committee (2022)Racial Equity & Justicehttps://s3.amazonaws.com/fn-document-service/file-by-sha384/1a97f4b343c7b086cfa44b9e9c354befe938ad801f5498225bfe0143476381cf64ba73823b0d23b2f27d5c2a97c284b2
House Bill 1845Allows school districts to discuss LGBTQ history and develop inclusive curriculumHouse Second Read (2022)Sexual Orientation and Gender Identityhttps://s3.amazonaws.com/fn-document-service/file-by-sha384/92cf54952dd92dddf47d56da024de8827910a3551b38a6a0948172bebaf691d08a7486b1459d68befc5422dbe4d3858c
Senate Bill 776Affirms the right of parent/guardian to review and object to course material and curricula as well as be able to make copies of it, the right to access information on teachers, lecturers, and guest speakersReferred to Senate Education Committee (2022)Parental Rights and Curriculum Transparencyhttps://s3.amazonaws.com/fn-document-service/file-by-sha384/6be4eae95bc46827b3160e186055916401c3f1653c11a6acea3e009072831addafdd935aa68a82ad2e9f4ea40cd276b7
House Bill 1858Affirms the right of parent/guardian to review and object to course material and curricula as well as be able to make copies of it, the right to access information on teachers, lecturers, and guest speakersHearing Scheduled for 4/26 (2022)Parental Rights and Curriculum Transparencyhttps://s3.amazonaws.com/fn-document-service/file-by-sha384/9e0b311c9e570572d665b444435e0039f1c4fbfe0f00a795d11edffccbdbc4d2e9426e6794763994b648979e9747e783
House Bill 33 Prohibits medical professionals from providing gender affirming care to minors. Failed (2021) Sexual Orientation and Gender Identity https://s3.amazonaws.com/fn-document-service/file-by-sha384/93cccd9338150bc7ba74c0271725dd6f7e0e10aa279692808479221404cd9069f94650dec6ea5b6bf13927ea0eaab637
House Bill 225 Requires schools to provide period products in the restrooms of each school at no charge to students. Died in the House Committee on Elementary and Secondary Education (2021) Reproductive Health Care https://s3.amazonaws.com/fn-document-service/file-by-sha384/ca8676fe37f98515e2a357a1868c931300f535d34f7192518ce12d03fcef65ed381f8e293c29590d100cd0866ca764b5
House Bill 468Prohibits "dismemberment" abortion. Died in the House Committee on Children and Families (2021) Reproductive Health Care https://s3.amazonaws.com/fn-document-service/file-by-sha384/3ba3cf8de35c5a29d1e182db738b9631031c0af52bba362af5870acc148fbbd07e84910ae36299b0d6f8bcbfbe611830
House Bill 786Requires parental notification if any curriculum, including sex education, includes instruction related to sexual orientation or gender identity and to make curriculum available for review.Died in the House Committee on Elementary and Secondary Education (2021) Sex Education https://s3.amazonaws.com/fn-document-service/file-by-sha384/f32fb63fe01fd175940d04a6a50e7dfada77449f0fc574c454f587e1726d3a5f9d456a825860bc6b200342f0dc733f61
House Bill 831Requires the state to protect a woman's right to terminate a pregnancy prior to viability of the fetus or if necessary to protect a woman's life or health. Died in the House Committee on Children and Families (2021) Reproductive Health Care https://s3.amazonaws.com/fn-document-service/file-by-sha384/a40e4e5aef25d12f5006bba2d5f139ce357007082078928e4ac7ce518cd75d7b5ecc62363bb6f6ce41ded5413225c051
House Bill 1269Prohibits health providers from engaging in conversion therapy with a minor. Died in the House Committee on Children and Families (2021) Sexual Orientation and Gender Identityhttps://s3.amazonaws.com/fn-document-service/file-by-sha384/fd9f9e496eb80929e395591ca7ba95791d4e03fd2611621481688dc2dfef636798024ca436f7d01de22062a9289cb24c
Senate Bill 207Prohibits mental health providers from engaging in conversion therapy with minors. Died in the Senate Committee on Professional Registration (2021) Sexual Orientation and Gender Identity https://s3.amazonaws.com/fn-document-service/file-by-sha384/0915aecc2dff1e9fba51e437851462350b37c515933264b8f59a4a3f50bfa29f1c7e06e169dc3e26b5a36fefe5f6cf2f
Senate Bill 391 Prohibits abortion, defining human life as beginning at conception and classifying the procedure as murder. Died in the Senate Committee on Health and Pensions Committee (2021) Reproductive Health Care https://s3.amazonaws.com/fn-document-service/file-by-sha384/0915aecc2dff1e9fba51e437851462350b37c515933264b8f59a4a3f50bfa29f1c7e06e169dc3e26b5a36fefe5f6cf2f
Senate Bill 442Prohibits medical professionals from providing gender affirming care to minors. Died in the Senate Committee on Seniors, Families, Veterans & Military Affairs (2021) Sexual Orientation and Gender Identity https://s3.amazonaws.com/fn-document-service/file-by-sha384/09ee31f1b99ba949d929f23c53b4fec527a5944e81b9933ab027032440f1cec658b8a0268cc2d822cc293f247912381a
Senate Bill 450Prohibits abortion once a fetal heartbeat is detected. Died in the Senate Committee on Health and Pensions (2021) Reproductive Health Care https://s3.amazonaws.com/fn-document-service/file-by-sha384/78b0dba6ab8298189bd271478e177bb5fa03c813c5b683667e224a9c71119119b1e40322cfaad2921904b997bc06057e
Senate Bill 458 Prohibits "dismemberment" abortion. Died in the Senate Committee on Health and Pensions (2021) Reproductive Health Care https://s3.amazonaws.com/fn-document-service/file-by-sha384/58e9bbaf6062aa33d24e46786feac92d78416a78424d203f36e6bbd57441a2878248160fa19241dc1339cba8d8281b2b

Youth Sexual Health Data

Young people are more than their health behaviors and outcomes. While data can be a powerful tool to demonstrate the sex education and sexual health care needs of young people, it is important to be mindful that these behaviors and outcomes are impacted by systemic inequities present in our society that affect an individual’s sexual health and well-being. To learn more about Missouri’s Youth Risk Behavior Survey (YRBS) results, click here.

Missouri School Health Profiles Data 

In 2019, the Centers for Disease Control and Prevention (CDC) released the School Health Profiles, which measure school health policies and practices and highlight which health topics were taught in schools across the country. Since the data were collected from self-administered questionnaires completed by schools’ principals and lead health education teachers, the CDC notes that one limitation of the School Health Profiles is bias toward the reporting of more positive policies and practices. In the School Health Profiles, the CDC identifies 20 sexual health education topics as critical for ensuring a young person’s sexual health. Below are key instruction highlights for secondary schools in Missouri as reported for the 2017–2018 school year.

Reported teaching all 20 critical sexual health education topics

  • 17.6% of Missouri secondary schools taught students all 20 critical sexual health education topics in a required course in any of grades 6, 7, or 8.
  • 26.1% of Missouri secondary schools taught students all 20 critical sexual health education topics in a required course in any of grades 9, 10, 11, or 12.

Reported teaching about the benefits of being sexually abstinent

  • 76.7% of Missouri secondary schools taught students about the benefits of being sexually abstinent in a required course in any of grades 6, 7, or 8.
  • 94.7% of Missouri secondary schools taught students about the benefits of being sexually abstinent in a required course in any of grades 9, 10, 11, or 12.

Reported teaching how to access valid and reliable information, products, and services related to HIV, other STDs, and pregnancy

  • 66.9% of Missouri secondary schools taught students how to access valid and reliable information, products, and services related to HIV, other STDs, and pregnancy in a required course in any of grades 6, 7, or 8.
  • 91.6% of Missouri secondary schools taught students how to access valid and reliable information, products, and services related to HIV, other STDs, and pregnancy in a required course in any of grades 9, 10, 11, or 12.

Reported teaching how to create and sustain healthy and respectful relationships

  • 76.7% of Missouri secondary schools taught students how to create and sustain healthy and respectful relationships in a required course in any of grades 6, 7, or 8.
  • 92.9% of Missouri secondary schools taught students how to create and sustain healthy and respectful relationships in a required course in any of grades 9, 10, 11, or 12.

Reported teaching about preventive care that is necessary to maintain reproductive and sexual health

  • 64.9% of Missouri secondary schools taught students about preventive care that is necessary to maintain reproductive and sexual health in a required course in any of grades 6, 7, or 8.
  • 89.0% of Missouri secondary schools taught students about preventive care that is necessary to maintain reproductive and sexual health in a required course in any of grades 9, 10, 11, or 12.

Reported teaching how to correctly use a condom

  • 24.5% of Missouri secondary schools taught students how to correctly use a condom in a required course in any of grades 6, 7, or 8.
  • 37.4% of Missouri secondary schools taught students how to correctly use a condom in a required course in any of grades 9, 10, 11, or 12.

Reported teaching about methods of contraception other than condoms

  • 44.9% of Missouri secondary schools taught students about methods of contraception other than condoms in a required course in any of grades 6, 7, or 8.
  • 69.9% of Missouri secondary schools taught students about methods of contraception other than condoms in a required course in any of grades 9, 10, 11, or 12.

Reported teaching about sexual orientation

  • 35.7% of Missouri secondary schools taught students about sexual orientation in a required course in any of grades 6, 7, or 8.
  • 46.7% of Missouri secondary schools taught students about sexual orientation in a required course in any of grades 9, 10, 11, or 12.

Reported teaching about gender roles, gender identity, or gender expression

  • 34.5% of Missouri secondary schools taught students about gender roles, gender identity, or gender expression in a required course in any of grades 6, 7, or 8.
  • 49.3% of Missouri secondary schools taught students about gender roles, gender identity, or gender expression in a required course in any of grades 9, 10, 11, or 12.

Reported providing curricula or supplementary materials relevant to lesbian, gay, bisexual, transgender, or questioning (LGBTQ) youth

  • 44.3% of Missouri secondary schools provided students with curricula or supplementary materials that included HIV, STD, or pregnancy prevention information relevant to LGBTQ youth.

(Visit the CDC’s School Health Profiles report for additional information on school health policies and practices.)

***The quality of sex education taught often reflects funding available for sex education programs. To learn more about federal funding streams, click here.

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