Content warning: US trans politics, missouri trans healthcare recommendation :boosts_ok_gay:
Any missourians about to lose trans healthcare in the KC metro area, the University of Kansas hospital is right across the border and I can personally vouch that their trans healthcare team is amazing, they've had some ups and downs, but I was a patient with them from 2017 when they started the clinic all the way to 2022 when I left the state.
They do require a letter for HRT, BUT If you're already on hormones they'll help you stay on them while the letter gets sorted out. I hope this helps someone here