Missouri experiences one of the highest rates of gun deaths, gun homicide rates, and household firearm ownership. Missouri not only has none of the foundational gun violence prevention laws, but in 2007 the state repealed an 80-year-old permit-to-purchase law—leading to an increase in the state’s gun homicide rate of up to 27%. Only a few of the 50 top policies are in place in Missouri, and legislators have shown no momentum for passing gun safety protections, despite the fact that St. Louis is among the top US cities with the highest gun murder rates in the country.