Establishes certain protections for pregnant offenders

HB 1090 prohibits most restraints on pregnant offenders in their third trimester or within 48 hours postpartum, except in defined "extraordinary circumstances" like medical risks. It requires jails to document any restraint use within 48 hours and bans leg, ankle, waist, or mechanical restraints - allowing only front-wrist restraints if necessary. By January 2026, all Missouri county and city jails must establish specific procedures for pregnant offenders, including mandatory maternal health evaluations, nutritious meals (with specified dairy/fruit/vegetable portions), substance abuse treatment, HIV/hepatitis care, bottom-bunk sleeping, and access to female medical professionals during exams. The bill directly affects pregnant individuals in Missouri county and city jails, ensuring safer medical care and reducing unnecessary physical restraints during pregnancy and postpartum recovery.