Jennifer Vannatta Fisher hosts the 2019 Miss Missouri USA and Miss Missouri Teen USA finals at the Isle of Capri Casino Hotel in Boonville, Missouri. Contestants compete in preliminary phases that include private interviews and swimsuit or active wear, followed by evening gown. Semifinalists advance to evening gown competition and finalist on-stage questions before the awards and crowning. Miriah Ludtke, representing the City of St. Louis, is crowned Miss Missouri USA 2019; Abilene Lortz, representing Vienna, is crowned Miss Missouri Teen USA 2019. The broadcast also features reigning titleholders Tori Kruse and Chloe Bartlett, contestant introductions, special awards, and a presentation about the People's Choice fundraising effort for Warriors for Ross.
