Missourians rejected Amendment 3 in Tuesday’s midterm elections, doubling down on their 2024 vote to add a right to reproductive freedom to the state constitution and preserving access to abortion statewide.
Voters rejected Amendment 3, with 55% voting against the measure, according to preliminary results.
View the rest of Tuesday’s results.
Amendment 3 would have repealed the right to reproductive freedom Missourians approved in 2024 and replaced it with language allowing abortions only in cases of medical emergency, rape, incest or fatal fetal anomaly. Abortions in cases of rape or incest would have been allowed only within the first 12 weeks of a pregnancy.
Because 2026’s Amendment 3 failed, the existing amendment remains in place in the Missouri Constitution. The amendment passed in 2024 protects access to abortion before fetal viability and allows lawmakers to regulate abortion afterward, while preserving exceptions when a healthcare provider decides an abortion is needed to protect the mother’s life or physical or mental health.
Voters also rejected adding a renewed ban on gender-affirming surgeries, puberty blockers and hormone treatment for minors to the state constitution.
Still, those measures remain statutory law in Missouri.
A law passed in 2023 blocks gender-affirming surgeries for minors and restricts puberty blockers and hormone treatments. Current state law includes exceptions for youth who began treatment before the law took effect and are scheduled to expire August of next year.
Lawmakers in the Missouri General Assembly referred this measure to voters in 2025, seeking to undo the original Amendment 3 passed by a citizen initiative in November 2024.
After Missouri passed a near-total ban on abortion, access to the procedure across the state was limited. Heading into Tuesday’s vote on Amendment 3, both medication and procedural abortions were available at Planned Parenthood locations in Kansas City, Gladstone, Columbia, St. Louis and Springfield. Medication abortion was also available at the Planned Parenthood location in Independence.
