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Amendment 3: Repeal the 2024 Reproductive Rights Amendment; Allow Regulation of Abortion; Prohibit Gender Transition Procedures for Minors

Statewide — all of Missouri

General election · Tuesday, November 3, 2026

  • Placed on the ballot by the General Assembly as House Joint Resolution 73 (2025), introduced by Rep. Ed Lewis (R-Moberly). It passed the House 103-51 on April 17, 2025 (House Journal) and the Senate 21-11 on May 14, 2025. It would repeal Article I, Section 36, which voters added in November 2024 (Amendment 3, approved with just under 52% of the vote). A Missouri appeals court rewrote the original ballot language drafted by the Secretary of State in December 2025 because it failed to sufficiently advise voters that a yes vote would repeal the 2024 amendment; the question below is the revised, court-ordered text.[2][3][4][7][8]

The question on the ballot

Shall the Missouri Constitution be amended to: Repeal the 2024 voter-approved Amendment providing reproductive healthcare rights, including abortion through fetal viability; Allow abortions for rape and incest (under twelve-weeks’ gestation), emergencies, and fetal anomalies; Allow legislation regulating abortion; Ensure parental consent for minors’ abortions; Prohibit gender transition procedures for minors? State governmental entities estimate no costs or savings. Greene County estimates it may experience an unknown increase in tax revenue. Other local governmental entities estimate no costs or savings.[1]

Per the Secretary of State's Fair Ballot Language, a yes vote repeals Article I, Section 36; continues to ensure access to care for medical emergencies, ectopic pregnancies and miscarriages; allows legislation regulating abortion providers and facilities; requires informed and voluntary consent for an abortion, including parental or judicial consent for minors; allows restriction of abortions to cases of medical emergency, rape and incest under twelve weeks’ gestation, and fetal anomalies; prohibits public funding of abortions except in limited circumstances; and prohibits gender transition procedures for minors, including surgeries, cross-sex hormones or puberty-blocking drugs, with exceptions for specific medical conditions. State governmental entities estimate no costs or savings; Greene County estimates an unknown increase in tax revenue.[1]

A YES vote means

“A ‘yes’ vote will repeal Article I, Section 36, of the Missouri Constitution approved by the voters in 2024 which provided reproductive healthcare rights, including abortion through fetal viability; continue to ensure women’s ability to access medical care for medical emergencies, ectopic pregnancies, and miscarriages; allow legislation to regulate abortion providers and facilities to ensure health and safety; require informed and voluntary consent for an abortion, including parental or judicial consent for minors; allow restriction of abortions to cases of medical emergency, rape and incest under twelve weeks gestation, and fetal anomalies; prohibit public funding of abortions except in limited circumstances; and prohibit gender transition procedures for minors including gender transition surgeries, cross-sex hormones or puberty-blocking drugs, with exceptions for specific medical conditions.” (Secretary of State, Fair Ballot Language)

A NO vote means

“A ‘no’ vote will leave Article I, Section 36, of the Missouri Constitution approved by voters in 2024 in place; will not limit abortion to cases of medical emergency, rape and incest under twelve weeks gestation, and fetal anomalies, but leave access to abortion available through fetal viability; will not prohibit gender transition procedures for minors.” (Secretary of State, Fair Ballot Language)

The law today

Article I, Section 36 of the Missouri Constitution, approved by voters in 2024, provides reproductive healthcare rights, including abortion through fetal viability; a "no" vote leaves it in place (Fair Ballot Language). Separately, Missouri law bars minors from surgery and from beginning hormones or puberty blockers; the latter law is set to expire in August 2027, per the Missouri Independent.[1][9]

Official fiscal estimate

Official ballot statement: State governmental entities estimate no costs or savings. Greene County estimates it may experience an unknown increase in tax revenue. Other local governmental entities estimate no costs or savings. The Fair Ballot Language adds that, if passed, the measure will not increase or decrease taxes.[1]

Read the full text of the measure ↗

Arguments made for

  • Her Health, Her Future PAC (supporting Amendment 3): “Amendment 3 is a critical step toward strengthening our pro-life protections and safeguarding our state’s future.”[5]
  • Rep. Brian Seitz (R-Branson), who carried the resolution in the House, said Missourians, in approving the 2024 amendment with just shy of 52% of the vote, were signaling some exceptions were needed in the prior ban; he concluded that exceptions will still allow the legislature to "save as many infants as possible and protect women."[3]

Arguments made against

  • Stop the Ban campaign (opposing Amendment 3): "We’re building a grassroots effort to fight for what we know Missourians from every corner of our state and every political party want: the freedom to make our own decisions for ourselves and our families."[6]
  • Tori Schafer, director of policy and campaigns for the ACLU of Missouri, said in a statement about the ballot language: “With bills filed already threatening prosecution against providers and patients, it is crucial that Missourians know they are being asked to end the protections for reproductive health care that we just passed in the last general election.”[4]

On record in support

  • Her Health, Her Future PAC, the campaign committee supporting Amendment 3; led by Missouri first lady Claudia Kehoe.[10]
  • Missouri Right to Life PAC, which the Missouri Independent reports is also campaigning for Amendment 3.[9]
  • Vote Yes on Amendment 3, a PAC filed in October 2026 by former Missouri Attorney General Andrew Bailey.[9]
  • Dr. Wes Fowler, executive director of the Missouri Baptist Convention, who said at a Her Health, Her Future rally he is voting yes.[10]

On record in opposition

  • Stop the Ban, the campaign committee opposing Amendment 3.[9][10]
  • The Fairness Project, a Washington, D.C.-based nonprofit that the Missouri Independent reports has given nearly $12 million to Stop the Ban.[9]
  • Local Planned Parenthood affiliates, Abortion Action Missouri, PROMO and Beacon Reproductive Health Network, named by the Missouri Independent as part of the on-the-ground campaign effort.[9]
  • ACLU of Missouri, which the Missouri Independent names among the groups leading Stop the Ban's on-the-ground campaign efforts.[9]

Campaign money

Per ABC17 (Oct. 18, 2026), from Missouri Ethics Commission reports covering July 7 through Sept. 30, 2026: Stop the Ban (opposes) raised about $14.8 million and spent about $8.7 million, with about $9.7 million cash on hand; Her Health, Her Future PAC (supports) raised about $1.7 million and spent about $2.2 million, with about $797,000 cash on hand. Cumulative totals per the Missouri Independent (Oct. 16, 2026, as of Oct. 15): Stop the Ban has raised more than $25.7 million; Her Health, Her Future PAC has raised $5.3 million since launching; Missouri Right to Life PAC has raised at least $800,000.[9][10]

Research notes & limits

Official ballot title, fiscal statement and Fair Ballot Language are quoted verbatim (machine-checked) from the Missouri Secretary of State's certified-measure page. Missouri publishes no state voter pamphlet with pro/con arguments, so arguments are from campaign materials and news reports. Registered campaigns: Her Health, Her Future (yes; backed by the governor's office per the Missouri Independent) and Stop the Ban (no). The 103-51 final House vote is from the Journal of the House for April 17, 2025 (the 94-50 figure in the Missouri Independent was the April 15 perfection vote); the Senate 21-11 vote is from the Missouri Senate's own news page. The Stop the Ban quote is from a 2025 campaign statement; the Her Health, Her Future quote is from its campaign website. Seitz's remarks were made on the House floor in April 2025.

Sources · 10

Researched 2026-10-19. Green citations are official government records.

  1. 1.2026 Ballot Measures (certified for the November 3, 2026 general election) · Missouri Secretary of State Official record
  2. 2.Missouri Amendment 3, Prohibit Abortion and Gender Transition Procedures for Minors Amendment (2026) · Ballotpedia Reference
  3. 3.Proposed abortion ban amendment gets initial approval of Missouri House · Missouri Independent · 2025-04-15 News report
  4. 4.Missouri appeals court rewrites ballot proposal to clarify a 'yes' would end right to abortion · Missouri Independent · 2025-12-04 News report
  5. 5.Her Health Her Future - Vote Yes on Amendment 3 · Her Health, Her Future PAC Candidate's own words
  6. 6.Campaign gears up to defeat Missouri abortion ban amendment · Missouri Independent · 2025-09-30 News report
  7. 7.Journal of the House, April 17, 2025 (HCS HJR 73 final passage) · Missouri House of Representatives · 2025-04-17 Official record
  8. 8.Senate news: HJR 73 passed · Missouri Senate · 2025-05-14 Official record
  9. 9.New Missouri nonprofit pours $2.9 million into campaign to reinstate abortion ban · Missouri Independent · 2026-10-16 News report
  10. 10.Missouri groups make final push to sway voters on Amendment 3 · ABC17 News (KMIZ) · 2026-10-18 News report