Missouri - What to watch in 2026

Missouri - What to watch in 2026
Photo by Brittney Butler / Unsplash

Last updated: March 5, 2026

Update: Missouri voters are expected to decide whether to keep or repeal the reproductive rights amendment approved in 2024. State lawmakers placed a competing constitutional amendment on the 2026 ballot that would replace those protections with a more restrictive framework.

Missouri’s 2026 ballot includes a direct challenge to reproductive rights protections approved by voters in 2024. After voters added abortion protections to the state constitution, the Missouri legislature moved to place a competing constitutional amendment on the 2026 ballot that would repeal and replace those protections.

That legislative proposal would repeal the voter-approved amendment, effectively undoing the earlier vote. As a result, Missouri voters will again decide whether the reproductive rights protections approved in 2024 remain in the state constitution or are replaced with a new amendment adopted by the legislature.

Proposed constitutional amendment

The legislature-approved amendment would repeal the 2024 voter-approved reproductive rights amendment and replace it with the following provisions:

"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."

A YES vote would repeal the 2024 constitutional amendment and implement the provisions listed above. A NO vote would leave the 2024 amendment in place.

General election (November 3, 2026)

  • Amendment 3: If rejected by voters, it maintains Missouri's constitutional right to abortion. It also does not change existing state laws related to gender transitions.

Election Resources

The following links provide official information about the ballot, voter registration, and elected representatives.

Ballotpedia - Missouri ballot measures, 2026
Missouri Secretary of State - Approved ballot language (all 2026 measures)

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