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Prohibit Abortion and Gender Transition Procedures for Minors Amendment |
Missouri Amendment 3 is a legislatively referred constitutional amendment that will appear on the ballot in the U.S. state of Missouri on November 3, 2026. [1] If passed, the amendment would ban abortion in the state except in cases to protect the life of the mother, or up to 12 weeks in cases of rape and incest. [2] It would also prohibit medical professionals from administering gender-affirming medical care to minors, which is already banned until August 2027 in the state via Senate Bill 49. [3]
A lawsuit was filed in July 2025 by the ACLU of Missouri challenging the ballot language for Amendment 3. [4] In September 2025, a Cole County judge ordered the Secretary of State to modify the amendment's ballot language to clarify that it would repeal Amendment 3, an amendment passed in November 2024 protecting access to reproductive care in the state. [5]
The following question and information will be shown to voters:
“Shall the Missouri Constitution be amended to:
- Guarantee women’s medical care for emergencies, ectopic pregnancies, and miscarriages;
- Ensure women’s safety during abortions;
- Ensure parental consent for minors;
- Repeal Article I, section 36, approved in 2024; allow abortions for medical emergencies, fetal anomalies, rape, and incest; and
- Prohibit sex-change procedures for children?
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.
Fair Ballot Language:
A “yes” vote will amend the Missouri Constitution to guarantee women’s medical care for medical emergencies, ectopic pregnancies, and miscarriages; authorize laws 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; repeal Article I, Section 36, approved in 2024, and allow abortions in cases of medical emergency, fetal anomaly, rape, or incest, with a twelve-week gestational limit for rape or incest; require physicians to provide medically accurate information; prohibit public funding of abortions except in limited circumstances; and protect children from sex-change by prohibiting certain medical procedures and medications for minors, with exceptions for specific medical conditions.
A “no” vote will not amend the Missouri Constitution to guarantee women’s medical care for emergencies, ectopic pregnancies, and miscarriages, require parental consent for minors’ abortions, require health and safety standards for abortions, limit abortion to cases of medical emergency, fetal anomaly, rape, or incest, or to protect children from sex-change.
If passed, this measure will not increase or decrease taxes.” [6]