Prohibit Abortion and Gender Transition Procedures for Minors Amendment

Missouri currently operates under the 2024 "Right to Reproductive Freedom Initiative," which established abortion as "a person's fundamental right" in the state's constitution, and prevented the Government from attempting to "deny, interfere with, delay, or otherwise restrict an abortion."

If Missouri Amendment 3 (2026) is adopted, it would repeal the 2024 initiative, and replace it with a measure that restricts abortion to "cases of medical emergency, fetal anomaly, rape, or incest." This amendment would also ban gender-transition surgeries, cross-sex hormones, and puberty blockers for minors.

According to the final text of the proposed amendment, abortions would be limited to "cases of medical emergency, fetal anomaly, rape, or incest."

Specifically in cases of rape or incest, the measure stipulates that an abortion must be "performed or induced no later than twelve weeks gestational age of the unborn child."

Yes, for a minor to receive an abortion, this measure requires "the written consent of the minor and a parent or legal guardian."

There are three exceptions to this rule:

1. If a minor is emancipated, written consent of a parent or legal guardian is not required.
2. In cases of medical emergency, advance written consent of a parent or legal guardian is not required.
3. If the general assembly enacts a law allowing a minor to obtain a court order for an abortion, then written consent of a parent or legal guardian may not be required.

Yes, this measure would ban public funding for abortions, "except in cases of medical emergency, rape, or incest."

No, it would not restrict care.

The measure explicitly states that "A woman's ability to access health care in cases of miscarriages, ectopic pregnancies, and other medical emergencies shall not be infringed by the state."

Missouri Amendment 3 offers protection to unborn children with prenatal disability diagnoses.

Except when a child has a fetal anomaly that "would make life outside the womb impossible," no abortion may be permitted based on any prenatal disability diagnosis.

Yes, fetal organ harvesting "for the purpose of selling or collecting for scientific purposes" would not be "permitted under any circumstances."

Missouri Amendment 3 seeks to prohibit "gender transition surgeries," "cross-sex hormones," and "puberty blocking drugs" on children under the age of 18.

This amendment is a comprehensive ban of gender-transition treatment for minors—including hormones, puberty blockers, and surgeries.

The prohibitions of surgeries, hormones, and blockers in this amendment do not apply to children "born with a medically verifiable disorder of sex development or to treat any infection, injury, disease, or disorder unrelated to the purpose of a gender transition."