Missouri Voters Reject Amendment 3 Abortion and Transgender Care Ban

Missouri voters rejected Amendment 3 in a statewide vote on November 4, 2026, defeating a measure that sought to repeal the state's 2024 constitutional right to reproductive freedom. The amendment failed with approximately 55 percent opposition, receiving 1,173,172 no votes to 941,085 yes votes.

Edgar Lewis and State Senator Adam Schnelting sponsored the proposal, which was championed by the PAC Her Health and Her Future. Had it passed, the amendment would have established a near-total abortion ban with exceptions limited to medical emergencies, fetal anomalies, and rape or incest up to 12 weeks of gestation. It also would have permanently prohibited transition-related surgeries, cross-sex hormones, and puberty blockers for minors within the state constitution.

The defeat preserves the 2024 protections that allowed abortion services to resume in 2025. However, existing statutory bans on transition surgeries for minors remain in effect, and current limits on hormone therapy and puberty blockers continue until August 2027.

Reproductive Freedom for All invested six figures to defeat the initiative. Mini Timmaraju, the organization's president and CEO, characterized the result as a rejection of attempts to overturn the will of the voters. Conversely, supporters of the measure argued the amendment was necessary to protect women and children and align the constitution with state values.