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Missouri voters will use the 2022 congressional map for the November general election and will decide on Proposition A, which would determine whether the new 2025 redrawn map is used in future elections. Missouri's Amendment 3 on the ballot proposes repealing the 2024 abortion rights amendment and adding new restrictions on abortion and a constitutional ban on gender-affirming care for minors under 18.

Missourians will vote again on abortion in the November election. The upcoming vote will address abortion policy in Missouri.

Missouri voters will decide on November 3 whether to pass Amendment 3, which would repeal the 2024 abortion rights amendment and reinstate a near-total abortion ban with exceptions for emergencies, fetal anomalies, and rape or incest under 12 weeks. The amendment would also constitutionally ban gender-affirming care for minors, adding to existing state restrictions on such treatments.

Missouri labor unions and reproductive rights groups have formed a $1 million coalition to defeat Republican lawmakers who voted to repeal the state's paid sick leave requirement, reflecting a growing alliance that has influenced several key ballot measures in the state. This partnership has contributed to Missouri voters repealing a right-to-work law, expanding Medicaid, approving abortion rights and a higher minimum wage with paid sick leave, and defeating amendments related to the initiative petition process and state income tax.

Missouri Attorney General, along with 13 other Republican attorneys general, urged the EPA to classify and regulate the abortion drug mifepristone as a water contaminant, claiming it poses a growing threat to waterways. This effort is part of a broader GOP initiative involving 19 members of Congress and state lawmakers in several states introducing legislation related to medication abortion and environmental concerns.

Missouri Gov. Mike Kehoe has placed four constitutional amendments on the August 4 primary ballot, including Amendment 5 which would allow lawmakers to expand sales taxes to replace the state income tax, and Amendment 4 which would raise the threshold for citizen-led constitutional amendments to require a majority in every congressional district. The November ballot will feature Amendment 3, a legislative proposal to repeal Missouri's 2024 abortion rights amendment and impose a ban on abortion except in limited cases during the first 12 weeks of pregnancy.

Missouri directs the majority of its federal Temporary Assistance for Needy Families (TANF) funds to anti-abortion crisis pregnancy centers, with $10.3 million allocated for fiscal year 2026. Republican Rep. Jason Smith highlighted that up to three-quarters of pregnancy center funding in Missouri comes from TANF, reflecting a significant state-level investment in these centers amid broader national trends of federal funding to such organizations.

A Jackson County Circuit Court judge has concluded a 10-day trial examining Missouri abortion regulations, with a decision pending on whether to uphold or strike down several state laws including restrictions on medication abortion and telemedicine. The case centers on interpreting a 2024 Missouri constitutional amendment legalizing abortion up to fetal viability alongside existing state regulations, potentially impacting abortion access across Missouri.

Planned Parenthood Great Plains staff testified in a Jackson County Circuit Court trial challenging Missouri's abortion regulations, describing harassment and burdensome rules that complicate abortion access despite a 2024 constitutional amendment protecting abortion rights up to fetal viability. The trial will determine whether Missouri's laws, including waiting periods, clinic requirements, and restrictions on medication abortion, will be struck down, with the state arguing these laws protect women and ensure informed decisions.

A trial began in Jackson County Circuit Court challenging Missouri's TRAP laws that restrict abortion providers, with Planned Parenthood and the ACLU arguing these laws violate the state's constitutional right to reproductive freedom passed by voters in 2024. Despite the amendment protecting abortion until fetal viability, many abortion restrictions remain in effect, limiting access and forcing many Missourians to seek care out of state, while the state continues to pursue further abortion regulations including a proposed ban on the November ballot.

One year after abortion became legal in Missouri, only 80 elective abortions have been performed in the state, with most patients seeking care out of state due to ongoing legal challenges and a decimated provider network. Planned Parenthood remains the sole provider in Missouri, and a new constitutional amendment to ban nearly all abortions is set for a 2026 vote, creating continued uncertainty for abortion access in the state.