Constitutional Amendment No. 3
BALLOT LANGUAGE
WHAT IT MEANS
Yes
No
ARGUMENTS FOR AND AGAINST
Yes
"What Is Amendment 3?
Protecting Children from Harmful, Sterilizing Medical Procedures and Restoring Common Sense Health and Safety Standards for Women’s Health Clinics.
- Bans Transgender Procedures for Minors
- Guarantees Women Have Access to Safe Healthcare
- Requires Parental Consent Before Minors Have an Abortion
- Ensures Clinics Have Qualified Medical Professionals & Proper Cleanliness Standards” - Her Health, Her Future
"Amendment 3 does two common sense things that almost everyone agrees with. Amendment 3 puts rules in place to protect babies from late term abortions, and it protects every kid under 17 from gruesome sex change surgeries. Adults who subject minor children to these life altering surgeries must be stopped, and Amendment 3 stops them. Vote to protect our children. Vote for Amendment 3." - Missouri Right to Life PAC
"We encourage Missourians to vote for this important measure to restore protections for all our patients.
As healthcare professionals of all specialties, our primary responsibility is to care for all our patients with excellence, compassion, and integrity. In 2024, the constitutional amendment that passed stripped our state’s women of common sense safeguards and ushered in abortion on demand. Now, we have an historic opportunity to reverse that dangerous amendment and reinstate health and safety standards while ensuring women have access to excellent healthcare.
The Amendment 3 on the ballot this November will restore the requirement of parental consent before a minor obtains an abortion, the ability of the state legislature to regulate abortion, and allow abortions in cases of rape and incest (under 12 weeks’ gestation), medical emergencies, and fetal anomalies.
While we may disagree on the extent to which this amendment goes, we can all agree that these reinstituted safeguards are better than the current status of none at all.
As Missouri medical professionals representing a wide range of specialties and healthcare disciplines, we support Amendment 3 because it is good for Missouri women, children, and families, and it is good for our profession. We urge our fellow Missourians to vote YES on Amendment 3." - Missouri Clinicians Coalition
"Amendment 3 would restore meaningful protections for women and unborn babies that were stripped away in 2024. It would allow Missouri once again to require basic health and safety standards for clinics, safeguard parental rights, and substantially limit abortion in our state, while also ensuring that women continue to have access to medical care for emergencies, ectopic pregnancies, and miscarriages. Furthermore, Amendment 3 would permanently protect boys and girls by prohibiting destructive gender-transition procedures, including surgeries, puberty blockers, and cross-sex hormones, in the state constitution. Although Amendment 3 is not perfect, it would be a significant step toward restoring protections for women and children in Missouri." - Catholic Bishops of Missouri
No
"Vote NO on Amendment 3 to stop politicians from overturning the will of the people, taking control away from families, and once again banning abortion in nearly all cases.
Voting NO ensures that Missouri families and doctors have the freedom to make decisions around pregnancy and abortion, not politicians.
In 2024, Missourians voted to end the ban on abortion and put the Right to Reproductive Freedom Amendment in our state constitution. We made it clear that we don’t want politicians to make medical decisions for us and our families.
But now politicians are pushing Amendment 3, an effort to overturn our votes and once again ban abortion in nearly all cases." - Stop the Ban
“Last November, Missourians made clear that they want to make personal decisions around abortion care with their families and doctors, not with politicians. This deceptive amendment is a trojan horse to reinstate Missouri’s total abortion ban and all the medically unnecessary restrictions that made access to abortion unattainable prior to the passage of the Right to Reproductive Freedom Initiative last November. Missourians want honesty, respect, and access to abortion but HJR 73 is the antithesis to all of these values. Missourians will vote no on this amendment to stop the abortion ban and protect reproductive freedom.” - Tori Schafer, Director of Policy and Campaigns, ACLU of Missouri
"In 2024, Missourians made history by voting to reverse its abortion ban—the Right to Reproductive Freedom Amendment—which enshrined the right to reproductive freedom in the state constitution, including access to abortion care, prenatal care, childbirth, postpartum care, birth control, miscarriage care, and respectful birthing conditions.
Missourians sent a clear message: politicians do not belong in our families’ private decision-making. Now, Missouri Republicans are trying to undo that vote. And yes—they’re even using the same name to make it harder to tell what’s actually happening.
Throughout 2025 Missouri’s Republican state lawmakers introduced 18 separate bills to undermine the Right to Reproductive Freedom Amendment. Now they’ve landed on a single, deceptive measure designed to ban abortion all over again.
In a diabolical move to confuse voters, GOP lawmakers have given their abortion ban the exact same name as the amendment that protected reproductive freedom.
This new abortion ban measure—also called Amendment 3—does the opposite of what voters approved in 2024. It would repeal the protections Missourians just passed, immediately reinstate new health care bans, and give politicians broader power to restrict access to care across the state." - Reproductive Freedom for All
"Just two years ago, Missourians went to the ballot box and made their voices loud and clear to protect reproductive freedom. But out-of-touch politicians are ignoring the will of the people. This November, they are forcing Amendment 3 onto the ballot. It’s a deceptive, bundled measure designed to strip away basic health care freedoms for women, transgender people, and all families trying to make the best decisions for their individual needs.
By trying to sneak this massive government overreach through, politicians want to ban essential, lifesaving health care for transgender youth and completely overturn the reproductive rights Missourians just fought to protect." - GLAAD
ENDORSEMENTS
Yes
Missouri Right to Life (Conservative)
Adam Schnelting (Conservative)
Josh Hawley (Conservative)
Brian Seitz (Conservative)
Priests For Life (Conservative)
No
Planned Parenthood Great Plains Votes (Liberal)
Planned Parenthood Great Rivers Action (Liberal)
Greater Kansas City Women's Political Caucus (Liberal)
SEIU Local 1 Service Employees International Union (Liberal)
Access MO (Liberal)
FINANCIAL BACKING
The following information provides insight into the money being spent to pass or defeat the ballot measure.
Yes
MISSOURI AMENDMENT 3, PROHIBIT ABORTION AND GENDER TRANSITION PROCEDURES FOR MINORS AMENDMENT (2026)
This question is on the ballot in Missouri as a legislatively referred constitutional amendment on November 3, 2026. As of October 25, 2026, the committees formed to support the Prohibit Abortion and Gender Transition Procedures for Minors Amendment (2026) are:
Selected contributions to: "Her Health, Her Future PAC" include:
- Drury Displays Inc.
- Drury Development Corporation
- Her Health Her Future Missouri
- Columbian Charities of Missouri Inc.
- Conservative Solutions for Missouri PAC
- Jackson County Republican Committee
- GJ Grewe Inc.
- Sieve Contractors Inc.
- Donald Ross
- Chris Archer
- John Martin
- Doug Russell
- L.B. Eckelkamp Jr.
- Joseph Stieven
- G Scott Engelbrecht
- Mark Travis
- Laura Shaughnessy
- James Shaughnessy
MISSOURI STUDENTS FOR LIFE BALLOT PAC
Selected contributions to: "Missouri Students for Life Ballot PAC" include:
- Students for Life of America
Selected contributions to: "Missouri Right to Life PAC" include:
- Therese Sander
- Michael Ross
- David Drury
- Timothy Sullivan
- Kyle McCollom
- Elizabeth Landgraf
- Phillip Desloge
- Robert Landgraf
- Marcus Azar
- Mary Bick
- Frederic Sauer
- Allan Bambao
No
MISSOURI AMENDMENT 3, PROHIBIT ABORTION AND GENDER TRANSITION PROCEDURES FOR MINORS AMENDMENT (2026)
This question is on the ballot in Missouri as a legislatively referred constitutional amendment on November 3, 2026. As of October 25, 2026 the committees formed to oppose the Prohibit Abortion and Gender Transition Procedures for Minors Amendment (2026) are:
Selected contributions to: "Stop the Ban" include:
- American Civil Liberties Union
- Planned Parenthood
- The Fairness Project
- Health Forward Foundation
- Abortion Action Missouri Foundation
- Planned Parenthood Great Plains Votes
- Action St. Louis Power Project
- Open Society Policy Center
- Michael R Bloomberg
- Lynn Schusterman
- Ross Boucher
- Emily Rauh Pulitzer
- Gerald Axelbaum and Ellen Schapiro
- Global Impact Social Welfare Fund
- PROMO
- Scott and Nicola Stern
- Wendy Jo Roemer
Selected contributions to: "Protect Freedom and Democracy" include:
- Protect Majority Rule MO
- Movement Voter Project
- Missouri Organizing and Voter Engagement Action
- Missouri Jobs with Justice Voter Action
- Missouri WIN
- No Everything Tax
- Missouri Workers Power
- Progress MO
- Heartland Action
- WEPOWER
OTHER INFORMATION
Yes