After Roe Fell: U.S. Abortion Laws by State

Protected

Missouri

Voters approved a 2024 amendment to the Missouri Constitution to protect reproductive freedom. On July 3, 2025, a state circuit court temporarily enjoined the state’s trigger ban, gestational bans, and reasons bans, as well as other restrictions on abortion. However, requirements that only physicians provide abortion care and in-person, as well as targeted restrictions on medication abortion, have not been enjoined and are currently in effect.

State Legal Details

Bans in Effect

  • Gestational Ban, Viability
  • Method Ban

Bans Enjoined

  • Gestational Ban, 8-week LMP
  • Gestational Ban, Total Ban
  • Reason Ban
  • Telemedicine Ban
  • Trigger Ban

Restrictions in Effect

  • Fetal Personhood
  • Mandatory Ultrasound Requirement
  • Parental Involvement, Parental Consent Requirement
  • Parental Involvement, Parental Notification Requirement
  • TRAP requirements: Providers, Reporting Requirement

State Protections

On November 5, 2024, voters approved Amendment 3 recognizing reproductive freedom, including abortion care, as a fundamental right in Missouri.1 The Missouri Constitution now reads:

The Government shall not deny or infringe upon a person’s fundamental right to reproductive freedom, which is the right to make and carry out decisions about all matters relating to reproductive health care, including but not limited to prenatal care, childbirth, postpartum care, birth control, abortion care, miscarriage care, and respectful birthing conditions.0

Restrictions

On June 24, 2022, Missouri began enforcing its trigger ban.2 On December 20, 2024, a state circuit court held that the state’s trigger ban and other abortion restrictions were unconstitutional and enjoined those laws.3 On February 14, 2025, a state circuit court enjoined the facility licensing requirement.4 On May 27, 2025, the Missouri Supreme Court lifted both the December 2024 and the February 2025 rulings, allowing the state’s trigger and other abortion restrictions to temporarily go back into effect.5 On July 3, 2025, the Circuit Court of Jackson County, Missouri granted a preliminary injunction preventing the enforcement of some of the state’s bans and other restrictions.6 This allows providers to continue giving procedural abortion care; however, other restrictions on medication abortion access were not enjoined.7

Missouri has not repealed other laws related to abortion. Missouri retains gestational bans at eight weeks LMP, a ban that is currently enjoined,8 and after viability.9 Missouri law asserts that life begins at conception.10 It also prohibits D&X procedures11 and abortions sought for reasons of sex, race, or Down syndrome, although the reason ban is currently enjoined.12 Missouri law continues to include requirements that pregnant people must undergo a mandatory seventy-two-hour waiting period, receive biased counseling, and an ultrasound, though the waiting period and biased counseling provisions are currently enjoined.13 IT also includes prohibitions on public funding,14 and private insurance.15 The state continues to require that a parent, a legal guardian,16 or a judge17 consent to a minor’s abortion. If a parent consents, that parent is required to notify the other parent.18

Missouri retains targeted regulation of abortion providers (TRAP) laws related to facilities,19 admitting privileges,20 and reporting,21 however the facilities provisions are enjoined,22 and admitting privileges provision is enjoined.23 Missouri law continues to restrict the provision of abortion care to physicians24 and restricts providers from using telemedicine for the provision of abortion care,25 though the telemedicine provision is currently enjoined.26 Providers who violate Missouri’s abortion restrictions may face civil and criminal penalties.27

Despite the recent Constitutional amendment protecting the right to abortion, two Missouri lawmakers filed legislation challenging that amendment and criminalizing abortion.28 If passed, the law would declare the voter-approved abortion amendment “null and void.”29

Historical Restrictions

Missouri repealed its pre-Roe ban in 1977.30

Conclusion

Now that the Supreme Court has overturned Roe, voters approved a 2024 amendment to the Missouri Constitution to protect reproductive freedom. On July 3, 2025, a state circuit court temporarily enjoined the state’s trigger ban, gestational bans, and reasons bans, as well as other restrictions on abortion. However, Missouri’s laws requiring that abortion care be provided in person and only by physicians, along with restrictions on medication abortion, have not been enjoined and are currently in effect.

  1. Sec’y of State, Certificate of Sufficiency of Petition, https://www.sos.mo.gov/CMSImages/Elections/Petitions/2024-086WebSufficiency.pdf; Geoff Mulvhill and Christine Fernando, Abortion rights advocates win in 7 states and clear way to overturn Missouri ban but lose in 3, AP News (Nov. 6, 2024).  ↩︎
  2. MO. REV. STAT. § 188.017(4); Immediate Efficacy of Section 188.017, RSMo, 22 Op. Att’y. Gen. 2022 (2022); On June 24, 2022, Missouri began enforcing its trigger ban, which bans all abortions except to save the life of the pregnant person, following the U.S. Supreme Court’s decision in the case Jackson Women’s Health Organization v. Dobbs. Dobbs v. Jackson Women’s Health Org., 597 U.S 215 (June 24, 2022), rev’d Dobbs v. Jackson Women’s Health Org., 945 F.3d 265, 274 (5th Cir. 2019). However, the ban is currently being challenged as unconstitutional due to the state’s constitutional amendment. Comprehensive Health of Planned Parenthood Great Plains & Planned Parenthood Great Rivers v. Missouri, 2416-CV31931 (Jackson Cnty. Cir. Ct. Nov. 6, 2024). ↩︎
  3. Comprehensive Health of Planned Parenthood Great Plains et al. v. Missouri, No. 2416-CV31931 (Jackson Cnty. Cir. Ct. Dec. 20, 2024). The court also enjoined the eight-week ban, fourteen-week ban, eighteen-week ban, reason ban, admitting privilege requirement, certain medication abortion restrictions, fetal tissue laws, biased counseling requirements, waiting period, and telemedicine ban. The court did not enjoin enforcement of the facility licensing requirements, in person appointment requirement, same physician requirement, physician only requirement, and certain criminal penalties were not enjoined. ↩︎
  4. Comprehensive Health of Planned Parenthood Great Plains et al. v. Missouri, No. 2416-CV31931 (Jackson Cnty. Cir. Ct. Feb. 14, 2025) (enjoining the facility licensing requirement). ↩︎
  5. Missouri v. Zhang, No. SC101026 (Mo. May 27, 2025). ↩︎
  6. Comprehensive. Health of Planned Parenthood Great Plains et al. v. Missouri, No. 2416-CV31931 (Jackson Cnty. Cir. Ct. July 3, 2025). ↩︎
  7. Although this ruling was appealed, on August 12, 2025, the Supreme Court of Missouri found it did not have jurisdiction to consider the preliminary injunction and transferred the case to the court of appeals. Comprehensive Health of Planned Parenthood Great Plains et al. v. Missouri, No. SC 101176, 2025 WL 2346611 (Mo. Aug. 12, 2025). ↩︎
  8. Mo. Rev. Stat. § 188.056(1); see Reprod. Health Servs. of Planned Parenthood of the St. Louis Region, Inc v. Parson, 1 F.4th 552 (8th Cir. Jun. 9, 2021), reh’g en banc granted, opinion vacated (8th Cir. Jul. 13, 2021), cert. denied sub nom. Schmitt v. Planned Parenthood, 144 S. Ct. 38 (U.S. Oct. 4, 2021); Comprehensive. Health of Planned Parenthood Great Plains et al. v. Missouri, No. 2416-CV31931 (Jackson Cnty. Cir. Ct. July 3, 2025). ↩︎
  9. Mo. Rev. Stat. § 188.030(1). See also Comprehensive Health of Planned Parenthood Great Plains et al. v. Missouri, No. 2416-CV31931(Jackson Cnty. Cir. Ct. July 3, 2025). ↩︎
  10. MO. REV. STAT. § 188.026.2(1)-(2); see also Mo. Rev. Stat.  §1.205; Webster vs. Reproductive Health Services, 492 U.S. 490, 505 (1989) (“the life of each human being begins at conception” and “unborn children have protectable interests in life, health, and well-being”). ↩︎
  11. Mo. Rev. Stat. § 565.300(3). ↩︎
  12. Mo. Rev. Stat.  § 188.052(1); see Reprod. Health Servs., supra note 1 at 1 F.4th 552, 561 (8th Cir. Jun. 9, 2021). See also Comprehensive Health of Planned Parenthood Great Plains et al. v. Missouri, No. 2416-CV31931 (Jackson Cnty. Cir. Ct. July 3, 2025). ↩︎
  13. Mo. Rev. Stat. § 188.027; Comprehensive Health of Planned Parenthood Great Plains et al. v. Missouri, No. 2416-CV31931 (Jackson Cnty. Cir. Ct. July 3, 2025). ↩︎
  14. Mo. Rev. Stat.  § 188.205. ↩︎
  15. Mo. Rev. Stat.  § 376.805. ↩︎
  16. Mo. Rev. Stat.  § 188.028(1)(1). ↩︎
  17. Mo. Rev. Stat.  § 188.028(1)(4). ↩︎
  18. Mo. Rev. Stat.  § 188.028(1)(1). ↩︎
  19. Mo. Rev. Stat. § 197.200 et seq. ↩︎
  20. Mo. Rev. Stat.  § 188.080. ↩︎
  21. Mo. Rev. Stat.  § 188.052. ↩︎
  22. Comprehensive Health of Planned Parenthood Great Plains et al. v. Missouri, No. 2416-CV31931 (Jackson Cnty. Cir. Ct. July 3, 2025).(enjoining the facility licensing requirement). ↩︎
  23. Comprehensive Health of Planned Parenthood Great Plains et al. v. Missouri, No. 2416-CV31931 (Jackson Cnty. Cir. Ct. July 3, 2025). ↩︎
  24. Mo. Rev. Stat.  § 188.020. ↩︎
  25. Mo. Rev. Stat.  . § 188.021; Missouri law also requires physicians to obtain state approval of a complication plan before prescribing any abortion drug if the drug’s FDA label indicates that more than 1% of patients needed surgical intervention after the drug’s administration, though the applicable provision is currently enjoined. 19 CSR § 30‑30.061 (Mo. 2025). See Mo. Rev. Stat. § 188.021(2); Comprehensive Health of Planned Parenthood Great Plains et al. v. Missouri, No. 2416-CV31931(Jackson Cnty. Cir. Ct. July 3, 2025). ↩︎
  26. Comprehensive Health of Planned Parenthood Great Plains et al. v. Missouri, No. 2416-CV31931 (Jackson Cnty. Cir. Ct. July 3, 2025). ↩︎
  27. See, e.g., Mo. Rev. Stat. . §§ 188.017(2) (making it a class B felony to perform an abortion), 188.250(2), 188.030(3). ↩︎
  28. Sarah Motter, Missouri lawmakers seek to criminalize abortion as murder despite voter approved amendment, KCTV5 (Dec. 2, 2025), https://www.kctv5.com/2025/12/02/missouri-lawmakers-seek-criminalize-abortion-murder-despite-voter-approved-amendment/ ↩︎
  29. Sarah Motter, Missouri lawmakers seek to criminalize abortion as murder despite voter approved amendment, KCTV5 (Dec. 2, 2025), https://www.kctv5.com/2025/12/02/missouri-lawmakers-seek-criminalize-abortion-murder-despite-voter-approved-amendment/ ↩︎
  30. 1977 Mo. Laws 658, 662-63 (repealing Mo. Ann. Stat. § 559.100 (Vernon 1969). ↩︎