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
  • TRAP requirements: Providers, Reporting Requirement

Restrictions

On June 24, 2022, Missouri began enforcing its trigger ban,1 which bans all abortions except to save the life of the pregnant person, following the U.S. Supreme Court’s decision in the case Dobbs v. Jackson Women’s Health Organization.2 However, the ban is currently being challenged due to the state’s constitutional amendment.3 On December 23, 2024, a state circuit court held that the state’s trigger ban and other abortion restrictions were unconstitutional and enjoined those laws.4 On February 14, 2025, a state circuit court enjoined the facility licensing requirement.5 On May 27, 2025, the Missouri Supreme Court lifted both the December 2024 and the February 2025 rulings, allowing the state’s trigger an and other abortion restrictions to temporarily go back into effect.6 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.7 This allows providers to continue giving procedural abortion care; however, other restrictions on medication abortion access were not enjoined.

Missouri has not repealed other laws related to abortion.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 be offered an ultrasound,13 and prohibitions on public funding,14 and private insurance.15 The state continues to require that both parents, 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 reporting21, 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.23 Providers who violate Missouri’s abortion restrictions may face civil and criminal penalties.27

State Protections

On November 5, 2024, voters approved Amendment 3 recognizing reproductive freedom, including abortion care, as a fundamental right in Missouri.28 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

Post-Roe Prohibitions

In 2019, Missouri enacted a trigger ban.29

Missouri repealed its pre-Roe ban in 1977.30

Conclusion

Now that the Supreme Court has overturned Roe, Missouri began enforcing its trigger ban to prohibit abortion entirely– however this ban is currently blocked. On November 5, 2024 voters approved an amendment to the Missouri Constitution to protect reproductive freedom.

  1. Mo. Rev. Stat. u00a7 188.017(2); Immediate Efficacy of Section 188.017, RSMo, 22 Op. Attu2019y. Gen. 2022 (2022). ↩︎
  2. Dobbs v. Jackson Womenu2019s Health Org., 597 U.S 215 (June 24, 2022), revu2019d Dobbs v. Jackson Womenu2019s Health Org., 945 F.3d 265, 274 (5th Cir. 2019). ↩︎
  3. Comprehensive Health of Planned Parenthood Great Plains & Planned Parenthood Great Rivers v. Missouri, 2416-CV31931 (Jackson Cnty. Cir. Ct. Nov. 6, 2024). ↩︎
  4. Comprehensive Health of Planned Parenthood Great Plains et al. v. Missouri, No. 2416-CV31931 (Jackson Cnt. Cir. Ct. Dec. 23, 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. ↩︎
  5. Comprehensive Health of Planned Parenthood Great Plains et al. v. Missouri, No. 2416-CV31931 (Jackson Cnt. Cir. Ct. Feb. 14, 2025) (enjoining the facility licensing requirement). ↩︎
  6. Missouri v. Zhang, No. SC101026 (Mo. May 27, 2025)(lifted the preliminary injunctions granted in Comprehensive Health of Planned Parenthood Great Plains et al. v. Missouri). ↩︎
  7. Comprehensive. Health of Planned Parenthood Great Plains et al. v. Missouri, No. 2416-CV31931 (Jackson Cnt. Cir. Ct. July 3, 2025). ↩︎
  8. Mo. Rev. Stat. u00a7 188.056(1); seeu00a0Reprod. Health Servs. of Planned Parenthood of the St. Louis Region, Inc v. Parson, 1 F.4th 552 (8th Cir. Jun. 9, 2021), rehu2019g 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 Cnt. Cir. Ct. July 3, 2025). ↩︎
  9. Mo. Rev. Stat. u00a7 188.030(1). See also Comprehensive Health of Planned Parenthood Great Plains et al. v. Missouri, No. 2416-CV31931 (Jackson Cnt. Cir. Ct. July 3, 2025). ↩︎
  10. MO. REV. STAT. u00a7 188.026.2(1)-(2). See also id. u00a71.205, Webster vs. Reproductive Health Services, 492 U.S. 490, 505 (1989) (“the life of each human being begins at conception” and u2018unborn children have protectable interests in life, health, and well-being.u2019u201d) ↩︎
  11. MO. REV. STAT. u00a7 565.300.3. ↩︎
  12. Id. u00a7 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 Cnt. Cir. Ct. July 3, 2025). ↩︎
  13. MO. REV. STAT. u00a7 188.027; Missouri v. Zhang, No. SC101026 (Mo. May 27, 2025) (lifting the preliminary injunction on the biased counseling and waiting period requirements granted in Comprehensive Health of Planned Parenthood Great Plains et al. v. Missouri). ↩︎
  14. Id. u00a7 188.205. ↩︎
  15. Id. u00a7 376.805. ↩︎
  16. MO. REV. STAT. u00a7 188.028(1)(1). ↩︎
  17. Id. u00a7 188.028(1)(4). ↩︎
  18. Id. u00a7 188.028(1)(1). ↩︎
  19. Mo. Rev. Stat. u00a7u00a7 197.200 et seq., 334.100(27)u00a0; 19 C.S.R. u00a7u00a7 30-30.050 et sequ00a0; C.S.R. u00a7 2150-7.140(2)(V).Missouri v. Zhang, No. SC101026 (Mo. May 27, 2025) (lifting the preliminary injunction on facility requirements granted in Comprehensive Health of Planned Parenthood Great Plains et al. v. Missouri). ↩︎
  20. Id. u00a7 188.080. Missouri v. Zhang, No. SC101026 (Mo. May 27, 2025) (lifting the preliminary injunction on admitting privileges granted in Comprehensive Health of Planned Parenthood Great Plains et al. v. Missouri). ↩︎
  21. Id. u00a7 188.052. ↩︎
  22. Comprehensive Health of Planned Parenthood Great Plains et al. v. Missouri, No. 2416-CV31931 (Jackson Cnt. 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 Cnt. Cir. Ct. July 3, 2025). ↩︎
  24. Mo. Rev. Stat. u00a0u00a7 188.020. ↩︎
  25. Id. u00a7 188.021. ↩︎
  26. Comprehensive Health of Planned Parenthood Great Plains et al. v. Missouri, No. 2416-CV31931 (Jackson Cnt. Cir. Ct. July 3, 2025). ↩︎
  27. See, e.g., id. u00a7u00a7 188.017(2) (making it a class B felony to perform an abortion), 188.250(2), 188.030(3). See Missouri v. Zhang, No. SC101026 (Mo. May 27, 2025) (lifting the preliminary injunction on some of the criminal penalties granted in Comprehensive Health of Planned Parenthood Great Plains et al. v. Missouri). ↩︎
  28. Secu2019y of State, Certificate of Sufficiency of Petition, https://www.sos.mo.gov/CMSImages/Elections/Petitions/2024-086WebSufficiency.pdf; Geoffu00a0Mulvhillu00a0and Christine Fernando,u00a0Abortion rights advocates win in 7 states and clear way to overturn Missouri ban but lose in 3, AP News (Nov. 6, 2024). ↩︎
  29. Id. u00a7 188.017(4); Immediate Efficacy of Section 188.017, RSMo, 22 Op. Attu2019y. Gen. 2022 (2022). ↩︎
  30. 1977u00a0Mo. Laws 658, 662-63 (repealing Mo. Ann. Stat. u00a7 559.100u00a0(Vernon 1969). ↩︎