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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 June 18, 2026, a state circuit court struck down the state’s trigger ban, gestational bans, and reasons bans, as well as other restrictions on abortion. In November 2026, there will a ballot measure to repeal the 2024 constitutional amendment that voters approved to protect reproductive freedom.

State Legal Details

Bans in Effect

  • Gestational Ban, Viability
  • Medication Abortion, In-Person Requirement
  • Method Ban

Restrictions in Effect

  • Fetal Personhood
  • Parental Involvement, Parental Consent Requirement
  • Parental Involvement, Parental Notification 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.”2

Restrictions

On June 18, 2026, the Circuit Court of Jackson County, Missouri struck down a series of abortion restrictions, finding they violated Amendment 3 of the Missouri Constitution.3 This allows providers to provide medication abortion for at-home use and to continue giving procedural abortion care.4 However, the Court upheld the physician-only law and an in-person requirement, which requires patients to come to a clinic in person to confirm gestational age and rule out an ectopic pregnancy before an abortion.5

Missouri has not repealed other laws related to abortion. Missouri retains a gestational ban after viability.6 Missouri law asserts that life begins at conception.7 Missouri also prohibits D&X procedures.8 State law includes prohibitions on public funding,9 and private insurance.10 The state continues to require that a parent, a legal guardian,11 or a judge12 consent to a minor’s abortion. If a parent consents, that parent is required to notify the other parent.13

A Missouri trial court held unconstitutional the mandatory seventy-two-hour waiting period, biased counseling requirements, and targeted regulation of abortion providers (TRAP) laws related to facilities,14 admitting privileges,15 and reporting.16 Missouri law continues to restrict the provision of abortion care to physicians17 and allows providers to prescribe medication abortion to patients for at-home use after an in-person visit.18

Despite the recent Constitutional amendment protecting the right to abortion, two Missouri lawmakers filed legislation challenging that amendment and criminalizing abortion.19 If passed, the law would declare the voter-approved abortion amendment “null and void.”20 In November 2026, there will a ballot measure to repeal the 2024 constitutional amendment that voters approved to protect reproductive freedom.21

Historical Restrictions

Missouri repealed its pre-Roe ban in 1977.22 In 2019, Missouri began enforcing its trigger ban.23 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.24 On February 14, 2025, a state circuit court enjoined the facility licensing requirement.25 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.26 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.27

Conclusion

Now that the Supreme Court has overturned Roe, voters approved a 2024 amendment to the Missouri Constitution to protect reproductive freedom. On June 18, 2026, a state circuit court struck down 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 telemedicine, and a viability ban 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. Const. Art. 1, § 36. ↩︎
  3. Comprehensive Health of Planned Parenthood Great Plains & Planned Parenthood Great Rivers v. Missouri, No. 2416-CV31931 (Jackson Cnty. Cir. Ct. June 18, 2026). ↩︎
  4. Comprehensive Health of Planned Parenthood Great Plains & Planned Parenthood Great Rivers v. Missouri, No. 2416-CV31931 (Jackson Cnty. Cir. Ct. June 18, 2026). ↩︎
  5. Comprehensive Health of Planned Parenthood Great Plains & Planned Parenthood Great Rivers v. Missouri, No. 2416-CV31931 (Jackson Cnty. Cir. Ct. June 18, 2026). The court found that the same physician requirement did not conflict with the language of Amendment 3. ↩︎
  6. 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); Comprehensive Health of Planned Parenthood Great Plains & Planned Parenthood Great Rivers v. Missouri, No. 2416-CV31931 (Jackson Cnty. Cir. Ct. June 18, 2026). ↩︎
  7. 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”). ↩︎
  8. Mo. Rev. Stat. § 565.300(3). ↩︎
  9. Mo. Rev. Stat.  § 188.205. ↩︎
  10. Mo. Rev. Stat.  § 376.805. ↩︎
  11. Mo. Rev. Stat.  § 188.028(1)(1). ↩︎
  12. Mo. Rev. Stat.  § 188.028(1)(4). ↩︎
  13. Mo. Rev. Stat.  § 188.028(1)(1). ↩︎
  14. Mo. Rev. Stat. § 197.200 et seq. ↩︎
  15. Mo. Rev. Stat.  § 188.080. ↩︎
  16. Mo. Rev. Stat.  § 188.052. ↩︎
  17. Mo. Rev. Stat.  § 188.020; see also Comprehensive Health of Planned Parenthood Great Plains & Planned Parenthood Great Rivers v. Missouri, No. 2416-CV31931 (Jackson Cnty. Cir. Ct. June 18, 2026). ↩︎
  18. Comprehensive Health of Planned Parenthood Great Plains & Planned Parenthood Great Rivers v. Missouri, No. 2416-CV31931 (Jackson Cnty. Cir. Ct. June 18, 2026). ↩︎
  19. 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/ ↩︎
  20. 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/ ↩︎
  21. Hoskins, D., CPA. (n.d.). 2026 ballot measures. Retrieved July 24, 2026, from https://www.sos.mo.gov/petitions/2026ballotmeasures ↩︎
  22. 1977 Mo. Laws 658, 662-63 (repealing Mo. Ann. Stat. § 559.100 (Vernon 1969). ↩︎
  23. 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). ↩︎
  24. 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. ↩︎
  25. 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). ↩︎
  26. Missouri v. Zhang, No. SC101026 (Mo. May 27, 2025). ↩︎
  27. Comprehensive. Health of Planned Parenthood Great Plains et al. v. Missouri, No. 2416-CV31931 (Jackson Cnty. Cir. Ct. July 3, 2025). ↩︎