Replace the 2024 reproductive-rights amendment
Source review availableSee exactly what was checked
The fields listed below were checked against the linked sources on October 21, 2026. Future outcomes, final contract awards and individual tax bills are not established by this review.
Checked: Title, Summary, Yes vote, No vote, Beneficiaries, Fiscal estimate, Tradeoffs, Named organizations.
Unknown: Final outcomes, future contract awards and your individual tax bill are not established by a ballot authorization.
Repeals Article I, Section 36, approved in 2024, and substitutes a more restrictive reproductive-health provision. It permits abortion for medical emergencies, defined fatal fetal anomalies, and rape or incest up to 12 weeks of gestation, while permitting extensive abortion regulation. It also prohibits gender-transition procedures for minors, with specified medical exceptions.
Who benefits or is affected
The replacement changes legal protections and restrictions affecting pregnant patients, abortion providers, minors seeking specified gender-transition care, their clinicians and parents, and state lawmakers. The General Assembly gains regulatory authority within the replacement text. No company, contractor or grant recipient is named. The number affected and individual expenses cannot be determined from the amendment.
Costs and tradeoffs
The official fiscal summary reports no state costs or savings and no local costs or savings except Greene County’s estimate of an unknown increase in tax revenue. This is an estimate of government finances, not a finding that patients face no travel, treatment or other personal costs. No per-voter tax amount is imposed.
The fetal-anomaly exception is defined as an abnormality making life outside the womb impossible; it is not an exception for every disability or diagnosis.
The medical-emergency definition concerns death or serious irreversible physical impairment. Readers should not assume that every health concern falls within it.
One vote decides both abortion restrictions and restrictions on medical transition for minors; voters cannot approve those components separately.
The proposal also directs challenges to reproductive-health state laws to Cole County Circuit Court. Litigation and implementation may affect practical access.
Organizations named in the records
Missouri General Assembly
Institution receiving greater regulatory authorityMay enact abortion regulations and implementing laws under the replacement constitutional provision; no appropriation is awarded by this amendment.
A named public institution, administrator or eligible applicant is not automatically a contract awardee. Future private awards are unknown unless a source identifies an executed award.
Published party positions
Democratic Party
Missouri Democratic Party
The state party’s 2026 general-election page explicitly endorses voting NO.
Publication date not stated · Source checked 2026-10-21
Republican Party
Missouri Republican Party
The state party’s official 2026 ballot guide recommends voting YES.
Publication date not stated · Source checked 2026-10-21
A position applies to the named organization, not every party member. Missing evidence does not establish neutrality. We do not infer a party’s position from its ideology or a legislator’s vote.