Missouri voters will decide Nov. 3 whether to repeal the constitutional abortion rights they approved in 2024 and replace them with substantially tighter restrictions.

Amendment 3 would allow abortion only in cases of medical emergencies, fetal anomalies and rape or incest, with a 12-week limit on the rape and incest exceptions. The current constitutional amendment protects abortion through fetal viability.

The measure also would prohibit certain gender-transition procedures for minors, including surgeries, cross-sex hormones and puberty-blocking drugs, with exceptions for specific medical conditions.

Missouri Attorney General Catherine Hanaway recently voiced support for that provision.

“We’re not going to mutilate minors’ bodies before, I mean period, that should be in our state constitution,” Hanaway said.

The Republican-led Missouri Legislature placed Amendment 3 on the ballot.

Sylvester Brown Jr. is the Deaconess Foundation Community Advocacy Fellow.

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