Missouri Amendment 3 (2026): What It Does and Yes Vote
Missouri Amendment 3 is a proposed constitutional amendment on the November 2026 ballot. It would allow Missouri to set health and safety standards for abortion facilities, require parental consent before minors obtain abortions, require abortions to be performed by licensed physicians, and prohibit gender transition surgeries for minors.
A yes vote supports adding these protections to the Missouri Constitution.
Quick Facts
Election: 2026
Topic: Parental consent, women’s health and safety standards, and protections for children
Main issue: Whether Missouri should add specific health, safety, parental consent, physician-only, and child-protection standards to the state Constitution.
What a yes vote means: A yes vote supports adding these protections to the Missouri Constitution.
What a no vote means: A no vote opposes adding these protections to the Missouri Constitution.
Key provisions: Amendment 3 would allow Missouri to set health and safety standards, require parental consent before minors obtain abortions, require abortions to be performed by licensed physicians, and prohibit gender transition surgeries for minors.
Bottom line: Amendment 3 would put parental consent, women’s safety standards, physician-only requirements, and protections for children into the Missouri Constitution.
Amendment 3 will appear on the ballot in the following form:
Shall the Missouri Constitution be amended to:
- – Guarantee women’s medical care for emergencies, ectopic pregnancies, and miscarriages;
- – Ensure women’s safety during abortions;
- – Ensure parental consent for minors;
- – Repeal Article I, section 36, approved in 2024; allow abortions for medical emergencies, fetal anomalies, rape, and incest;
- – and Prohibit sex-change procedures for children?”
What is Missouri Amendment 3?
Amendment 3 is a proposed constitutional amendment that would add specific health, safety, parental consent, physician-only, and child-protection standards to the Missouri Constitution.
The amendment would allow Missouri to set health and safety standards for abortion facilities. It would also require parental consent before minors obtain abortions, require abortions to be performed by licensed physicians, and prohibit gender transition surgeries for minors.
In plain English, Amendment 3 is about whether these protections should be written directly into Missouri’s Constitution.
What does a yes vote on Missouri Amendment 3 mean?
A yes vote on Amendment 3 supports adding specific health, safety, parental consent, physician-only, and child-protection standards to the Missouri Constitution.
If Amendment 3 passes, Missouri would be able to set health and safety standards for abortion facilities. The Constitution would also require parental consent before minors obtain abortions, require abortions to be performed by licensed physicians, and prohibit gender transition surgeries for minors.
What does a no vote on Missouri Amendment 3 mean?
A no vote on Amendment 3 opposes adding these standards to the Missouri Constitution.
If Amendment 3 fails, these specific protections would not be added to the Missouri Constitution.
Health and Safety
Missouri voters overwhelmingly agree that Missouri should have laws regulating the health and safety of abortion facilities and the manner in which abortions are performed to keep women safe.
- – From 2009-2016 (before the fall of Roe v. Wade), ambulances were called to a single St. Louis Planned Parenthood clinic once every 46 days.
- – In 2022, DHSS estimated the complication rate for Missouri abortions was 1 in 50.
Provider Regulations
Missouri voters believe that licensed medical professionals should provide medically necessary information to their patients. When something goes wrong, Missourians agree that a woman should have the right to sue the physician who harmed them.
- – Immediately following the passage of Amendment 3 in 2024, Planned Parenthood sued to overturn all safety regulations on abortion providers, including the requirement to provide medically necessary information to patients.
Parental Consent
Missouri voters agree that medical decisions for minor patients should require parental consent, including decisions related to reproductive healthcare. They believe that no child should undergo gender transition surgery.
- – Amendment 3 restores Missouri’s parental consent law and bans child gender transitions.
- – The United States Supreme Court upheld the validity of bans on child gender transitions in 2025.
Frequently Asked Questions about Missouri Amendment 3
Amendment 3 is a proposed constitutional amendment on the November 2026 ballot. It would add specific health, safety, parental consent, physician-only, and child-protection standards to the Missouri Constitution.
A yes vote supports adding these protections to the Missouri Constitution. Amendment 3 would allow Missouri to set health and safety standards for abortion facilities, require parental consent before minors obtain abortions, require abortions to be performed by licensed physicians, and prohibit gender transition surgeries for minors.
A no vote opposes adding these standards to the Missouri Constitution. If Amendment 3 fails, these specific protections would not be added to the Missouri Constitution.
Yes. Amendment 3 would require parental consent before minors obtain abortions.
Yes. Amendment 3 would allow Missouri to set health and safety standards for abortion facilities.
Yes. Amendment 3 would require abortions to be performed by licensed physicians.
Yes. Amendment 3 would prohibit gender transition surgeries for minors.
Amendment 3 is being proposed to place specific parental consent, women’s health and safety, physician-only, and child-protection standards directly into the Missouri Constitution.