Missouri Pro-Lifers Tie Abortion to Trans Procedures to Turn the Ballot-Referendum Tide

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A sign supporting Missouriโ€™s Amendment 3 is displayed outside the Missouri State Capitol in Jefferson City, Mo.

Her Health, Her Future/Facebook

In 2024, President Donald Trump and fellow Republicans dominated Missouri, sweeping the reliably red state, but conservatives did face a difficult statewide loss in the Show Me State that cycle.

The stateโ€™s voters approved a permissive abortion referendum, known as the Right to Reproductive Freedom Initiative, by 3 percentage points, or about 95,000 votes, which struck down a state law that prohibited abortion except in cases of a medical emergency. The referendum guaranteed a right to abortion up until viability, about 24 weeks into the pregnancy, but opponents argued that the built-in exceptions to the 24-week limit meant the referendum effectively permitted abortion through all nine months.

Charles Hilu

About the Author

Charles Hilu

Charles Hilu is a national affairs reporter at National Review. A graduate of the University of Michigan, he previously worked at the Washington Free Beacon and The Dispatch before joining National Review in 2026.

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