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Why the New Amendment 3 Would Likely Not Stop Abortions in Missouri

An analysis of public data shows that restrictive laws primarily change the location and method of abortions, rather than eliminating them.

Primary Destination States

Neighboring states, particularly Illinois and Kansas, have seen a significant increase in patients from Missouri since mid-2022. Chart shows annual estimates post 2022.

The Rise of Medication Abortion

Nationally, the majority of abortions are now conducted via medication, often prescribed through telemedicine and delivered by mail. This method is not reliant on physical clinics within a state.

Analyzing the Proposed 2026 Amendment 3 (HJR 73)

The proposed amendment for the 2026 ballot would add specific language to the Missouri Constitution. While it lists exceptions where abortions would be allowed, the existing data trends suggest its overall impact on the total number of abortions obtained by Missouri residents may be limited.

Proposed Constitutional Changes

HJR 73 seeks to amend the constitution to regulate abortion and gender transition procedures under the state's duty to protect public health and the medical profession.

Exceptions for Allowed Abortions

  • Medical emergencies - Not well defined
  • Claimed cases of rape or incest - Lack of reporting or prevention of false reports.
  • Fatal fetal anomalies - No safeguards against misdiagnoses or reporting mechanisms

New Regulatory Requirements

  • Allows regulation - Provides a cleaner place to kill the unborn
  • Physicians must provide "medically accurate information" - But who determines?
  • Ensures women's safety during procedures - but not the unborn children

Data-Driven Conclusion

The established trends of out-of-state travel and the use of mail-order medication are responses to restricted access within Missouri. Because these methods operate outside the state's direct regulatory control, the proposed amendment, even if passed, would likely not "save 95% of babies" as some proponents claim. Instead, it would largely formalize the existing situation where abortions for Missouri residents continue to occur, just beyond state lines and outside of traditional clinical settings.