Missouri Voters Face Key Ballot Measures in Midterms

Missouri voters will decide on a new constitutional amendment to repeal abortion rights and ban minor gender transitions during the midterms. The ballot also features measures on initiative petitions and taxes.

Rebekah York fills out a ballot at Delaware Elementary School on Tuesday, April 7, 2026.

Missouri voters will decide on a restrictive abortion amendment and several high-stakes ballot measures during the November midterms. The upcoming vote follows a narrow 51.6% majority approval in 2024 that enshrined abortion rights in the state constitution. Polling indicates another tight contest as advocacy groups clash over reproductive freedom, gender transitions, and state taxes.

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