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Abortion, citizen initiative process among issues on November ballot

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On Tuesday, Nov. 3, Missouri voters will go to the polls to cast their votes on five ballot issues. According to Ballotpedia, Amendment Three would prohibit abortion and gender transition procedures for those under the age of 18. Amendment Six would prohibit the Missouri State Legislature from amending or repealing a citizen initiative without a vote of 80 percent in both houses. Amendment Seven would create a permanent public endowment fund that the state would use to generate revenue, with the earnings eliminating state-state imposed taxes when the revenue was sufficient to replace them. Amendment Eight would require the election of county sheriffs. Finally, Proposition A would uphold House Bill 1, which provided for new congressional districts.

Amendment Three:

The ballot language on Amendment Three states, “Shall the Missouri Constitution be

amended to: Repeal the 2024 voter-approved Amendment providing reproductive healthcare rights, including abortion through fetal viability; allow abortions for rape and incest (under twelve-weeks’ gestation), emergencies, and fetal anomalies; allow legislation regulating abortion; ensure parental consent for minors’ abortions, (and) prohibit gender transition procedures for minors?”

According to the ballot language, the state and most local governments anticipate no cost or revenue if the ballot measure passes, though Greene County estimates “it may experience an unknown increase in tax revenue.”

Ballotpedia stated that if Amendment Three passes, it would repeal the Amendment Three which was passed in 2024, which provided for “for the fundamental right to reproductive freedom, including abortion.”

“The amendment would then add a new section that would prohibit abortion, except in cases of medical emergency, fetal anomaly, rape, or incest,” Ballotpedia stated. “For cases of rape and incest, the abortion could only be performed before 12 weeks. It would prohibit abortions based on a fetal disability diagnosis, except in cases of fetal anomaly. It would require parental or guardian consent for minors seeking an abortion and prohibit fetal organ harvesting. The amendment would also provide for the ability of a woman to access healthcare in cases of miscarriage and ectopic pregnancy.”

The amendment would also prohibit “gender transition surgeries for minors under 18, and prohibit the prescribing of cross-sex hormones or puberty-blocking drugs to minors under 18.”

“This does not include the use of surgeries, drugs, or hormones to treat children born with medically verifiable disorders of sex development,” Ballotpedia stated, “or to treat any infection, injury, disease, or disorder unrelated to the purpose of gender transition.

“Currently, gender transition procedures for minors are statutorily prohibited in Missouri.”

Amendment Six:

The ballot language for Amendment Six reads, “Shall the Missouri Constitution be

amended to: Expand the initiative and referendum petition process by making it a fundamental right; allow courts to revise ballot summaries through lawsuits; prohibit the legislature from

weakening initiative or referendum powers; prohibit the legislature from changing or repealing laws enacted through the initiative process, or passing laws similar to those rejected by referendum without approval from at least 80 (percent) of both chambers; and preserve existing majority vote and signature requirements for initiative and referendum petitions?”

State and local governments expect no costs or savings if the amendment passes.

Ballotpedia cited Initiative Petition 2026-106 in stating that the amendment “would amend the Missouri Constitution to declare that ‘The rights of initiative and referendum as set forth in this Constitution are fundamental rights ‘and require that any laws affecting those rights are ‘subject to strict scrutiny and must be narrowly tailored to achieve a compelling governmental interest.’”

Ballotpedia further stated that the amendment would prohibit the Missouri Legislature from “‘weakening citizens' initiative or referendum powers,’ defined as but not limited to: increasing signature thresholds, shortening signature-gathering periods, restricting subject matter, limiting judicial review of ballot language, creating additional requirements for petitioners, and requiring more than a simple majority vote for approval.”

Currently, Ballotpedia stated, citizens can initiate amendments to the state constitution, state statutes, and repeal legislation through a process called “veto referendum”.

“Proponents must collect signatures in two-thirds of the state's congressional districts equal to five percent of the votes cast for governor in each district for a statute or veto referendum, or eight percent for a constitutional amendment,” Ballotpedia stated. “The smallest requirement to qualify for the ballot is 170,215 valid signatures for a constitutional amendment. Measures placed on the ballot require a simple majority vote for approval.”

Amendment Seven:

The ballot language on Amendment Seven states, “Shall the Missouri Constitution be

amended to establish a permanent public endowment fund to support state government instead of taxing Missouri residents, prohibit the General Assembly from appropriating or diverting the fund, and eliminate state-imposed taxes once the fund generates sufficient revenue to replace them?” The state and local governments expect no costs or savings if the amendment passes.

Ballotpedia states that the amendment would establish the “Show-Me Prosperity Fund,” which would “be invested by the state with the goal of generating earnings that could replace tax revenue and eventually eliminate state taxes.”

“The Show-Me Prosperity Investment Fund would receive funds appropriated by the legislature, as well as grants and donations, and the state treasurer would be required to invest it in exchange-traded funds tied to the S&P 500,” Ballotpedia stated. “Under the amendment, no money could be appropriated from the fund until its annual investment earnings are sufficient to replace revenue generated by state taxes. It would require that the money in the fund be used solely to eliminate state taxes, including the individual income tax, the state sales and use tax, the state corporate income tax, and all other state-imposed taxes. After these taxes are eliminated, the amendment would prohibit reenacting them, unless the fund is unable to meet its obligations.”

Amendment Eight:

The ballot language for Amendment Eight asks the question, “Shall the Missouri Constitution be amended to support law enforcement by preserving the right of citizens to elect a county sheriff, prohibiting the removal of a county sheriff except by a writ of quo warranto, and recognizing the office of sheriff as part of the administration of justice?” State and local governments estimate no costs or savings arising from the passing of the amendment.

According to Ballotpedia, this amendment would require the election of county sheriffs every four years in most counties, “with the exception of St. Louis, St. Louis County, and St. Charles County.”

“The amendment,” Ballotpedia stated, “would define sheriffs as the chief law enforcement officers in those counties and assign them constitutional responsibilities, including preserving the peace, suppressing riots and disturbances, apprehending and jailing felons and traitors, attending circuit court proceedings, carrying out court orders and other legal processes, and hiring deputies and employees.

“The amendment would also limit the circumstances under which a sheriff could be removed from office, while providing that a sheriff could only be removed through a writ of quo warranto (a legal proceeding used to challenge an official's right to hold office) initiated by the attorney general.”

While most county sheriffs are already elected, Ballotpedia stated that Amendment Eight would enshrine the election requirement into the Missouri Constitution.

Proposition A:

The ballot language for Proposition A states, “Do the people of the state of Missouri approve the act of the General Assembly entitled “House Bill No. 1 (2025 Second Extraordinary Session),” which repeals Missouri’s existing congressional plan, and replaces it with new congressional boundaries that keep more counties intact?” The state and local governments estimate no cost or savings arising from the passing of the ballot measure.

According to Ballotpedia, Missouri currently has eight congressional districts. Districts One and Five each have a Democratic U.S. Congressman, while the other six each have a Republic U.S. Congressman. If the amendment passes, House Bill One, a congressional map approved by the Missouri State Legislature during a special session in 2025 and signed into Gov. Mike Kehoe on Sept. 28, 2025, would be enacted. This map, according to Ballotpedia, would impact District Five by dividing Kansas City across multiple districts. Currently, Kansas City is located mainly in District Five.

Ballotpedia quotes Reuters writer Joseph Ax as saying Proposition A “breaks up a Democratic-held district in Kansas City and gives Republicans an advantage in seven of the state's eight U.S. House of Representatives districts.”

To read more, go online to Ballotpedia at https://ballotpedia.org/2026_ballot_measures#List_of_state_ballot_measures.


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