Missouri voters rejected Amendment 3, the Republican-led legislature's proposal to write an abortion ban into the state constitution, keeping abortion legal until fetal viability and reaffirming their 2024 vote that lifted one of the country's strictest bans. Abortion opponents had coupled the ban with a prohibition on gender-affirming care for minors in a single question, and state Auditor Scott Fitzpatrick argued the abortion issue is closer to a 50/50 issue in the state while trans medical procedures are more like an 80/20 one.