This evening:

Right to Reproductive Freedom Amendment Delivers: Medication Abortion Restored and Procedural Abortion Access Affirmed in Missouri Following Court Ruling
For Immediate Release: June 18, 2026

Missourians are free to once again access medication abortion in their home state, after a Jackson County Circuit Court judge issued a permanent injunction today striking down several state abortion restrictions. The ruling affirms the preliminary injunctions, allowing procedural abortion to continue, and making medication abortion available in Missouri for the first time since 2018. Missouri is the first state in the nation to reverse a total abortion ban and restore access for both procedural and medication abortion.

The judge’s order found that most of Missouri’s complex web of abortion restrictions violated Missouri’s Right to Reproductive Freedom. Since 2025, Planned Parenthood health centers have been providing procedural abortions in the state under a preliminary injunction, but the state’s medication abortion complication plan requirement and other medically unnecessary rules that exclusively target abortion providers prevented Missourians from obtaining the medical care they need. Today’s ruling allows Missourians to once again access the most common form of abortion using safe and effective medications.

Starting next week, abortion patients will be able to receive medication abortion in Missouri for the first time since 2018. Starting immediately, patients seeking an abortion can book their appointment online at plannedparenthood.org. Starting Monday, patients may call 1-800-230-PLAN to schedule their appointments.

“This monumental win for reproductive freedom and abortion access is possible only because of the Right to Reproductive Freedom Amendment that Missouri voters passed in 2024,” said Gillian Wilcox, director of litigation at the ACLU of Missouri. “Today’s decision is a reminder that politicians are trying to strip us of our right to reproductive freedom, and Missourians must reject Amendment 3 at the ballot this November or we could lose the access we gained today.”

“This decision brings compassion and common sense back to Missouri health care,” said Emily Wales, president and CEO of Comprehensive Health of Planned Parenthood Great Plains. “For too long, politicians forced patients to leave the state for an evidence-based and trusted form of abortion care. Now, that care is coming home and with it, we move closer to fulfilling the promise of reproductive freedom Missourians demanded.”

“Once again, the courts have affirmed Missourians’ constitutional right to access abortion without interference or delays from their government,” said Margot Riphagen-Dunn, president and CEO of Planned Parenthood Great Rivers. “The truth is, medication abortion is the most common form of abortion care, and has been proven to be safe and effective for the past 25 years. Yet, since Missourians voted for abortion access in 2024, it has been impossible to access the full spectrum of abortion care in our own state. That ends today.”

The fight for reproductive freedom is not over, as Missourians will be forced to vote on an abortion ban, a new Amendment 3, once again this November.

The original lawsuit was filed the day after a majority of Missourians voted to amend the state constitution to provide the right to reproductive freedom in November 2024 on behalf of Comprehensive Health of Planned Parenthood Great Plains and Planned Parenthood Great Rivers-Missouri. Plaintiffs are represented by attorneys from Planned Parenthood Federation of America, the American Civil Liberties Union of Missouri, the American Civil Liberties Union Reproductive Freedom Project, and Crowell & Moring.