The losses are the first on statewide reproductive rights ballot measures anywhere in the U.S. since the Supreme Court overturned Roe v. Wade in 2022, a ruling that struck down the nearly 50-year nationwide right to abortion, proving that abortion opponents can win on ballot measures.

Voters narrowly approved Amendment 3 on Nov. 5, which adds a “fundamental right to reproductive freedom” to the state constitution, threatening to undo decades of pro-life gains.

Missouri’s current law bans abortion with almost no exceptions and this amendment would allow abortion to about 24 weeks of pregnancy.