Missouri
How a looming Missouri Supreme Court ruling could upend the Nov. 5 ballot and initiative process
The fate of an abortion rights amendment is now in the hands of the Missouri Supreme Court — and it has just a few days to reach a decision.
Missouri’s high court will have to issue a ruling by Tuesday, the final day that a measure can be removed from the Nov. 5 ballot.
How the court rules could be decisive for an effort to undo the state’s near total ban on abortion in November and affect voter turnout on Election Day. The decision could also ultimately reshape how constitutional amendments are presented to Missouri voters in future elections.
Late Friday evening, Cole County Judge Christopher Limbaugh ruled that the full text of the ballot measure, known as Amendment 3, failed to meet state requirements by not naming sections of existing law or the constitution that would be repealed if voters pass the measure.
Proponents of Amendment 3 filed an appeal Saturday to the Missouri Court of Appeals’ Western District, which transferred the case to the state Supreme Court.
Mary Catherine Martin, an attorney representing four plaintiffs seeking to remove Amendment 3 from the ballot, said she was grateful Limbaugh rendered a quick decision after he held a hearing on the case on Friday morning. She had argued that backers of the amendment obscured the ability of petition signers to gauge the impact of its potential passage by omitting from the petition mention of laws the amendment would repeal.
“The disclaimer needed to be within the full text of the measure attached to the petitions that were circulated,” Martin said. “So the error is not in the law’s text. And the error is not with the text on the ballot. The error that he found was in the circulated petitions.”
Planned Parenthood Great Plains Votes CEO Emily Wales said Saturday afternoon that Limbaugh’s decision is merely a “distraction.”
“We’re going to be on the ballot,” Wales said. “But it is incredibly frustrating to have a last ditch effort to throw so much chaos into this process.”
Brian Munoz
/
St. Louis Public Radio
Precedent setting?
Limbaugh’s opinion cited a 2018 ethics and redistricting measure known as Clean Missouri that had a disclaimer at the top of the petition stating that its passage could result in the repeal of a number of statutes.
“The drafters of prior amendments had no reason other than compliance with [state law and the Missouri Constitution] to inform potential signers of the enormously broad impacts, both direct and implied, of their proposed measures,” Limbaugh wrote. “Their inclusion of long lists of affected laws was mandatory in order to protect potential signatories.”
But a number of other constitutional amendments placed before voters didn’t have similar disclaimers as the Clean Missouri measure. For instance, the 2022 initiative that legalized marijuana for adult use didn’t say at the top of the petition that the measure would repeal state laws inflicting penalties for possession or purchase of cannabis products. And another initiative on the November 2024 ballot that would legalize sports betting in Missouri also didn’t mention any state statutes that could be repealed.
Wales, of Planned Parenthood Great Plains Votes, said doing what Limbaugh would have asked is “functionally impossible.”
“We can’t predict every existing or potential future statute that would conflict with a constitutional change,” Wales said. “The way that this works is the voters get to understand what they’re voting on, what established right they would be adding to the Constitution. And then the courts go through and say: ‘Here’s where the conflicts are.’”
Wales also said if Limbaugh’s ruling is upheld, it would make the initiative petition process “a right in name only.” Requiring petition organizers to “predict and identify every tiny conflict” with state law or the constitution would make the process too difficult, she said.
Martin, the attorney who argued to remove Amendment 3 from the ballot, said whether other constitutional amendments had the appropriate disclaimers is not relevant to this case. “They could very well have broken the law and gotten away with it,” she said.
High stakes
The looming Missouri Supreme Court decision could be a major turning point for the fight for legal abortion in Missouri.
Polling from St. Louis University and YouGov in August found that 52% of poll respondents supported Amendment 3. And that was before the campaign supporting the amendment launched its advertising campaign.
While Republican elected officials have promised to organize an opposition campaign to the initiative, they will almost certainly be outspent. Since the middle of August, the campaign committee backing the passage of Amendment 3 received more than $8 million in donations of $5,000 or more.
By comparison, a group recently formed to oppose Amendment 3 raised about $80,000 in donations of $5,000 or more throughout the entirety of 2024. And a committee that Missouri Right to Life organized raised about $545,000 in large donations since April.
Even some Republicans who oppose Amendment 3 have publicly conceded that it may be an uphill battle to defeat the initiatives at the polls. That includes state Sen. Jason Bean, who represents a Senate district that voted for Republican Donald Trump in 2020 by landslide margins.
“Everything that I’m kind of hearing and seeing, unfortunately, yes, I think it’s going to pass,” said Bean, R-Dunklin County, on a recent episode of Politically Speaking.
Missouri Democrats are banking on the abortion initiative boosting turnout for their candidates — particularly legislative contenders in suburban districts. The SLU/YouGov poll showed that abortion initiative provided limited coattails for statewide Democratic contenders.
Other GOP elected officials, including gubernatorial nominee Mike Kehoe, have said they believe abortion rights opponents can defeat Amendment 3. Back in 2006, an underfunded, but well-organized, group of social conservatives almost defeated a measure enshrining protection for embryonic stem cell research despite being heavily outspent.
“I believe the people who are interested in protecting innocent life will show up as well, and we will do everything we can to make sure Missourians understand how important it is to protect innocent life and come out and defeat that amendment,” Kehoe said last month on the Politically Speaking Hour on St. Louis on the Air.
Martin’s lawsuit against Amendment 3 also contended that the measure violated a prohibition against an amendment having more than one subject. Limbaugh didn’t rule on that point.
Send questions and comments about this story to feedback@stlpublicradio.org.
Copyright 2023 St. Louis Public Radio. To see more, visit St. Louis Public Radio.
Jason Rosenbaum
Jason is the politics correspondent for St. Louis Public Radio.
See stories by Jason Rosenbaum
Missouri
Thousands show up to protest current administration at ‘No Kings’ rally in Kansas City, Missouri
KSHB 41 reporter Lily O’Shea Becker covers Franklin and Douglas counties in Kansas. Share your story idea with Lily.
—
Thousands showed up to Mill Creek Park on Saturday in Kansas City, Missouri, in a wave of protests across the country criticizing U.S. President Donald Trump and his administration.
Thousands show up to protest current administration at KCMO ‘No Kings’ rally
Multiple protesters told KSHB 41 News they participated in the protest because they feel like it is the only way their voices can be heard.
Chris Morrison/KSHB
“Congress is not working for us,” said Sharon, a protester at Mill Creek Park. “I have called my Congress people numerous times.”
It was the third wave of ‘No Kings’ protests across the country since June 2025.
“I’ve been here for each of the ‘No Kings,’ and I’ll admit that I’m frustrated that I have to be back here again,” protester Carter Taylor said.
Taylor is a teacher for Kansas City Public Schools with AFT Local 691, and she said she showed up to represent her students.
“I hope that everyone here doesn’t just stay here today — that they donate to food banks, that they check in on their public schools,” Taylor said.
Will Shaw/KSHB
Protesters held signs critiquing the current administration’s stances on tariffs, ongoing wars and immigration enforcement, among other things.
Chris Morrison/KSHB
“It means that people care,” protester Lonnie Beattle said. “People care about what’s going on in this country, and people are not happy with what’s going on in the country.”
—
The Missouri Lottery offers several draw games for those aiming to win big.
Here’s a look at March 27, 2026, results for each game:
Winning Mega Millions numbers from March 27 drawing
13-27-28-41-62, Mega Ball: 16
Check Mega Millions payouts and previous drawings here.
Winning Pick 3 numbers from March 27 drawing
Midday: 1-2-5
Midday Wild: 5
Evening: 1-5-9
Evening Wild: 6
Check Pick 3 payouts and previous drawings here.
Winning Pick 4 numbers from March 27 drawing
Midday: 4-9-8-1
Midday Wild: 7
Evening: 6-7-3-3
Evening Wild: 6
Check Pick 4 payouts and previous drawings here.
Winning Cash Pop numbers from March 27 drawing
Early Bird: 10
Morning: 10
Matinee: 03
Prime Time: 15
Night Owl: 09
Check Cash Pop payouts and previous drawings here.
Winning Show Me Cash numbers from March 27 drawing
08-15-18-25-29
Check Show Me Cash payouts and previous drawings here.
Feeling lucky? Explore the latest lottery news & results
Are you a winner? Here’s how to claim your lottery prize
All Missouri Lottery retailers can redeem prizes up to $600. For prizes over $600, winners have the option to submit their claim by mail or in person at one of Missouri Lottery’s regional offices, by appointment only.
To claim by mail, complete a Missouri Lottery winner claim form, sign your winning ticket, and include a copy of your government-issued photo ID along with a completed IRS Form W-9. Ensure your name, address, telephone number and signature are on the back of your ticket. Claims should be mailed to:
Ticket Redemption
Missouri Lottery
P.O. Box 7777
Jefferson City, MO 65102-7777
For in-person claims, visit the Missouri Lottery Headquarters in Jefferson City or one of the regional offices in Kansas City, Springfield or St. Louis. Be sure to call ahead to verify hours and check if an appointment is required.
For additional instructions or to download the claim form, visit the Missouri Lottery prize claim page.
When are the Missouri Lottery drawings held?
- Powerball: 9:59 p.m. Monday, Wednesday and Saturday.
- Mega Millions: 10 p.m. Tuesday and Friday.
- Pick 3: 12:45 p.m. (Midday) and 8:59 p.m. (Evening) daily.
- Pick 4: 12:45 p.m. (Midday) and 8:59 p.m. (Evening) daily.
- Cash4Life: 8 p.m. daily.
- Cash Pop: 8 a.m. (Early Bird), 11 a.m. (Late Morning), 3 p.m. (Matinee), 7 p.m. (Prime Time) and 11 p.m. (Night Owl) daily.
- Show Me Cash: 8:59 p.m. daily.
- Lotto: 8:59 p.m. Wednesday and Saturday.
- Powerball Double Play: 9:59 p.m. Monday, Wednesday and Saturday.
This results page was generated automatically using information from TinBu and a template written and reviewed by a Missouri editor. You can send feedback using this form.
Missouri
Boone Health files lawsuit against Missouri Heart Center, alleging contract breaches, data misuse
COLUMBIA, Mo. (KMIZ)
Boone Health is suing a Columbia-based cardiology group, alleging breaches of contract, misuse of confidential information and plans to engage in unlawful competition.
The lawsuit, filed in Boone County Circuit Court, targets Missouri Cardiovascular Specialists LLP, also known as the Missouri Heart Center or MO Heart, which has provided cardiology services to Boone Health for more than a decade. According to court documents, a renewed agreement was signed in 2021 covering professional services and management of Boone Health’s cardiology operations.
Boone Health alleges it paid the cardiology group millions of dollars under those agreements for staffing, administrative oversight and revenue cycle management, which included access to sensitive financial and patient-related data. In return, MO Heart and its physicians agreed to noncompete and confidentiality provisions designed to protect Boone Health’s business interests.
The health system claims MO Heart violated those agreements by preparing to launch a competing cardiology practice in the Columbia area, potentially as soon as the contracts expire on May 6, 2026. The lawsuit alleges the new venture would fall within a restricted geographic area and time frame outlined in the noncompete clause, which Boone Health argues is enforceable under Missouri law.
Boone Health also accuses MO Heart of disclosing or misusing confidential information, including billing rates, reimbursement data and strategic business details during its transition to new partnerships with outside organizations. Boone Health alleges in the lawsuit those actions could cause “severe and irreparable injury.”
In addition, Boone Health claims MO Heart obstructed access to critical systems and data. The lawsuit alleges the cardiology group cut off Boone Health’s access to a key billing and patient information platform and stopped sharing necessary data, raising concerns about continuity of patient care.
Boone Health alleged that MO Heart indicated that it intends to operate independently and has taken the position that the noncompete provisions are unenforceable, according to the filing.
Boone Health is asking a judge to rule the noncompete agreements that MO Heart signed are valid, as well as having MO Heart return or destroy confidential information, and delay starting a competing practice until May 2027.
A jury trial has been requested.
A spokesperson for Boone Health told ABC 17 News that it would provide additional details early next week.
Dr. James T. Elliott of MO Heart disagreed with allegations in the lawsuit through a written statement.
“For months, we have tried to meet with leadership team at Boone Health to work constructively towards a new, collaborative arrangement that would preserve access to and expand high‑quality care for our patients and for the entire community. Unfortunately, Boone refused to engage with us in any meaningful way. Instead, we have been met with a series of escalating legal threats, culminating in today’s filing,” the statement reads.
“Earlier today Boone Health filed a lawsuit against Missouri Heart Center. We disagree with the lawsuit’s allegations and believe those claims are both legally and factually incorrect. This litigation does not change our commitment to caring for patients.”
‘The Comeback’ is back. That’s something to Cherish
The best deals we’ve found from Amazon’s Big Spring Sale (so far)
Zelenskyy offers cutting-edge drone defense to Gulf allies as Ukraine seeks missile support
JD Vance says he was ‘obsessed’ with UFOs, believes aliens are actually ‘demons’
Hormone therapy boosts weight loss drug results by 35% in women, study finds
Florida High School Football Rankings: Top 25 teams – Oct. 21
How old is Bo Nix? What to know about Oregon quarterback ahead of 2024 NFL Draft
Cleary's 21 help Le Moyne down Central Connecticut State 69-64 in OT
99th annual Pony Swim held in Virginia
Indiana Members Credit Union announced as new anchor tenant at Bottleworks District
JD Vance says he was ‘obsessed’ with UFOs, believes aliens are actually ‘demons’
The EU's recipe for trade deals : easy on beef, tough on wine
Photos: ‘No Kings’ protests across the country
Jeffries declines to break with indicted Democrat after ethics panel’s guilty verdict
Hundreds of thousands march through London in stand against the far right
-
Sports1 week agoIOC addresses execution of 19-year-old Iranian wrestler Saleh Mohammadi
-
New Mexico6 days agoClovis shooting leaves one dead, four injured
-
Tennessee5 days agoTennessee Police Investigating Alleged Assault Involving ‘Reacher’ Star Alan Ritchson
-
Technology7 days agoYouTube job scam text: How to spot it fast
-
Minneapolis, MN3 days agoBoy who shielded classmate during school shooting receives Medal of Honor
-
Texas1 week agoHow to buy Houston vs. Texas A&M 2026 March Madness tickets
-
Science1 week agoRecord Heat Meets a Major Snow Drought Across the West
-
Politics1 week agoSchumer gambit fails as DHS shutdown hits 36 days and airport lines grow