This story was originally reported by Shefali Luthra of The 19th. Meet Shefali and read more of their reporting on gender, politics and policy.

GLADSTONE, Missouri — The right to an abortion in Missouri is on the verge of disappearing, again. 

It’s a threat that loomed over Tiffany early on a recent September morning, when she drove into Gladstone, just north of Kansas City, for her abortion. 

The 26-year-old mother of three made the two-day trip to reach the clinic just a couple of weeks after finding out she was pregnant. Despite living in Springfield, a city of about 170,000 near the Arkansas border, she couldn’t find an appointment for an abortion at her local clinic until late October, near the end of her first trimester. 

Instead of waiting, she decided to spend the night at a friend’s house halfway between her home and the Planned Parenthood in Gladstone — the first clinic that could take her — hours away. After her appointment, she planned to drive back home in time to meet her children when the bus dropped them off.

“I love kids so much,” she said, sitting on an exam table, waiting to see the doctor. This abortion, she explained, “has everything to do with loving my own children, that I already chose to have.”

But in November, the rights of Missourians including Tiffany to get such care — which has been slowly becoming more available across the state after a 2024 vote to enshrine abortion rights in the state constitution — may come screeching to a halt.

A proposal known as Amendment 3 would reverse that vote and ban abortion in the state constitution, allowing the procedure only in rare cases: when pregnancy constitutes a medical emergency, upon the discovery of a fetal anomaly or before 12 weeks in cases of rape or incest. It would also ban gender-affirming care for transgender minors, even though such care is already illegal in Missouri.