A Missouri judge this week struck down a series of restrictions on abortion, finding they violated a constitutional amendment that voters approved in 2024.

Many of the provisions were already on hold because of an earlier, preliminary court ruling. But it is resulting in one major change: The state’s Planned Parenthood affiliates say the new ruling means they’re going to start prescribing abortion pills to patients there for the first time since 2018.

The ruling is a clear legal victory for abortion rights advocates, but it’s not the final word. An appeal and another ballot measure are on tap.

A 72-hour waiting period is one of the provisions the judge nixed

Jackson County Circuit Judge Jerri Zhang’s ruling Thursday came months after she held a 10-day trial on the issue earlier this year.

She ruled on whether 40 different state laws conflicted with the 2024 amendment. In most cases, she sided with abortion rights groups — and against the state government, which was arguing that the laws should be enforced.

She overturned a number of provisions including a requirement that women seeking an abortion see a doctor in person twice at least 72 hours apart, and another requirement that the initial dose of abortion pills, which are the most common way abortions are obtained, be taken in the presence of the prescribing doctor.

But she didn’t throw out a requirement that patients see a doctor in-person to confirm gestational age and rule out an ectopic pregnancy.

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