Abortion Action Missouri announced Friday evening the expansion of its clinic escorts program to include the Planned Parenthood in St. Louis.

“Barely a year after launching the campaign to end Missouri’s abortion ban, the court upheld the will of the people,” Mallory Schwarz, executive director of Abortion Action Missouri, said.

“With this change the landscape for Missourians and the entire Midwest region will be transformed,” she said, “as patients will have greater access to abortion care than they have had in years.”

Coalition Life also announced it would again gather outside the clinic in St. Louis and re-establish its sidewalk counseling efforts.

“This ruling reinforces the need for pro-life agencies and advocates to offer life-affirming alternatives to women,” said Brian Westbrook, the group’s executive director. “Coalition Life remains steadfast in our mission to provide resources, education, and support to women facing unexpected pregnancies.”

Stephanie Bell, a spokeswoman with Missouri Stands with Women — one of several political action committees formed last year to defend the state’s abortion ban — said the fight is not over.

“We will not stop fighting to protect both women and unborn children from reckless, profit-driven practices,” Bell said. “No woman should suffer, and no innocent life should be taken, in the name of an industry that refuses to be held accountable.”

The day after voters narrowly decided to overturn the state’s near-total abortion ban and protect the right to an abortion in the state constitution, the ACLU of Missouri, Planned Parenthood Great Plains and Planned Parenthood Great Rivers sued the state to strike down those statutes.

Zhang previously blocked a number of “targeted regulation of abortion provider” statutes, better known as TRAP laws, such as a 72-hour waiting period for an abortion and a requirement that physicians performing the procedure have admitting privileges at nearby hospitals were put on hold.

But the licensing requirements have left clinics unable to offer abortion in Missouri.

Friday’s ruling will certainly be appealed by the state. A spokeswoman for Missouri Attorney General Andrew Bailey did not respond to a request for comment. 

A decade ago, more than 5,000 abortions were performed in Missouri, according to the Missouri Department of Health and Senior Services. By 2020, when abortions were still legal, that number fell to 167, a drop that abortion providers attributed to the state’s growing list of regulations.

Missouri’s trigger law banning all abortions with limited exceptions for medical emergencies went into effect the same day the U.S. Supreme Court overturned Roe v. Wade in June 2022.

Last November, Missourians narrowly approved Amendment 3, which states, in part, that “the right to reproductive freedom shall not be denied, interfered with, delayed, or otherwise restricted unless the government demonstrates that such action is justifiable by a compelling governmental interest achieved by the least restrictive means.”

The lawsuit seeking to strike down Missouri’s remaining abortion restrictions was filed soon after. 

Efforts by the Republican legislative majority to repeal or modify the terms of the Amendment 3 have led to 17 bills and proposed constitutional amendments filed in the Missouri House, and another 19 in the state Senate.

Organizers with “What’s Next,” a group of Missouri activists who have pressed for a constitutional amendment beyond what voters approved last year with no restrictions on abortion, said attempts to unravel Amendment 3 should make abortion rights advocates think twice before celebrating Friday’s ruling.

“Today’s temporary court ruling on abortion is progress, but a far cry from any sort of win,” the organization said in a statement to the media. “What remains in our state is a constitutional right for government interference, and we expect no less from our hostile legislature.”

The only House measure to receive a hearing so far is a proposed constitutional amendment that would ban abortions except in cases of medical emergency, rape or incest. Filed by state Rep. Melanie Stinnett, a Republican from Springfield, it would only allow abortions for rape or incest in the first 12 weeks of pregnancy and only if a report has been filed with law enforcement.

None of the Senate proposals have been scheduled for a hearing.

The Independent’s Rudi Keller and Anna Spoerre contributed to this story. 

Updated at 8:25 p.m. with comments from Abortion Action Missouri, Coalition Life, Missouri Stands With Women and What’s Next.