Abortion access in Missouri is at a crossroads. Although legalized by a public referendum in 2024, abortion services did not storm back in Missouri in 2025. Now, advocates for reproductive rights are preparing for a major trial starting Monday that could determine the future of abortion in the state. Planned Parenthood Great Rivers CEO Margot Riphagen looks back on the year in abortion access, the status of medication abortions in Missouri, and what she and her organization expect from the trial.