Modifies provisions relating to public funding of abortion facilities and affiliates and provisions relating to MO HealthNet providers

Make numerous changes to the initiative petition process and to the process of approving constitutional amendments

Establishes the "Operation Enduring Freedom, Operation Freedom's Sentinel and Operation Allies Refuge Program" which authorizes the issuance of a medallion, medal, and certificate to certain veterans who served in specified conflicts

Modifies permit requirements and exemptions in relation to Missouri fertilizer and clean water laws

Relating to public schools