Voters in Missouri, Nevada, Idaho, and Virginia will decide on abortion-related ballot measures in the November general election.

Abortion access is returning to the ballot in four states this November, including Missouri and Nevada, where voters are revisiting measures they previously considered. Following the 2022 U.S. Supreme Court decision in Dobbs v. Jackson Women's Health Organization, states have been left to establish their own abortion policies. This has resulted in a varied landscape of state laws, with some jurisdictions moving to codify protections while others seek to implement or maintain restrictions.

Missouri's Conflicting Ballot Measures

Missouri is the only state voting this year on removing existing abortion protections. In 2024, voters supported an amendment to add abortion protections to the state constitution. Now, the state's Republican-dominated legislature has placed a new measure, also titled Amendment 3, on the ballot. A 'no' vote in 2026 would maintain the current protections, while a 'yes' vote would repeal the 2024 amendment and replace it with a ban on abortions, with exceptions for medical emergencies, fetal anomalies, and cases of rape or incest occurring before 12 weeks.

Developments in Nevada, Idaho, and Virginia

Nevada voters will again consider a measure to enshrine abortion access up to 24 weeks into the state constitution. Because Nevada law requires two majority votes to pass constitutional amendments, the measure must pass again after receiving 64% support in 2024. In Idaho, voters will decide on a measure to allow abortion through fetal viability, generally considered around 24 weeks. Meanwhile, Virginia voters will decide whether to amend their state constitution to codify existing rights that allow abortion through two trimesters, or 28 weeks.