In the 2026 midterm elections, abortion is once again up for a vote. Voters in Idaho, Nevada, Virginia and Missouri will all see abortion-related measures on their ballots, with three state measures designed to protect abortion rights and one that would roll them back.

It’s the latest set of abortion-related laws up for vote since Roe v. Wade was overturned in 2022. In the four years since the fall of the long-standing Supreme Court decision upholding the constitutional right to abortion, 13 states have enforced a total ban on abortions — including Idaho, which this year features a protective abortion rights ballot measure. According to the Guttmacher Institute, the state’s total abortion ban would likely be challenged in court should that ballot measure pass.


In the 2024 election, seven out of 10 state abortion rights measures passed at the ballot box. During a fraught midterm election season, we’ll have our eyes on these four states. Here’s what to know about the measures up for vote and where abortion stands in these states right now.

Idaho

Abortion status: Total ban since August 2022

Idaho’s Proposition 1, or the Reproductive Freedom and Privacy Act Initiative, would stop the state from restricting abortion before viability. (It could be restricted at the point of viability, except in cases of medical emergency.) The measure also looks to protect decision-making around pregnancy, childbirth, birth control, fertility treatments and pregnancy loss from the government’s oversight.

It’s worth noting that this measure wouldn’t actually enshrine abortion rights in the state constitution, but rather establish a statutory right to abortion — which is easier to appeal if passed.

Chrissy Teigen, who lived in Idaho when she was young, has spoken out in support of the measure. At an appearance on Oct. 28, she spoke of her own experience having a placental abruption at 24 weeks and eventually receiving an abortion, per Idaho News 6. “Behind all these headlines and debates,” she said, “there are real people and there is real hurt happening when this care doesn’t happen.”

Nevada

Abortion status: Protected until 24 weeks

In Nevada, Question 6 or the Right to Abortion Initiative would enshrine the right to abortion in the state constitution. Restrictions on abortion would still be in place after viability, except when necessary to protect the pregnant person’s life or physical health.

Nevada voters will be voting on this measure for the second time — it passed in 2024 with 64 percent of the vote, but the state has a two-election requirement to change its constitution. If passed again, the state supreme court (which has been supportive of abortion rights in the past, per Guttmacher) would then vote for it to take effect.

Virginia

Abortion status: Legal up to the third trimester, but not protected by state law

Virginia’s Question 1 (the Right to Reproductive Freedom Amendment) would establish the right to reproductive freedom in the state constitution. The measure looks to protect the freedom to make personal decisions about prenatal and postpartum care, childbirth, contraception, abortion, pregnancy loss and fertility. It also protects patients, doctor and nurses from being punished for these decisions, or helping others exercise their right to make them. The measure still allows for restrictions on abortion access during the third trimester, except when the pregnant person’s health is at risk or the pregnancy can’t survive.

According to data from Guttmacher, over 8,500 people traveled to Virginia from another state for an abortion in 2025 — most of them from the Southeast, where abortion is heavily restricted.

Missouri

Abortion status: Legal until fetal viability

Missouri is the one state this year with an anti-abortion measure on the ballot. The state previously voted to protect abortion rights in the state constitution back in 2024. This year, Amendment 3 (the Prohibit Abortion and Gender Transition Procedures for Minors Amendment) is on the ballot, which would turn back the 2024 vote by prohibiting abortion except in cases of medical emergency, fetal anomaly, rape, or incest. It would also require parent or guardian consent for minors seeking abortion and bar public funding for abortion, while allowing the state legislature to move forward with targeted regulation of abortion providers (TRAP) laws.

And this amendment doesn’t stop at banning abortion. If passed, it would also constitutionally prohibit gender-affirming care for minors, something already banned by state statute.



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