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Three States Enshrine or Defend Abortion Access While Idaho Keeps Its Ban

Voters’ decisions shift more authority over reproductive policy to ballot measures and are likely to produce follow-up legal battles and state political fights.

Overview

  • On Nov. 3, 2026, voters approved measures in Virginia and Nevada to place reproductive-rights language into their constitutions and rejected a Missouri proposal that would have repealed the state’s 2024 reproductive-freedom amendment.
  • Virginia’s Question 1 passed by roughly 61–62 percent and protects a broad right to make decisions about prenatal care, contraception, abortion and fertility services while allowing narrow third-trimester exceptions for health or nonviable pregnancies.
  • Nevada cleared the second required vote to enshrine abortion up to fetal viability, winning about 63 percent support, which completes the two-step constitutional process that began with a 2024 approval.
  • Missouri voters rejected Amendment 3 by about 55 percent, preserving the 2024 constitutional protection for abortion and blocking a referral that would also have added bans on many gender-affirming medical treatments for minors.
  • Idaho was the lone exception, with roughly 56 percent of voters turning down Proposition 1 and leaving the state’s near-total abortion ban in place, a result that advocates say will keep Idaho patients traveling out of state for care and leave providers working under strict criminal and civil penalties.