Voters in Missouri, Nevada, and Virginia will decide three ballot measures related to abortion policy in 2026. Two of these measures propose establishing a state constitutional right to abortion or reproductive freedom, while the third aims to repeal such a right and prohibit abortion in most cases.

In Nevada, voters will consider Question 6, which would establish a state constitutional right to an abortion. This measure was placed on the ballot through a successful citizen initiative and requires approval in two even-numbered election years to become law. Nevada voters approved the abortion rights amendment in 2024 with 64.4% of the vote.

Virginia voters will decide on a constitutional amendment that seeks to establish a state constitutional right to reproductive freedom. The Virginia state legislature placed this measure on the ballot. The amendment defines reproductive freedom as "the right to make and effectuate one's own decisions about all matters related to one's pregnancy."

In Missouri, voters will consider Amendment 3. The Missouri state legislature placed Amendment 3 on the ballot. This measure would repeal the constitutional right to reproductive freedom that voters approved in 2024 and would prohibit abortion in most cases. Additionally, Amendment 3 would ban surgical procedures for transgender minors.

Missouri's Amendment 3 has received the most campaign contributions among the 2026 measures. As of March 31, 2026, the supporting campaign for Amendment 3 reported $321,745.30 in contributions. Campaigns opposing Amendment 3 reported $1.85 million in contributions through the same date.

Why It Matters

The upcoming ballot measures in Missouri, Nevada, and Virginia occur as voters increasingly engage directly on abortion policy at the state level. In 2024, voters decided 11 statewide abortion-related ballot measures, marking the highest number in a single year.

From 1970 through 2025, voters decided 65 abortion-related ballot measures. Of these, 44 received support from organizations identifying as pro-life, and 21 received support from organizations identifying as pro-choice or pro-reproductive rights.