Voters in Tuesday's midterm elections approved constitutional amendments protecting abortion rights in Nevada and Virginia, rejected a Missouri proposal to repeal abortion protections, and left Idaho's abortion ban in place.
Tuesday's results followed a record year for abortion-related ballot measures in 2024, when voters decided 11 statewide measures. The US Supreme Court's 2022 decision overturning the nationwide right to abortion gave states greater authority to set their own abortion policies, and since that ruling voters in more than one-fifth of states have approved ballot measures protecting abortion rights.
In Nevada, Question 6, which establishes a "fundamental right to abortion", was leading 62.3% to 37.7% with 86% of Nevada votes counted when the Associated Press called the race. The amendment enshrines abortion rights in the state constitution, permanently protecting access to abortion through the second trimester after a second referendum on the measure, and allows the state to regulate abortion after viability except when medically necessary to "protect the life or health of the pregnant patient".
Virginia voters approved a constitutional amendment establishing a "fundamental right to reproductive freedom". The measure protects access to abortion during the first two trimesters, permits government regulation in the third trimester while preserving access when necessary to protect the life or health of the pregnant woman, and establishes rights to contraception and fertility care, among other protections.
In Missouri, voters rejected by 55% to 45% a measure placed on the ballot by the Republican-led legislature. Amendment 3 would have repealed the constitutional right to reproductive freedom approved in 2024, restricted abortion and prohibited gender transition surgeries and certain other procedures for minors. It would have banned abortion except in cases of rape and incest during the first 12 weeks of pregnancy, or later in cases involving fetal anomalies.
Voters in Idaho rejected an effort to repeal the state's abortion ban, leaving in place restrictions that took effect in 2022 following the Supreme Court's decision overturning Roe v Wade.
Reproductive Freedom for All, a pro-choice organization, wrote on social media: "The American people sent a clear message: Our government belongs to us, not the extremists who have spent years attacking our fundamental freedoms. By taking back the House and Senate, voters have put a powerful check on Trump and his attacks on reproductive freedom." The Center for Reproductive Rights said in a statement: "What. a. night. The future of our reproductive rights will be shaped by the actions elected officials take. The work ahead MUST include protecting access to abortion and advancing federal safeguards for reproductive freedom."
The ballot results came alongside Democratic victories in House and Senate races in which candidates made reproductive healthcare a central issue. Abdul El-Sayed, a progressive doctor who won Michigan's Senate race, emphasized the right to personal healthcare decisions throughout his campaign and repeatedly highlighted his Republican opponent Mike Rogers' support for extreme abortion bans. In New Hampshire, Chris Pappas won his Senate race after making opponent John Sununu's support for an abortion ban a central issue, along with Sununu's support for Justice Samuel Alito, who authored the Dobbs decision. Jon Ossoff won re-election in Georgia after challenging Republican opponent Mike Collins over his previous support for a total abortion ban, pressing Collins during a Senate debate to explain why his stance had changed.
Analysis
Why This Matters
- Voters in Nevada and Virginia have written abortion rights into their state constitutions, protections that legislatures cannot easily undo.
- Missouri's rejection of Amendment 3, placed on the ballot by the Republican-led legislature, shows the abortion protections approved there in 2024 retain durable public support.
- With Democrats taking back the House and Senate, advocates are pressing for federal safeguards for reproductive freedom, which the Center for Reproductive Rights called "the work ahead".
Background
Abortion has been a defining issue in US state politics since the Supreme Court's 2022 Dobbs decision ended the nationwide constitutional right to abortion and returned policy to the states. Ballot measures have since become a central battleground: voters decided a record 11 statewide abortion measures in 2024, and more than one-fifth of states have approved measures protecting abortion rights since the ruling.
Key Perspectives
- Reproductive Freedom for All: said voters "sent a clear message" and, by taking back the House and Senate, "put a powerful check on Trump and his attacks on reproductive freedom".
- The Center for Reproductive Rights: celebrated the results and said "the work ahead MUST include protecting access to abortion and advancing federal safeguards for reproductive freedom".
- Missouri's Republican-led legislature: placed Amendment 3 on the ballot to repeal the state's 2024 constitutional right to reproductive freedom, restrict abortion and prohibit gender transition surgeries and certain other procedures for minors; voters rejected it 55% to 45%.
What to Watch
- The final certified tally in Nevada, where Question 6 was leading 62.3% to 37.7% with 86% of votes counted when the Associated Press called the race.
- Whether the Democratic-controlled Congress takes up the federal safeguards for reproductive freedom that the Center for Reproductive Rights has urged.
- How the incoming Senate, whose winning candidates in Michigan, New Hampshire and Georgia campaigned on abortion rights, acts on the issue.
Checked
12 claims in this story checked against 1 source: 11 supported.
Show each claim
- SupportedConstitutional amendments protecting abortion rights passed in Nevada and Virginia.World news | The Guardian: “In Nevada, voters approved an amendment enshrining abortion rights in the state constitution... Virginia voters also approved a constitutional amendment establishing a “fundamental right to reproductive freedom”.”
- SupportedMissouri voters rejected a proposal to repeal protections approved in 2024.World news | The Guardian: “In Missouri, voters rejected an effort to overturn the constitutional right to reproductive freedom they had approved in 2024. Amendment 3, which would have repealed those protections”
- SupportedIdaho voters rejected an effort to repeal the state's abortion ban, leaving it in place.World news | The Guardian: “Meanwhile, voters in Idaho, one of the nation’s most conservative states, rejected an effort to repeal the state’s abortion ban. The result leaves in place Idaho’s abortion restrictions”
- Not in the sourcesThe votes took place in Tuesday's midterm elections.World news | The Guardian: “Reproductive rights were on the ballot on Tuesday night as voters weighed in on several abortion-related measures”
- SupportedNevada Question 6 was leading 62.3% to 37.7% with 86% of votes counted when AP called the race.World news | The Guardian: “Question 6, which establishes a “fundamental right to abortion”, was leading 62.3% to 37.7% with 86% of Nevada votes counted when the Associated Press called the race.”
- SupportedNevada's amendment permanently protects abortion access through the second trimester after a second referendum.World news | The Guardian: “In Nevada, voters approved an amendment enshrining abortion rights in the state constitution, permanently protecting access to abortion through the second trimester after a second referendum on the measure.”
- SupportedVirginia's amendment protects abortion access during the first two trimesters, preserves life-or-health access in the third, and establishes rights to contraception and fertility care.World news | The Guardian: “This measure also protects access to abortion during the first two trimesters of pregnancy. It permits government regulation in the third trimester while preserving access to abortion when necessary to protect the life or health of the pregnant woman. The amendment also establishes rights to contraception and fertility care”
- SupportedMissouri's Amendment 3 was rejected by 55% to 45%.World news | The Guardian: “Amendment 3, which would have repealed those protections, restricted abortion, and prohibited gender transition surgeries and certain other procedures for minors, failed by a margin of 55% to 45%.”
- Supported2024 was a record year for abortion-related ballot measures, with voters deciding 11 statewide measures.World news | The Guardian: “Tuesday’s results followed a record year for abortion-related ballot measures in 2024, when voters decided 11 statewide measures, the most in a single year as of 2026.”
- SupportedReproductive Freedom for All said: “The American people sent a clear message: Our government belongs to us, not the extremists who have spent years attacking our fundamental freedoms. By taking back the House and Senate, voters have put a powerful check on Trump and his attacks on reproductive freedom.”World news | The Guardian: “Reproductive Freedom for All, a prominent pro-choice organization, wrote: “The American people sent a clear message: Our government belongs to us, not the extremists who have spent years attacking our fundamental freedoms. By taking back the House and Senate, voters have put a powerful check on Trump and his attacks on reproductive freedom.””
- SupportedThe Center for Reproductive Rights said: “What. a. night. The future of our reproductive rights will be shaped by the actions elected officials take. The work ahead MUST include protecting access to abortion and advancing federal safeguards for reproductive freedom.”World news | The Guardian: “The Center for Reproductive Rights also celebrated the victories, writing in a statement: “What. a. night. The future of our reproductive rights will be shaped by the actions elected officials take. The work ahead MUST include protecting access to abortion and advancing federal safeguards for reproductive freedom.””
- SupportedChris Pappas won his Senate race after making John Sununu's support for an abortion ban and for Justice Samuel Alito a central issue.World news | The Guardian: “In New Hampshire, Chris Pappas won his Senate race after drawing attention to opponent John Sununu’s record on abortion. Pappas made Sununu’s support for an abortion ban a central issue, along with his support for the supreme court justice Samuel Alito”