2026 Ballot Measures: Where Reproductive Freedom Will Be Won or Lost This November
From Virginia's Reproductive Freedom Amendment to Missouri's attempted rollback, here's your guide to every reproductive healthcare ballot measure in the 2026 election — and what each one means for access.
The 2026 midterm elections include some of the most consequential reproductive healthcare ballot measures since Dobbs. Voters in multiple states will directly decide the future of abortion access, and the outcomes will shape reproductive healthcare policy for years to come.
Here's what's on the ballot and what's at stake.
Virginia: The Reproductive Freedom Amendment
Virginia is expected to have a Reproductive Freedom Amendment on its November ballot, following Democrats' securing of the state legislature. If passed, the amendment would enshrine reproductive rights — including abortion access — in the Virginia state constitution.
This matters enormously for CE Repro Fund's work. Virginia is part of the DC-Maryland-Virginia corridor that serves as a critical access point for patients traveling from Southern states with bans. Constitutional protection would ensure that Virginia remains a safe harbor for reproductive healthcare regardless of future political shifts.
Virginia voters have consistently supported abortion access in polling, but constitutional amendments require higher thresholds than ordinary legislation. Turnout will be critical.
Missouri: The attempted rollback
In one of the most aggressive anti-abortion moves of the cycle, Missouri faces a legislatively referred ballot measure that would repeal the state's voter-approved abortion rights amendment.
Missouri voters approved a constitutional amendment protecting abortion rights in 2024. The legislature responded by placing a measure on the 2026 ballot to undo that decision — a direct challenge to the democratic process itself.
This contest is being watched nationally as a test case for whether legislatures can override voter-approved protections through follow-up ballot measures. The outcome has implications far beyond Missouri.
Nevada: Reconfirmation required
Nevada must re-approve its constitutional amendment protecting reproductive rights. Under Nevada law, constitutional amendments must pass in two consecutive elections. Nevada voters approved the measure with 64% support in 2024 and must confirm it in 2026 for it to take effect.
Given the strong first-round margin, reconfirmation is expected — but it's not guaranteed, and the campaign will require attention and resources.
Idaho: Signature drive
Idaho activists are collecting signatures for a Reproductive Freedom and Privacy Act that would restore abortion access in a state with a near-total ban. Idaho's ban has been one of the most restrictive in the country, and the signature drive faces significant organizational challenges in a deeply conservative state.
Even if the measure makes the ballot, passage would be an uphill fight. But the campaign itself drives conversation and engagement around reproductive healthcare access in a state where those conversations are urgently needed.
What ballot measures mean for donors
Ballot measures don't just affect policy — they affect demand for services. When a state protects reproductive rights, access expands and the financial burden on individual patients decreases. When a state restricts rights, patients must travel, access telehealth, or forgo care — and organizations like CE Repro Fund absorb more of the cost.
A Virginia victory would strengthen the regional access corridor that CE Repro Fund and our partner organizations depend on. A Missouri rollback would increase demand for cross-state care and shield law services. Every ballot measure outcome ripples through the funding ecosystem.
How to engage
Vote. If you live in a state with a reproductive healthcare ballot measure, vote and encourage everyone in your network to do the same.
Donate. Ballot measure campaigns require resources. But so do the organizations providing care regardless of the outcome. CE Repro Fund will serve patients before, during, and after the election — and we need sustained funding to do it.
Share information. Many voters don't know about ballot measures until they see them at the polling station. Sharing clear, accurate information about what's on the ballot helps voters make informed decisions.
The ballot box is powerful, but it's not the only tool. Between elections, donor-funded organizations like CE Repro Fund ensure that patients have access to care no matter what the political landscape looks like.
Support reproductive healthcare access year-round. Donate today.