Four States to Vote on Abortion in November as Missouri Faces a Second Constitutional Referendum
Voters in four states — Missouri, Nevada, Idaho, and Virginia — will decide abortion-related ballot measures in November 2026. The wave of referenda follows the Supreme Court's 2022 Dobbs decision, which returned abortion policy to individual states. Missouri and Nevada are each holding a second statewide vote on abortion since 2024.
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After Missouri voters added abortion protections to the state constitution in 2024, the state's Republican-dominated legislature placed a new measure before voters in 2026 that would repeal those protections. Both measures carry the title Amendment 3 — a coincidence that has created confusion among voters on both sides of the issue. A "yes" vote in 2024 supported adding protections; a "no" vote in 2026 would keep them in place.
Missouri's proposed replacement would ban abortions but include exceptions for medical emergencies, fetal anomalies, and pregnancies resulting from rape or incest. Abortions in rape and incest cases would have to occur before 12 weeks. Missouri was the first state to ban abortion after the Dobbs ruling, and state records show only 150 abortions were performed in Missouri in 2021, down from 5,772 in 2011, following decades of regulations targeting abortion providers.
Nevada voters in 2024 supported enshrining the state's existing law allowing abortions up to 24 weeks after conception into the constitution by a 64% margin. Nevada law requires two consecutive majority votes to adopt constitutional amendments, so the measure returns to voters this November for a second time. Denise Lopez, president of Nevadans for Reproductive Freedom, said advocates are working to ensure voters remain mobilized ahead of the vote.