Nevada and Virginia voters approved sweeping constitutional abortion rights Tuesday, while Idaho rejected a similar measure and Missouri declined to repeal its 2024 abortion-rights amendment.

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Voters in four states weighed in on abortion ballot measures Tuesday, producing a split result: Nevada and Virginia approved broad constitutional protections for abortion, while Idaho rejected a similar measure and Missouri voters declined to repeal a 2024 abortion-rights amendment already in place.

The results arrive as Pew Research Center’s 2026 American Trends Panel found that just 23 percent of Americans support abortion being legal in all cases without limits — the lowest level recorded since 2019 and down from 29 percent shortly after the Supreme Court’s 2022 Dobbs v. Jackson decision.

Idaho and Missouri Reject Expansion

Idahoans rejected a proposition that would have established a “right to reproductive freedom and privacy” for “every person” in the state regardless of age.

In Missouri, voters rejected an effort to repeal the state’s existing 2024 pro-abortion constitutional amendment, with the repeal measure, Amendment 3, failing roughly 55.5 percent to 44.5 percent with more than 95 percent of votes counted. That 2024 amendment, also called Amendment 3, passed narrowly in November 2024 by a 51.6 to 48.4 percent margin and has since been used to challenge Missouri’s parental consent law, which requires parents’ permission or a judicial override before a minor can obtain an abortion.

This year’s repeal measure would have clarified exceptions for abortion and explicitly confirmed that treatment for “miscarriages, ectopic pregnancies, and other medical emergencies” remains legal. It also would have prohibited “gender transition surgeries and the prescription of cross-sex hormones or puberty-blocking drugs to minors.” Missouri voters chose to keep the existing 2024 amendment in place instead.

Nevada and Virginia Approve Broader Protections

Nevada voters approved Question 6, enshrining a “fundamental right to an abortion” in the state constitution, by a margin of 63.3 percent to 36.7 percent. This followed a 2024 vote in which Nevadans had already supported a similar constitutional change. Nevada law already permits abortion at any point in pregnancy when “the physician has reasonable cause to believe an abortion is necessary to preserve the life or health of the pregnant person.”

In Virginia, voters approved Question 1 by a margin of 62.4 percent to 37.6 percent, permitting abortion for any reason up to the point of birth. Campaign finance reporting showed the “yes” campaign for the amendment raised roughly three times more money than the “no” campaign.

The Virginia amendment removes any age restriction or parental notification requirement for abortion, meaning minors would be able to obtain the procedure without their parents’ knowledge or consent. It also treats informed-consent requirements about the procedure and its risks as an infringement on the newly established right, and critics say it could require doctors who object to performing abortions to do so regardless of their own objections.

The fight over Virginia’s amendment is not finished. A legal challenge arguing the ballot language was deceptive is scheduled to be heard on Nov. 13.

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