Voters in four states will decide whether to expand or restrict access to abortion in their states during the 2026 midterm elections, four years after the Supreme Court overturned federal abortion protections under Roe v. Wade.

Virginians, Idahoans, and Nevadans will vote on whether to pass ballot initiatives protecting abortion access in their respective states, while Missourians will decide whether to repeal their reproductive freedom constitutional amendment to set gestational age limits on abortion.

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