A new legal challenge is intensifying the fight over how Virginia voters will interpret a proposed constitutional amendment on abortion, with opponents pairing courtroom arguments with a growing ground campaign to shape public opinion ahead of the November vote.

The 21-page lawsuit, filed Thursday in Tazewell County Circuit Court, targets the wording voters will see when they cast ballots on a measure that would enshrine abortion access in the Virginia constitution. Plaintiffs, including Bluefield Town Council member Meagan Kade and several medical advocacy groups, argue the ballot language obscures the amendment’s full list of policy changes that could catch Virginians by surprise if a “yes” vote for the measure were to succeed.