# Abortion votes flip as states reshape post-Roe rules

> Four states vote on abortion access in November 2026, with Missouri asking voters to reverse protections they backed just two years ago.
- Title: Abortion votes flip as states reshape post-Roe rules · NPR
- Summary: Four states vote on abortion access in November 2026, with Missouri asking voters to reverse protections they backed just two years ago. Missouri, Nevada…
- Keywords: abortion, ballot measures, missouri, nevada, idaho, utah, virginia, reproductive rights, dobbs decision, state constitutions, news, votes
- Source: NPR — https://npr.org/2026/09/22/nx-s1-5974318/election-voting-abortion-policies-roe
- Published: 2026-09-22T00:00:00+00:00
- Read time: 2 min
- Topics: abortion, ballot measures, missouri, nevada, idaho, utah, virginia, reproductive rights, dobbs decision, state constitutions, news
## Missouri voter keeps her sign ready
Kelly McCoomb stored her 2024 yard sign supporting abortion protections in her basement, sensing she would need it again soon.

> I have little faith in our Missouri government.
## Two years later, Missouri votes again
Missouri's Republican-led legislature is asking voters to overturn the abortion protections they approved in 2024, using the same ballot measure title.
## The confusing flip on Amendment 3
A yes vote in 2024 added protections. A no vote in 2026 keeps them. McCoomb covered her sign's yes with black duct tape and placed it back in her yard.
## Four states vote on abortion in November
Missouri, Nevada, Idaho, Utah and Virginia will hold abortion ballot measures in the November general election. Missouri and Nevada are voting for the second time since 2024.
## Dobbs left abortion to the states
The 2022 Supreme Court decision in Dobbs v. Jackson Women's Health Organization overturned federal abortion protections, creating a patchwork of state rules.
## Anti-abortion group warns of crisis
Kristi Hamrick of Students for Life Action questions whether fifty states can have different standards on whether human beings have legal protection.

> Can you have 50 state standards on whether a human being is a human being?
## Nevada requires two votes to enshrine rights
Nevada voters approved abortion protections up to twenty-four weeks in 2024 with sixty-four percent support. State law requires a second majority vote to make it constitutional.
## Idaho and Utah have strict bans
Idaho voters will decide whether to allow abortion through fetal viability, around twenty-four weeks. Utah currently allows abortion only up to eighteen weeks.
## Missouri's measure would reverse 2024 win
The 2026 amendment would repeal the 2024 protection and ban abortion except for medical emergencies, fetal anomalies and rape or incest before twelve weeks.
## Confusion hampers both sides
Margot Riphagen-Dunn, CEO of Planned Parenthood Great Rivers, says the second vote mirrors patient confusion about abortion availability. Even anti-abortion canvassers have had to correct voters.

> Chaos is kind of the point here, and it is absolutely a tactic that gets in the way of being able to provide.
## McCoomb hopes voters remember to revote
McCoomb's repurposed yard sign is back in Maplewood, Missouri, signalling that voters must reverse their choice to keep abortion protections in place.

> I hope lots of people see and remember to revote.
## Key takeaway

Missouri, Nevada, Idaho, Utah and Virginia hold abortion ballot measures in November 2026, with Missouri uniquely asking voters to overturn recent protections.