Abortion is likely not going to be a motivating cause for most voters heading into the 2026 midterm elections, following a downward trend in the issue’s importance since the overturning of Roe v. Wade in 2022.

Another year of action and uncertainty in America’s abortion care system is coming to a close, after states that weighed in on abortion rights in the 2024 election continue to grapple with the impact of those votes.

While there will be far fewer ballot initiatives affecting abortion access in the 2026 midterm elections than there were in the previous national election, two in Republican-led states could be consequential.