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.

The looming expiration of Obamacare subsidies for tens of millions of Americans has more lawmakers — particularly vulnerable Republicans — sweating the political fallout and ready to compromise. But odds for a deal remain slim, and an unresolved fight over abortion could lower them to zero.

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.

Though Trump took a national abortion ban off the table, they’re still pushing to restrict abortion pills via FDA and EPA regulations.