U.S. Voters Pass Transgender Policy Restrictions in Multiple States

Voters in several U.S. states approved ballot measures restricting transgender-related policies for children during the November 3 elections. These measures primarily targeted school sports, facilities, and medical procedures based on biological sex.

In Washington, Initiative 638 passed with 56% support to prohibit biological boys from competing in K-12 girls' sports and require sex documentation from healthcare providers. Arizona voters approved Proposition 318 with nearly 60% support, restricting school bathrooms, locker rooms, and sports teams based on biological sex. Nebraska voters passed a similar school sports measure with nearly 70% support.

Colorado voters approved two separate measures: Proposition 134, which limits children's sports teams by biological sex, and Proposition 135, which prohibits sex-change surgeries for children, both passing with 52% support. In contrast, Missouri voters rejected Amendment 3, a measure that sought to prohibit child sex-change procedures while also addressing abortion access.

The Democratic Party broadly opposes these passed gender-related ballot measures, despite winning various House, Senate, and gubernatorial races in the same election cycle.