The resolution proposes a new Article XXXIII to the Washington State Constitution, which focuses on reproductive freedom and gender-affirming care. It asserts that the state shall not interfere with an individual's decisions regarding reproductive health, including the right to choose an abortion, use contraception, and access assisted reproductive technology. Additionally, it emphasizes the right to be free from discrimination based on pregnancy outcomes and affirms the right to make decisions regarding gender-affirming care. The article also ensures that these rights do not limit existing rights to liberty, privacy, or equal protection under the law.

To move forward, the resolution mandates that the Secretary of State submit this proposed constitutional amendment to the qualified voters of Washington during the next general election for their approval or rejection. Furthermore, it requires that notice of the amendment be published in legal newspapers across the state at least four times in the month leading up to the election.