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, access assisted reproductive technology, and receive gender-affirming care. Additionally, it emphasizes the protection against discrimination based on pregnancy outcomes and affirms the rights to liberty, privacy, and equal protection under the law.

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