The resolution proposes an amendment to the Constitution of West Virginia, specifically adding a new section, designated as section twenty-three, to Article III, which addresses the right to reproductive freedom with specific protections for health and safety. This amendment would affirm that every individual has the right to make their own reproductive decisions, including choices related to contraception, fertility treatment, pregnancy continuation, miscarriage care, and abortion. It also stipulates that the state cannot impose burdens or penalties on individuals exercising these rights or on those assisting them, unless it can demonstrate that it is using the least restrictive means to protect the individual's health according to established medical standards. Notably, while abortion may be restricted after fetal viability, it cannot be prohibited if necessary to protect the life or health of the pregnant individual.

The resolution further outlines that the proposed amendment will be submitted to voters during the next general election in 2026, and it will be officially designated as "Amendment 1" with the title "The Right to Reproductive Freedom with Protections for Health and Safety." The purpose of this amendment is to preserve the right to reproductive freedom while ensuring health and safety protections are in place. The resolution emphasizes the importance of safeguarding these rights within the state's constitution, reflecting a commitment to reproductive autonomy and health care access.