Initiative 110, which would prohibit surgeries on minors to alter biological sex characteristics and bar state, federal, or insurance funding for such procedures, qualified for Colorado’s November 3, 2026 ballot after signature verification in March. The 50-50 market reflects Colorado’s divided electorate on youth medical interventions, with supporters emphasizing parental consent limits and child protection while opponents highlight established medical guidelines and access concerns. Recent developments remain limited since qualification, leaving room for shifts driven by fall campaign spending, endorsements from medical groups or party leaders, turnout efforts among swing voters, or any new state-level polling on the specific measure.