The abortion debate is headed to the ballot box. Here’s where voters will decide

In Nebraska Friday, the Secretary of State confirmed that two competing proposals qualified for the November election. One proposal would enshrine the current law banning most abortions after the first trimester. The other would expand abortion rights until fetal viability — usually around 24 weeks.
Since the U.S. Supreme Court overturned the federal right to abortion in 2022, states have had the final say on abortion rights. And now abortion-rights supporters across the United States seek to maneuver around Republican-led legislatures and go straight to voters.
This year, voters in up to 11 states could face abortion-rights amendments. Several states that outlaw most abortions could see those bans reversed if the ballot measures pass: Arkansas, Florida, Missouri, Nebraska and South Dakota.
Voters have already backed abortion rights at the ballot box in at least six states since the reversal of
including conservative-leaning Kentucky and Kansas.
Getting amendments on the ballot takes legwork, gathering tens or hundreds of thousands of signatures. Then, there could be court challenges.
The statewide up-or-down votes could motivate more voters to the polls, shaping the race for president, the battle for which party controls Congress and, in Arizona for example, which party runs the legislature.
NPR is tracking the amendment campaigns taking place across the country and will update the developments through November.
Colorado doesn’t restrict abortion at any time during pregnancy. That has led to the state becoming a regional hub for abortion access.
Coloradans did use the ballot to impose one limit in 1984, when they passed a constitutional amendment banning public funding for abortions.
Now, abortion-rights advocates have
on the ballot to guarantee a right to abortion in the state constitution, which would prohibit any laws impeding that right.
The amendment would also remove that current constitutional ban against public funding for abortions — in Medicaid or state employee health plans. The initiative is similar to the
in 2022. It would need 55% of the vote to get into the constitution.
For more, visit
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Florida is the most populous state where abortion-rights advocates already have enough signatures and the official approval to put a question on the ballot this November. The state will ask voters whether to protect abortion in the state constitution up to the point of fetal viability — usually about 24 weeks of pregnancy — or, in all cases, to protect the life of the pregnant person.
The
, which has exceptions for rare circumstances, went into effect in May, further energizing voters on both sides of the issue to come out in November. And Florida requires 60% approval to pass the amendment, a level no other state has met since
’s reversal in 2022.
For more, visit
.
Since taking office in 2023, Democratic Gov. Wes Moore has billed Maryland as a “sanctuary state” for reproductive rights. Moore’s administration
mifepristone — one of two drugs used in medication abortion — when federal court cases threatened the drug’s future, and it has put money into training more health care workers in reproductive care.
In November, Maryland voters will decide on an amendment that would enshrine reproductive rights in the state constitution. The amendment would protect “the ability to make and effectuate decisions to prevent, continue, or end one’s own pregnancy.” The referendum needs a simple majority to pass and is expected to meet that threshold.
Meanwhile, during the legislative session this year, Maryland lawmakers put money aside to help facilities that provide abortions improve security.
For more, visit
.
The proposed amendment that could enshrine abortion rights into the New York state constitution doesn’t mention the word “abortion.” The legislature placed on the November ballot a sweeping equal rights amendment banning discrimination based on race, gender, age and other categories including, “pregnancy, pregnancy outcomes, and reproductive healthcare and autonomy.”
Movement toward the ballot proposal started in response to the U.S. Supreme Court overturning
in 2022. Some Republicans oppose it saying it codifies abortion rights in the state constitution – which seems to be the intent.
It survived an initial court challenge and was restored to the fall ballot in June, but opponents could still appeal.
New York already allows abortion until fetal viability – around 24 weeks of pregnancy – and has laws protecting reproductive healthcare providers. But there are no such laws – or an equal rights amendment – in the constitution.
For more, visit
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South Dakota voters will weigh in on a ballot measure that could enshrine abortion protections into the state constitution. Reproductive rights group Dakotans for Health submitted 55,000 signatures in support of the proposal.
After the
decision ended the federal right to abortion, an already-in-place South Dakota law went into effect banning all abortions except to save the
— though critics say that this exception remains undefined.
The proposed amendment would allow abortions in the first trimester, add more restrictions in the second and prohibit abortions in the third trimester, with some exceptions.
Some abortion-rights groups say the amendment is too weak, while an anti-abortion group has called it “extreme.”
For more, visit
.
Arizona currently bans abortions after 15 weeks of pregnancy, based on a law passed in 2022. The Arizona Supreme Court this spring ruled that the state should enforce a law dating to 1864, which banned abortions in all circumstances except to save the life of the pregnant person. But soon after that ruling, the state
.
In November, Arizona voters will consider a ballot measure that would enshrine the right to abortion in the state constitution. The Arizona Secretary of State’s office said in August it had certified nearly
.
The measure, Proposition 139 would allow abortions until the point of fetal viability – around 24 weeks – with broad exceptions later in pregnancy when health risks are involved.
Opponents say the ballot measure goes too far. A lawsuit seeking to block the measure from appearing on ballots is still pending before the state Supreme Court.
For more, visit
.
In August, in a 4-3 decision, the Arkansas Supreme Court ruled that signatures collected by paid canvassers to place an amendment legalizing abortion on the November ballot could not be counted, cutting off any last path for the initiative.
In early July, after the reproductive rights group
in support of an amendment for abortion access, Arkansas Secretary of State John Thurston threw out 14,000 signatures collected by paid gatherers, putting the group
. Thurston said the group had not complied with state law regarding paid canvassers. Under state law, a sponsor is required to sign a statement affirming that each paid canvasser has received a copy of the secretary of state’s initiative and referenda handbook and that they have had canvassing laws explained to them.
It’s unclear if Arkansans for Limited Government actually failed to follow the law. FOIA requests from the Arkansas Times show that they turned in documents similar to the ones the secretary of state said he didn’t have. The group asked the Supreme Court to weigh in on the case believing the Secretary of State had made the wrong call in rejecting their petition outright.
Arkansas’ ban on abortion is one of the most restrictive in the country, making an exception only to save the life of the mother.
For more, visit
.
In August, Missouri Secretary of State Jay Ashcroft certified that abortion rights advocates
to place a constitutional amendment protecting abortion on the 2024 ballot.
If passed by voters in November, the amendment would undo the state’s law banning all abortions – except to save the life of the pregnant person – and replace it with language making abortion legal up to the point of fetal viability.
The ballot initiative is receiving significant financial support from out-of-state groups, as well as unprecedented volunteer support.
To curb the amendment effort, Republican lawmakers tried to get a separate ballot measure to voters that would have made it more difficult to amend the state constitution. However,
, Democrats overpowered that attempt.
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.
If approved by voters in November, the ballot measure in Montana would add language protecting abortion access up until fetal viability — around 24 weeks of pregnancy — to the state constitution.
by top Republican officials to halt the proposal, Republican Secretary of State Christi Jacobsen officially certified the amendment in August, clearing the way for it to appear on the November ballot in Montana.
In June, the initiative’s supporters submitted more than 117,000 signatures for the proposal, far more than the 60,000 signatures required to qualify for the ballot.
Abortion remains legal and accessible in the state. That’s even though Republican lawmakers have passed several restrictive abortion laws at the request of GOP Gov. Greg Gianforte in recent years. Abortion rights are protected under state judicial precedent.
In 1999, the Montana Supreme Court ruled that the state’s constitutional right to privacy protects access to abortion until the point of viability. The court has
in recent years.
For more, visit
.
Voters in Nebraska will see
on their ballot this November.
One proposal — backed by Nebraska’s most prominent anti-abortion groups — would enshrine the current law banning most abortions after the first trimester through a constitutional amendment.
That amendment would also
allow future abortion restrictions. The Ricketts family, including U.S. Senator Pete Ricketts, has donated more than $2 million to the effort.
2023, the Nebraska Legislature banned abortion after 12 weeks of pregnancy. There are exceptions for rape, incest and the life of the pregnant patient.
Voters will also see an amendment proposal to expand abortion rights until fetal viability — usually around 24 weeks — on the ballot. That petition was backed by Protect Our Rights, a coalition of pro-abortion rights groups like Planned Parenthood, ACLU Nebraska and I Be Black Girl.
November’s election could mark the first time Nebraskans see two competing petition efforts on the same ballot.
, whichever gets the most votes will win.
For more, visit
.
Under a state law approved by voters in 1990, abortion is legal in Nevada within the first 24 weeks of pregnancy. Abortion-rights advocates want to put that in the state constitution with an amendment guaranteeing abortion access up until fetal viability, which is usually about 24 weeks.
In late June, the Nevada Secretary of State said the issue met all requirements to appear on the ballot. For the amendment to take effect, voters would have to approve the initiative twice, once in 2024 and again in 2026.
Polling has consistently shown that roughly two-thirds of Nevadans believe access to abortion should be legal in “all or most cases.”
Nevada Democrats believe protecting abortion access mobilized voters during the 2022 midterm elections, and they plan to make the issue central to their cause this year, with a U.S. Senate seat and congressional seats at stake.
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.
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