Voters in 10 states cast ballots on Tuesday for proposals that would protect their right to access abortion care.

Arizona and Missouri voters approved measures to protect reproductive rights, effectively overturning existing bans on abortion. Meanwhile, voters in Colorado, New York, Maryland, Montana, and Nevada passed measures to cement or expand abortion access.

In Florida and South Dakota,ballot measuresto overturn state abortion bans failed. A proposed Nebraska constitutional amendment to protect abortion rights also failed, while an amendment to ban the procedure after 12 weeks of pregnancy passed.

The votes come two years after the Supreme Court overturnedRoe v. Wade, which had ensured the right to abortion in the United States for nearly 40 years. In 2022, voters in four states passed measures to protect abortion rights, while efforts to restrict access failed in three states.

Of the states that have not voted on a constitutional right to abortion,only three allow voters to introduce ballot measures that can override the state legislature and governor. Two of those states, Arkansas and Oklahoma, have total abortion bans. In North Dakota, the third state, a judge repealed the abortion ban.

Here’s a rundown of how abortion appeared on the ballot in 10 states this week.

Missouri

With record turnout, voters in Missouri approvedan amendmentto their state constitution to codify “a fundamental right to reproductive freedom,” defined as “the right to make and carry out decisions about all matters relating to reproductive health care: including but not limited to prenatal care, childbirth, postpartum care, birth control, abortion care, miscarriage care, and respectful birthing conditions.”

Abortion was previously banned at every point of a pregnancy. This is the first time any state with a total abortion ban has passed a measure to protect abortion rights.

“This is an especially historic win for Missouri, one of a growing number of red, blue and purple states—and the first with a total abortion ban—to approve a constitutional amendment protecting abortion,” Nancy Northup, president and CEO of the Center for Reproductive Rightssaid in a statement. “By saying yes to this powerful language, voters have demanded the return of the essential human rights and freedoms they lost afterRoewas overturned.”

Florida

Florida voters cast ballots for a constitutional amendment that would have protected the right to an abortion before viability or when it was necessary to protect the pregnant person’s health.

Nebraska

Nebraska was the only state that asked voters to decide on two competing ballot proposals. One would have cemented Nebraskans’ right to an abortion until fetal viability, at around 24 weeks of pregnancy. The other sought to ban all abortions after 12 weeks.

Voters passed the abortion ban and defeated the abortion protective amendment. The state will now ban abortions in the second and third trimester.

Arizona

A newconstitutional amendmentenshrines the right to abortion up to fetal viability, which the amendment defines as “the point in the pregnancy when, in the good-faith judgment of a treating health care professional, the fetus has a significant likelihood of survival outside the uterus.”

The amendment allows for an abortion after the point of fetal viability if a health provider judges the pregnant person’s mental and physical health to be at risk. It also prohibits any laws that will penalize people for helping others exercise their right to abortion.

This year, voters in the state officially repealed an 1864 total abortion ban. However, another law banned abortion after 15 weeks of pregnancy. That law will no longer be legal under the new amendment.

South Dakota

South Dakota voters rejected a ballot proposal to protect abortion access in the state.

The ballotinitiative proposedto regulate abortion based on trimesters. If passed, the measure would have prohibited the state from regulating the right to an abortion in the first trimester. The state could regulate abortion in the second trimester, but “only in ways that are reasonably related to the physical health of the pregnant woman.” In the third trimester, the proposal allowed for a ban, except when the procedure was necessary to save the life or health of the woman.

After the overturn ofRoe,a 2005 “trigger law” went into effect, banning abortion, except to save the life of the mother. The state requires a 72-hour waiting period and counseling before an abortion can be performed, and it requires a minor’s parents or guardian to be notified before an abortion. A 2023 law prevents a woman who received an abortion from being held criminally liable.

Nevada

The constitutional amendment must be approved in two even-numbered election years, so it will be up for vote again in 2026. If a majority of voters approve it again then, it would require two majority votes for a change in abortion protections to occur.

Montana

Montanans passed aconstitutional amendmentinitiative to create an explicit right for a pregnant person to make decisions about their own pregnancy, including getting an abortion. Previously, the right to abortion in Montana depended on case law founded on the right to privacy.

This year, the Montana Supreme Court ruled that parental consent is not required for a minor to obtain an abortion. State Medicaid funds can be used for abortion services, and Montana law protects against harassment and physical harm for people entering abortion clinics.

Colorado

Voters passed a ballot initiative to cement a right to abortion in the state constitution. It prohibits local governments from denying or interfering with the right to an abortion.

The proposal repealed a 1984 article in the constitution that prohibited the use of public health funds for abortion. The new amendment allows abortion to be a covered service under health insurance plans.

Maryland

Voters in Maryland overwhelmingly cast ballots in favor of codifying a “right to reproductive freedom” in the state’s Declaration of Rights. That includes “the ability to make and effectuate decisions to prevent, continue, or end one’s own pregnancy,” according to theamendment language.

A 1991 law prohibited the state government from interfering with the decision to terminate a pregnancy. That law was upheld in a 1992 referendum vote.

New York

The New York Bill of Rightswill be updatedto say that people cannot be denied rights based on “color, ethnicity, national origin, age, disability” as well as on their “sex, including sexual orientation, gender identity, gender expression, pregnancy, pregnancy outcomes, and reproductive healthcare and autonomy.”

The new Equal Rights Amendment will prevent the state government from banning abortion, halting Medicaid funding and private insurance coverage for abortion services, criminalizing miscarriage, or adding medically unnecessary burdens for pregnant people.

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