Voters headed to the polls across the United States Tuesday following record-breaking early voting to elect a president, determine the balance of power in Congress and consider abortion ballot measures in 10 states. (John Partipilo/Tennessee Lookout)
In the first presidential election since the U.S. Supreme Court overturned the federal right to an abortion, former President Donald Trump, who touted during the campaign he “was able to kill Roe v. Wade,” won a second term in the White House. Simultaneously, seven out of 10 states voted to restore or expand abortion rights, according to early election results.
National anti-abortion groups celebrated Trump’s victory over Democratic Vice President Kamala Harris, who campaigned heavily on restoring reproductive rights. They also celebrated the defeat of abortion-rights amendments in Florida, Nebraska and South Dakota, and foreshadowed a full assault on reproductive freedom throughout the country.
“Now the work begins to dismantle the pro-abortion policies of the Biden-Harris administration,” said Susan B Anthony Pro-Life America President Marjorie Dannenfelser in a statement. “President Trump’s first-term pro-life accomplishments are the baseline for his second term. In the long term, GOP pro-life resolve must be strengthened and centered on the unalienable right to life for unborn children that exists under the 14th Amendment.”
Despite their losses, abortion-rights advocates said the ballot question victories signal widespread American support for abortion protections even in red states.
Most significantly, Missourians voted to overturn a near-total abortion ban. Voters also approved an abortion-rights amendment in Arizona, which will override the current 15-week ban. Voters agreed to expand reproductive-rights protections in Colorado, Maryland, Montana, Nevada and New York.
“This is an especially historic win for Missouri,” said Nancy Northup, president and CEO of the national legal advocacy group Center for Reproductive Rights. “In fact, the amendment goes even further, calling for ‘a fundamental right to reproductive freedom, defined to include abortion and all matters relating to reproductive health care.’ By saying yes to this powerful language, voters have demanded the return of the essential human rights and freedoms they lost after Roe was overturned.”
But abortion-rights advocates suffered a major loss in Florida, which barely failed to clear a 60% supermajority threshold, more than any of the other state abortion initiatives. With 57% voting in favor to overturn a six-week abortion ban and enshrine protections, Florida was the first state to fail to secure abortion rights since Roe v. Wade was overturned two years ago.
Abortion-rights organizers who spearheaded and funded Florida’s Yes on 4 campaign said the result still shows majority approval for abortion rights among Floridians, and they vow to continue trying to restore abortion rights in the state that six months ago was an abortion-access haven for the Southeast region.
“We’re incredibly proud to have stood with doctors, patients, and advocates impacted by this ban,” said Yes on 4 Florida campaign manager Lauren Brenzel in a statement. “Their stories, along with the countless women who will continue to suffer under Florida’s cruel and extreme abortion ban, remind us that our fight is far from over.”
Attorney and anti-abortion activist Catherine Glenn Foster told States Newsroom she is celebrating the fact that Floridians blocked attempts to enshrine abortion in their state constitution. However, she acknowledged that state abortion bans have created real problems, including women dying of preventable pregnancy-related causes and being denied routine miscarriage care. She said states that ban abortion should increase social supports, something that largely hasn’t happened since states started banning abortion, and should implement a robust training system around treating health emergencies.
“We need to have a real reckoning,” said Foster, the president and CEO of First Rights Global, who previously led the anti-abortion policy group Americans United for Life and worked for the Alliance Defending Freedom. “We’ve created an environment where doctors are scared. They don’t know how to respond and how to treat, and that’s a big problem. We have to address that before we pass anything else.”
Abortion ballot initiative results
Since Roe v. Wade was overturned in June 2022, seven states — California, Kansas, Kentucky, Michigan, Montana, Ohio and Vermont — have approved reproductive-rights state constitutional amendments or rejected anti-abortion constitutional amendments. This year reproductive-rights coalitions put abortion on the ballot in 10 states. Arkansas had collected enough signatures to qualify for the ballot, but this summer the state Supreme Court ruled that Arkansans for Limited Government, the committee behind the initiative, did not submit the correct paperwork. The group opposing abortion, marijuana and education measures in the state was led by a top adviser to Republican Gov. Sarah Huckabee Sanders, Arkansas Advocate reported.
Arizona — Proposition 139, to enshrine abortion rights until fetal viability — APPROVED
YES: 62%
NO: 38%
In this swing state, abortion is currently legal until 15 weeks’ gestation. Earlier this year, a few Republicans crossed party lines to repeal a Civil War-era near-total abortion ban the legislature had revived. This citizen-initiated amendment would also prevent any penalties for someone who helps a person get an abortion. And it would allow for exceptions later in pregnancy for the patient’s life or physical or mental health.
Colorado — Initiative 79, to allow public insurance to cover abortions — APPROVED
YES: 62%
NO: 39%
The citizen-initiated amendment proposes to expand abortion access in a state that currently has no gestational limits but does have a 40-year-old public funding ban. The amendment also proposes to prevent government interference in pregnancy and allow public insurance to cover abortions.
Florida — Amendment 4, to enshrine abortion rights until viability — FAILED
YES: 57%
NO: 43%
This citizen-initiated amendment would have overturned a 6-week abortion ban that has impacted the Southeast. Republican Gov. Ron DeSantis’ administration mounted fierce opposition against the abortion-rights campaign that involved a state-sponsored misinformation campaign. Florida was the only state in this election to require a 60% supermajority for ballot measures.
Maryland — Question 1, to protect reproductive autonomy — APPROVED
YES: 74%
NO: 26%
This legislatively-referred amendment would enshrine an individual’s right to make “decisions to prevent, continue, or end” a pregnancy. Maryland has become a major abortion-access haven for the country; it is legal here until fetal viability and after for reasons related to the health of the fetus or pregnant person.
Missouri — Amendment 3, to enshrine abortion rights until fetal viability — APPROVED
YES: 52%
NO: 48%
This citizen-initiated amendment would overturn a near-total abortion ban that only has exceptions to prevent the death of the pregnant person. The ban’s ambiguous language led at least one Missouri hospital system to stop providing emergency contraception to patients, a move that forced the state attorney general to announce that Plan B and contraception remain legal.
Montana — Constitutional Initiative 128, to enshrine abortion rights until fetal viability — APPROVED
YES: 57%
NO: 43%
This citizen-initiated amendment would guarantee protections in a state where abortion is currently legal but where Republican lawmakers have attempted to pass restrictions since Roe fell in 2022.
Nebraska — Initiative 434, to ban abortion after the first trimester vs. Initiative 439, to enshrine the right to abortion until viability
Initiative 434 — APPROVED
FOR: 55%
AGAINST: 45%
Initiative 439 — FAILED
FOR: 49%
AGAINST: 51%
Nebraska was the only state to have two competing abortion-related initiatives on the ballot.
Nevada — Question 6, to enshrine abortion rights until fetal viability — APPROVED
YES: 63%
NO: 37%
In this swing state abortion is currently legal up to 24 weeks of pregnancy, but this citizen-initiated measure would enshrine abortion rights into law. The measure will need to be approved by voters again in 2026 to become law.
New York — Proposal 1, to bar discrimination based on pregnancy status — APPROVED
YES: 62%
NO: 38%
This legislatively-referred measure would guarantee abortion rights in a state where abortion is legal up to 24 weeks of pregnancy — later if a provider determines the procedure is necessary to save a patient’s life or health, or if the fetus is nonviable.
South Dakota — Amendment G, to allow abortion through the end of the first trimester — FAILED
YES: 41%
NO: 59%
This citizen-initiated measure would have allowed regulation in the second trimester for maternal health reasons and allow lawmakers in the third trimester unless the procedure is necessary to save the life or health of a pregnant patient.
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