The losses are the first on statewide reproductive rights ballot measures anywhere in the U.S. since the Supreme Court overturned Roe v. Wade in 2022, a ruling that struck down the nearly 50-year nationwide right to abortion, proving that abortion opponents can win on ballot measures.

Voters in seven states moved to protect abortion access through ballot initiatives, while similar measures in three other states failed.

Amid the 2024 election, a Nebraska abortion ballot measure passed on Tuesday that enshrines the state's current ban on abortions after the 12th week of pregnancy in the state constitution. What Was Abortion Access Like in Nebraska?

The results end a two-year winning streak for abortion-rights groups that had successfully defended reproductive health rights or overturned prohibitions in several purple and red states, including many that voted overwhelmingly for President-elect Donald Trump.

Donald Trump returns to White House as states defy his abortion legacy, with voters in seven states — including deep-red Missouri — enshrining reproductive rights in their constitutions.

In Nevada, voters approved the measure to protect abortion rights with 63 percent. But state law requires voters to approve ballot amendments twice, so the measure will face another vote in 2026. Abortion has remained broadly legal in the state since the Supreme Court overturned Roe.

In Missouri, abortion opponents say their state’s referendum, which reverses a near-total ban on the procedure, is not the last word.

The ballot initiative in Florida would have allowed abortion until the point of foetal viability or about 24 weeks.

Voters who thought they could put Trump back in the White House while preserving or expanding reproductive rights are in for a brutal shock.

Nebraska voters are deciding on five ballot initiatives and one referendum, including marijuana, abortion and paid sick leave.

Florida’s voters were asked whether the state’s constitution should say that “no law shall prohibit, penalize, delay, or restrict abortion before viability or when necessary to protect the patient’s health, as determined by the patient’s healthcare provider.”

The Florida result was a political win for Republican Governor Ron DeSantis that will keep in place the state’s ban on most abortions after the first six weeks of pregnancy.