In a handful of states with off-year elections, abortion access appeared to be a winning issue for the second general election in a row, even more than a year after the U.S. Supreme Court overturned Roe v. Wade.

Red state pushback

In what became one of the most closely watched campaigns of the year, Ohio voters approved a ballot initiative putting protections for reproductive health decisions in the state constitution, including abortion at least until fetal viability.

Kelly Hall, executive director of the Fairness Project, which advocates for ballot measures to advance progressive policies, said the amendment's passage represents voters in a red state — with a Republican governor and legislature — passing abortion protections.

"Ohio is the first state that I really think we can put in that red column that has said, 'We can go on offense, and we can win,'" Hall says. "And that is an inspiring example that shines a light on the path for other red states."

Last year, months after the U.S. Supreme Court overturned decades of abortion rights precedent, abortion rights advocates were victorious in six states where abortion-related questions were on the ballot. In 2022, Hall noted, voters in blue states like California and Michigan largely shored up protections, while those in red states like Kansas and Kentucky rejected efforts to restrict the procedure.

The passage of Issue 1 means that a state law banning most abortions after about six weeks of pregnancy will not be able to take effect again in Ohio.

The vote in Ohio followed a special election in August, when Republican lawmakers put a question on the ballot — also called Issue 1 — that would have made it more difficult to amend the state constitution. Ohio voters turned out in larger-than-expected numbers to reject that proposal.

Abortion played out in local elections

Virginia Democrats managed to hold off Republican control of the state legislature.

Abortion wasn't directly on the ballot in Virginia as it was in Ohio. But the issue was front and center in the campaign.

With the entire legislature up for reelection, Democrats managed to take control of the state House of Delegates while maintaining control of the state Senate — an important goal for abortion rights supporters in a state with a divided legislature and a Republican governor.

Gov. Glenn Youngkin has supported a proposal to ban most abortions after 15 weeks, with some exceptions, and heavily campaigned with Republicans to try to win a trifecta government in Richmond, Va.

As it is, Virginia is the only state in the South that has not restricted abortion in response to the Supreme Court decision last year. Currently, abortion is legal until 26 weeks and six days of pregnancy. With incoming majorities in both chambers, that law seems poised to remain intact.

2 governor's races maintain status quo on abortion rights

Kentucky Gov. Andy Beshear, a Democrat, won reelection after facing a challenge from the state's Republican attorney general, Daniel Cameron, who opposes abortion rights and has defended Kentucky's strict abortion laws in court.

Beshear's campaign released an emotional ad in which a young woman talked about her experience as a victim of rape by a family member at age 12. She pointed out that Kentucky's abortion law contains no rape or incest exceptions, saying, "Anyone who believes there should be no exceptions for rape and incest could never understand what it's like to stand in my shoes."

Cameron eventually came out in support of rape and incest exceptions, but still lost the election.

Last year, in another likely sign that the state's abortion laws are out of step with public opinion, Kentucky voters rejected a ballot initiative seen as unfriendly to abortion rights.

In Mississippi, meanwhile, the incumbent Republican Gov. Tate Reeves also won reelection. His Democratic challenger was a relative of Elvis Presley who also opposed abortion rights.

In Pennsylvania, a fight for the court

With the fight over abortion policy increasingly playing out in state legislatures and courts, abortion rights advocates have been paying closer attention to state Supreme Court races.

This year, in Pennsylvania, Democrat Dan McCaffery won an open seat on the state Supreme Court after Planned Parenthood and the American Civil Liberties Union invested in digital ads backing McCaffery over Republican Carolyn Carluccio. The state has a Democratic governor, but groups supporting abortion rights say they want to shore up access for the future.

Abortion also was a focal point in the race earlier this year for a high court seat in Wisconsin, where the liberal candidate won.

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Transcript

MICHEL MARTIN, HOST:

Last night was a good night for supporters of abortion rights.

LEILA FADEL, HOST:

Yeah. In a handful of states holding elections, abortion access appeared to be a winning issue more than a year after the U.S. Supreme Court overturned Roe v. Wade.

MARTIN: NPR's Sarah McCammon is with us now for a look at the results. Good morning, Sarah.

SARAH MCCAMMON, BYLINE: Hey. Good morning, Michel.

MARTIN: So let's start with the big one, Ohio. I mean, we're calling it the big one because there was a ballot initiative that people on all sides of the issue have been keeping an eye on. What happened?

MCCAMMON: Well, Ohioans voted to put protections for reproductive rights, including abortion, in their state constitution after a long fight that lasted many months. And Ohio is now the seventh state since the Dobbs v. Jackson Women's Health decision last year from the Supreme Court that's voted to support abortion rights in one way or another through a ballot initiative. So we've seen this in state after state. And it shows that voters, even in red states, can use the ballot box to push back against abortion restrictions they think have gone too far.

I talked to Kelly Hall with The Fairness Project last night. That's a group that advocates for the use of ballot measures to advance progressive policies.

KELLY HALL: Ohio is the first state that I really think we could put in that red column that has said, we can go on offense and we can win, and that is an inspiring example that shines a light on the path for other red states.

MCCAMMON: So again, what we saw there was a red state with a Republican governor and Republican legislature passing abortion protections. And this means a state law banning most abortions after six weeks in Ohio won't be able to take effect.

MARTIN: So let's go to Virginia now. It's often seen as a bellwether state or as a purple state.

MCCAMMON: Right.

MARTIN: Talk about the issue there. What was at stake, and what happened?

MCCAMMON: Yeah. Abortion wasn't directly on the ballot in Virginia the way that it was in Ohio, but the issue was really central to the campaign. The entire legislature was up for reelection in Virginia's off-year election. Democrats held on to control of the state Senate, and they flipped the state House, which had been controlled by Republicans. Now, that was important, Michel, for abortion rights supporters because the Republican governor, Glenn Youngkin, has supported a proposal to ban most abortions after 15 weeks. As it is right now, Virginia is the only state in the South that has not restricted abortion since the overturning of Roe v. Wade, and it looks likely to stay that way, at least for now.

MARTIN: So what other races have you been watching?

MCCAMMON: You know, another important one was Kentucky's governor's race - another red state, but with a Democratic governor. The Democratic incumbent, Andy Beshear, won reelection after facing a challenge from the state's Republican attorney general, Daniel Cameron. Cameron had defended Kentucky's near total abortion ban, and Beshear's campaign released an emotional ad in which a young woman talked about her experience being a victim of rape by a family member and pointed out that Kentucky's abortion law doesn't contain rape or incest exceptions. So again, we have a red state here, as we mentioned. Last year, voters rejected an effort to amend Kentucky's constitution in a way that would have been unfavorable to abortion rights. And those voters this year have reelected their Democratic governor.

MARTIN: So, Sarah, before we let you go, what other takeaways do you see from these results? Anything that might offer clues about what to expect next year?

MCCAMMON: Well, all indications are that voters are still being motivated by the abortion rights issue. That's a good sign for Democrats. The Democratic Congressional Campaign Committee released a statement celebrating the victory in Ohio and looking ahead to next year, warning that many Republicans still want to pass a national abortion ban if they can. And so expect more of this next year. Also expect more ballot initiatives in states like Arizona and Florida, potentially.

MARTIN: That is NPR's Sarah McCammon. Sarah, thank you.

MCCAMMON: Thank you. Transcript provided by NPR, Copyright NPR.

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