Health care has been a dominant issue on the campaign trail this fall, with voters particularly worried about continuing insurance protections for people with pre-existing medical conditions. But on Election Day, they will decide a number of other important health care questions for their states through ballot initiatives.

Among the most significant are referendums that would expand Medicaid in Idaho, Nebraska and Utah. If voters in all three states approve, an estimated 340,000 additional low-income adults would be eligible for free health coverage through the government program, as the health law allows, starting next year.

But the ballot questions also cover a wide range of other issues: whether to ease penalties for low-level drug offenders in Ohio; consider a ban on vaping in indoor work spaces in Florida; and whether to remove abortion protections from state constitutions in Alabama and West Virginia.

Medicaid Expansion

In addition to the ballot questions in Idaho, Nebraska and Utah, the outcome of tight governor’s races in seven states that have so far resisted expanding Medicaid could change the equation there.