Voters in Nebraska narrowly approved a measure that leaves in place abortion restrictions Tuesday, as the state and Florida became the first states since Roe v. Wade was overturned where ballot measures broke against abortion rights—though four other states have so far voted to protect reproductive rights,

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

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

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.

A majority of voters supported a measure enshrining the state’s current ban on abortion after the first 12 weeks of pregnancy in the state constitution. The measure will also allow for further restrictions.