Americans heading to the polls today are faced with some tough decisions. There are a total of 176 measures on the ballots in 38 states.
They include measures to legalize recreational use of marijuana in Washington, Oregon, and Colorado, as well as a physician-assisted suicide measure in Massachusetts.
In Florida, there's a bid to repeal a state ban on public funds for religious programs, and Californians will decide whether to repeal the death penalty.
The issues generating the most attention are same-sex marriage and President Obama's health care law.
Alabama, Florida, Missouri, Montana, and Wyoming will vote on health care amendments, while Maine, Maryland, Minnesota, and Washington will vote on same-sex referendums.
Montana also has a parental notification measure before a minor can have an abortion.