In the United States, women’s access to health care — including abortion and reproductive services, which were significantly limited by the overturning of Roe v. Wade — depends, in large part, on the state they live in. Where women live also determines how likely they are to have a healthy pregnancy and safe delivery, as well as their risk of dying from preventable causes like substance use and certain cancers.

Women in the southeastern U.S., for example, have lower rates of access to affordable coverage and worse health outcomes compared to women in other regions, according to data from the Commonwealth Fund’s state scorecard on women’s health. In southeastern states — several of which haven’t expanded Medicaid, a key source of preventive and maternal health care coverage for people with low incomes — women are more likely to be uninsured.

The outcome of the election could affect women’s health care coverage and access in several ways. Here’s what’s at stake for women’s health across the nation.