ATLANTA (AP) — Casting mailed ballots remained popular among voters in last year's presidential election, even as President Donald Trump has tried to undercut the process through a wide-ranging executive order.
A report released Monday by the U.S. Election Assistance Commission also found a surge in early in-person voting and robust use of ballot drop boxes, which have been a target of conspiracy theorists since the 2020 election.
The findings, based on data collected at the local level and submitted by states, illustrate the sustained popularity of alternate voting methods even as they have come under attack in recent years from Republicans.
“Notwithstanding the rhetoric from some, our election process continues to reflect the expectations voters have about where, when and how to vote,” said David Levine, a former county election official in Idaho who is now a senior fellow at the University of Maryland’s Center for Democracy and Civic Engagement. “Once voters try voting before Election Day, they often continue to do so for future elections.”
Overall, more than 158 million ballots were counted for the November 2024 presidential election, according to the report. Turnout was 3 percentage points lower than in 2020 but nearly 4 percentage points higher than during the 2016 presidential election.
Roughly 30% of voters last fall used a mail ballot, a decline from the 43% who did so during the pandemic election in 2020 but higher than pre-pandemic elections, when mail ballots typically accounted for about 25% of votes cast.
The report noted that four states – Democratic-leaning Washington and Republican-leaning Indiana, South Dakota and Utah — saw higher percentages of mail voting in 2024 than four years earlier.
Trump has long complained, without providing evidence, that mail voting opens a pathway to fraud. The election executive order he signed in March, which is facing several lawsuits, targets mail voting by saying all ballots must be received by Election Day. Currently, 18 states and Puerto Rico accept mailed ballots received after Election Day as long they are postmarked on or before that date.
Oregon and Washington, where elections are conducted almost entirely by mail, filed their own lawsuit against the order fearing that tens of thousands of their voters could be disenfranchised if it is allowed to stand. During a news conference announcing the lawsuit, Washington Secretary of State Steve Hobbs said more than 300,000 ballots in his state arrived after Election Day in 2024.
The report found the 2024 presidential election saw a drop in Election Day voting and a corresponding increase in early, in-person voting. Election Day voting declined from 49% in 2022 to roughly 37% in 2024, when 35% took advantage of voting early.
Republican-dominated South Carolina and Democratic-leaning Delaware had the largest increases in early, in-person voting compared to four years ago.
Republicans last year mounted a campaign to reverse years of conservative criticism of early voting methods and persuade their voters to cast ballots before Election Day, a strategy that helped Trump win a second term.
Since Trump's loss in 2020, conservative activists and conspiracy theorists have zeroed in on ballot drop boxes as a potential source of fraud despite no evidence of that occurring in that year's elections. Some Republican-led states have since blocked their use or reduced their availability.
But they remain popular in other parts of the country. The report found drop boxes were in use in 35 states plus the District of Columbia in 2024. Of those, 21 states reported a total of nearly 15 million mail ballots returned with the use of a drop box, accounting for about 45% of all mail ballots returned by voters.
Of the states that reported data on ballot drop boxes for 2022 and 2024, four states reported double-digit increases in the percentage of mail ballots returned at drop boxes: the Democratic stronghold of California, Republican-leaning Kansas and Utah, and swing state Nevada.
FILE - A voter drops off their ballot at a dropbox on Election Day, Tuesday, Nov. 5, 2024, in Portland, Ore. (AP Photo/Jenny Kane, File)
NEW YORK (AP) — Thousands of nurses in three hospital systems in New York City went on strike Monday after negotiations through the weekend failed to yield breakthroughs in their contract disputes.
The strike was taking place at The Mount Sinai Hospital and two of its satellite campuses, with picket lines forming. The other affected hospitals are NewYork-Presbyterian and Montefiore Medical Center in the Bronx.
About 15,000 nurses are involved in the strike, according to New York State Nurses Association.
“After months of bargaining, management refused to make meaningful progress on core issues that nurses have been fighting for: safe staffing for patients, healthcare benefits for nurses, and workplace violence protections,” the union said in a statement issued Monday. “Management at the richest hospitals in New York City are threatening to discontinue or radically cut nurses’ health benefits.”
The strike, which comes during a severe flu season, could potentially force the hospitals to transfer patients, cancel procedures or divert ambulances. It could also put a strain on city hospitals not involved in the contract dispute, as patients avoid the medical centers hit by the strike.
The hospitals involved have been hiring temporary nurses to try and fill the labor gap during the walkout, and said in a statement during negotiations that they would “do whatever is necessary to minimize disruptions.” Montefiore posted a message assuring patients that appointments would be kept.
“NYSNA’s leaders continue to double down on their $3.6 billion in reckless demands, including nearly 40% wage increases, and their troubling proposals like demanding that a nurse not be terminated if found to be compromised by drugs or alcohol while on the job," Montefiore spokesperson Joe Solmonese said Monday after the strike had started. "We remain resolute in our commitment to providing safe and seamless care, regardless of how long the strike may last.”
New York-Presbyterian accused the union of staging a strike to “create disruption,” but said in a statement that it has taken steps to ensure patients receive the care they need.
"We’re ready to keep negotiating a fair and reasonable contract that reflects our respect for our nurses and the critical role they play, and also recognizes the challenging realities of today’s healthcare environment,” the statement said.
The work stoppage is occurring at multiple hospitals simultaneously, but each medical center is negotiating with the union independently. Several other hospitals across the city and in its suburbs reached deals in recent days to avert a possible strike.
The nurses’ demands vary by hospital, but the major issues include staffing levels and workplace safety. The union says hospitals have given nurses unmanageable workloads.
Nurses also want better security measures in the workplace, citing incidents like a an incident last week, when a man with a sharp object barricaded himself in a Brooklyn hospital room and was then killed by police.
The union also wants limitations on hospitals’ use of artificial intelligence.
The nonprofit hospitals involved in the negotiations say they’ve been working to improve staffing levels, but say the union’s demands overall are too costly.
Nurses voted to authorize the strike last month.
Both New York Gov. Kathy Hochul and Mayor Zohran Mamdani had expressed concern about the possibility of the strike. As the strike deadline neared, Mamdani urged both sides to keep negotiating and reach a deal that “both honors our nurses and keeps our hospitals open.”
“Our nurses kept this city alive through its hardest moments. Their value is not negotiable,” Mamdani said.
State Attorney General Letitia James voiced similar support, saying "nurses put their lives on the line every day to keep New Yorkers healthy. They should never be forced to choose between their own safety, their patients’ well-being, and a fair contract.”
The last major nursing strike in the city was only three years ago, in 2023. That work stoppage, at Mount Sinai and Montefiore, was short, lasting three days. It resulted in a deal raising pay 19% over three years at those hospitals.
It also led to promised staffing improvements, though the union and hospitals now disagree about how much progress has been made, or whether the hospitals are retreating from staffing guarantees.
Nurses strike outside Mount Sinai West Hospital, Monday, Jan. 12, 2026, in New York. (AP Photo/Yuki Iwamura)
Nurses strike outside Mount Sinai West Hospital, Monday, Jan. 12, 2026, in New York. (AP Photo/Yuki Iwamura)
Nurses strike outside Mount Sinai West Hospital, Monday, Jan. 12, 2026, in New York. (AP Photo/Yuki Iwamura)
Nurses strike outside Mount Sinai West Hospital, Monday, Jan. 12, 2026, in New York. (AP Photo/Yuki Iwamura)
FILE - A medical worker transports a patient at Mount Sinai Hospital, April 1, 2020, in New York. (AP Photo/Mary Altaffer, File)