The nation's eyes may have been more focused on Washington on Tuesday night, but issues on ballots across the country were shaping health policy in the states.

Voters rejected and approved measures dealing with the touchy issues of medical marijuana, physician-assisted suicide, and abortion in a number of states. Five states also voted on measures aimed squarely at the Affordable Care Act (ACA), with one -- Missouri -- passing an initiative that could hamstring efforts to establish its health insurance exchange under the ACA.

Massachusetts citizens cast votes on two of those key health topics, and one -- a move to allow physician-assisted suicide -- was still too close to call as of Wednesday morning. With 93 percent of precincts reporting, there were still roughly 40,000 more votes against the measure than for it.

Specifically, the measure would allow state-licensed physicians to prescribe fatal medication to terminally ill patients requesting to end their lives, provided certain conditions are met. Oregon and Washington state already have legalized physician-assisted suicide through voter-approved ballot initiatives.