Recent ballot measure victories across the country have demonstrated the power of this citizen-initiated tool; however, critics of certain initiatives and opponents of direct democracy are exploring ways to make ballot measures more difficult to pursue. These threats take a variety of forms, including litigation to challenge the process, administrative and legislative tactics to obstruct implementation of ballot-approved policies, and legislation to impose more onerous requirements on citizen-initiated ballot campaigns. This webinar discussed more about the threats to direct democracy, the impact of these threats on policies that advance health and well-being, and how health funders can support this vital tool for building community power and facilitating a healthy, thriving democracy. Speakers included Elizabeth DiLauro of the Robert Wood Johnson Foundation, Quentin Savwoir of the Ballot Initiative Strategy Center, and M'Evie Mead of Missouri Jobs with Justice.