WASHINGTON (AP) – Political activists are looking to state ballot questions to move beyond “Obamacare” and refocus the nation’s long-running debate over government’s role in health care.

California voters will decide this fall whether to limit what drug companies can charge many state programs. Coloradans will vote on a state version of a “single-payer” government-run health system. That’s similar to what Vermont Sen. Bernie Sanders proposed in his unsuccessful bid for the Democratic presidential nomination.

Sanders backs both initiatives as he tries to transform his surprisingly broad Democratic primary support into a permanent political movement.

Pharmaceutical companies and insurers are spending millions of dollars to defeat the two ballot questions.

Voters in other states also are being asked to decide on health care issues, including raising tobacco taxes and approving medical marijuana.