this initiative process, citizens can propose and vote on constitutional amendments directly, without need of legislative referral. When a sufficient number of citizens have signed a petition requesting it, a proposed constitutional amendment is then put to the vote. In the United States, while no court or legislature needs to approve a proposal or the resultant initiated constitutional amendment, such amendments may be overturned if they are challenged and a court confirms that they are unconstitutional. Most states that permit the process require a 2/3 majority vote. Not all amendments proposed will receive sufficient support to be placed on the ballot. Of the 26 proposed petitions filed in the state of Florida in its 1994 general election, only three garnered sufficient support to be put to the vote. Indirect initiated state constitutional amendment The initiative process, for proposing constitutional amendments, may also, like for state statutes, be "direct" or "indirect". Among the 18 states that provide for citizen-initiated constitutional amendments, Massachusetts and Mississippi are the only two states with indirect initiated state constitutional amendment. In Massachusetts, if enough signatures are submitted for an initiated constitutional amendment, the initiative first goes to the legislature where it must garner approval in two successive legislative sessions from one-quarter of state senators and representatives voting together in a joint session. Massachusetts is the only state to have such a requirement for initiated constitutional amendments. Before 2021 in Mississippi, if enough signatures were collected and submitted, the legislature had to either: approve the measure; ignore the measure (but it does not annul the measure, it still goes to the ballot); voting against the measure without providing for an alternative (but it does not annul the measure, it still goes to the ballot); or approve an alternative amendment to appear on the ballot alongside the original citizen proposal as a competing measure. In the cases when both of the contradicting measures were approved by voters, the measure with the most votes was the one that became law. A May 2021 decision by the Mississippi Supreme Court nullified a voter-passed initiative that permitted medical marijuana in the state, with the 6–3 majority citing a fundamental flaw in the state's constitutional process that was viewed by media as effectively banning future use of indirect initiatives in the amendment process, barring a future constitutional amendment. The indirect initiative process, added to the state's constitution in the 1990s as Article