When Amanda Saint went to vote in the 2020 election, she didn’t anticipate having any problems. For years, the 36-year-old nurse had been living and voting just outside of Huntsville, Alabama. But when Saint presented her driver’s license to the poll worker, they said it didn’t match her voter registration records. 

The reason was simple: when Saint got married in 2011, she changed her name with the Social Security Administration. They listed her as “Amanda Lenore Saint,” using her middle name. But Saint’s driver’s license says her name is “Amanda Glasscock Saint,” using her maiden name. 

Such discrepancies are relatively common. According to research from the University of Maryland, roughly 12% of Americans have a non-expired driver’s license that doesn’t list both their current address and name. 

“So I go, ‘Yeah it’s my maiden name instead of my middle name, but I’m still the same person. You saw me at the primaries when I voted. I didn’t have a problem then,’” Saint said. 

But poll workers still required Saint to vote provisionally. To this day, Saint doesn’t know if her provisional ballot was accepted. 

“I felt extremely frustrated because I’m just trying to do my civic duty,” Saint said. “I do the state elections and the primaries because they are important, and to not be able to vote in the big one except with a provisional ballot which may or may not be accepted because of a technical error that I had never dealt with? I fumed about it for months afterward.” 

Most Appalachian states require voters to present some form of ID at the polls. Within the region, Ohio, North Carolina, South Carolina and Georgia have implemented new voter ID requirements since the 2020 election, according to USA Today. But all across Appalachia, photo ID requirements of all kinds — new and old, stricter and more lenient — are deeply intertwined with a complex web of legislation, lawsuits and logistical barriers. 

The combined effect? A voting process that gets more complicated by the day. 

‘Just a form of suppression’ 

Karen Pawloski has lived in southeastern Ohio for decades. But she didn’t begin working as deputy director of the Washington County Board of Elections until January 2020 — an experience she describes as “baptism by fire.” 

Since Pawloski’s tenure began, Ohio has made significant changes to its voter ID requirements. Previously, voters could bring non-photographic documents — such as bank statements or utility bills — to the polls to prove their identities. 

“We’re trying to do as much public relations as we can and educating the voters that they do have to bring in a picture ID now,” Pawloski said. “We’re using social media, and any time I interview with the local TV station here, we try to make sure that the voters know that…Voters that come and vote every election, they’re fine. But voters that only vote during presidential years, this is something new for them.”

Ohio now has some of the country’s most stringent photo ID requirements for voters. You can’t present a student ID from a public university at the polls. Or an out-of-state driver’s license. Or an expired driver’s license or passport. Since the state made these changes in 2023, more than 8,000 Ohioans have attempted to vote and had their ballots rejected because they didn’t present an acceptable ID. 

But what counts as an “acceptable ID” varies greatly across Appalachia. Tennessee, Ohio, and South Carolina don’t allow student IDs from public universities. North Carolina does, but unlike Georgia or Mississippi, it doesn’t allow driver’s licenses that have been expired for more than a year — unless you’re 65 and older and your ID was unexpired on your 65th birthday. 

And several Appalachian states don’t accept driver’s licenses from other states — including Tennessee. This requirement frequently confuses voters, according to Christie Campion, a former poll worker from Knoxville. Home to the state’s flagship university, the Appalachian city of just under 200,000 is full of college kids, including thousands of out-of-state students. 

Campion remembers having to give a provisional ballot to a college student who came to vote with a Maryland driver’s license. Although she recommended the student obtain a Tennessee driver’s license, she recognized that the process of making it to the DMV is burdensome in itself. 

“It’s a whole effort to go and get the ID, and then you go to try and get the ID, and they’re like ‘Oh you brought the wrong piece of paper. You have to come back later,’” Campion said. “I think being so restrictive on what counts as ID is just an attempt at suppression.” 

Research from the University of Maryland found that younger voters, Black voters and Latino voters are much less likely to have a driver’s license with their current name and address — or any driver’s license at all. And studies show there is virtually no fraud taking place that could be prevented through photo ID requirements, said University of Kentucky law professor Josh Douglas via email. 

“Overall, studies show that both​ sides embellish the debate a little,” said Douglas, who specializes in election law and advised on Kentucky’s voter ID legislation. “ID laws don't improve integrity, but the amount of disenfranchisement is typically somewhat small — ​though again, that depends on the specifics of the ID law and how strict they are.”

Kentucky’s photo ID requirements are relatively lenient, compared to other Appalachian states, but lawmakers recently tried making things more stringent. State senators passed a bill early this year that would’ve removed university-issued ID cards as a primary document for voter identification. The bill never made it out of House committees. 

University IDs are also under scrutiny in nearby North Carolina. There, the state Republican Party and the Republican National Committee sued the State Board of Elections, seeking to prevent the use of digital university IDs from the University of North Carolina at Chapel Hill. A superior court judge initially denied their request, but just last Friday, a North Carolina appeals court blocked the use of the mobile UNC One Card. 

The North Carolina Republican Party and the RNC have also recently filed several other lawsuits, including one seeking to revoke the voter registrations of more than 225,000 North Carolinians. 

‘We want everybody to be as informed as they can’ 

North Carolina isn’t the only Appalachian state shaking things up at the last second. In late September, the Georgia State Election Board passed a controversial rule requiring all voting precincts to count ballots by hand on Election Day and ensure the tallies match machine counts. Back in Ohio, days after he suggested banning ballot drop boxes entirely, Secretary of State Frank LaRose issued a new directive in early September, limiting their use. 

Now, if someone delivers an elderly or disabled voter’s ballot to a drop box, they have to physically enter the county board of elections office and sign a form. County board of elections officials have expressed concerns that this will create longer lines on Election Day. 

But amid a flurry of proposed and enacted changes, multiple organizations working on turnout in Appalachian Ohio aren’t sharing their personal opinions regarding voter ID. They’re too busy sharing information with voters. 

“I think our biggest concern when it went into effect was this education piece, ” said Adriane Mohlenkamp, co-president of the League of Women Voters of Athens County. “We were hoping to see some statewide wide-scale education efforts, and I know there's been some efforts around education, but it has not been maybe as robust as we would’ve hoped for.”

Lack of education is a big issue when it comes to voter ID. Fifty-five percent of people living in states with photo ID requirements either think they aren’t in place or don’t know if they are, according to research from the University of Maryland. Among voters aged 18 to 29, nearly 66 percent aren’t sure if photo ID is required — a particular concern in Athens County, home to more than 21,000 students attending Ohio University. 

Over the past several months, Mohlenkamp and the rest of her team have registered plenty of college students — and voters of all ages. They’ve written letters to the editor, posted on Facebook, done interviews with local newspapers and distributed non-partisan voter information cards at libraries. 

And on Ohio University’s campus, students are running their own initiatives to get their peers to the polls. In his capacity as the Student Senate’s Governmental Affairs Commissioner, sophomore Donald Theisen and his senators have spent hours passing out registration forms, preparing slideshows and participating in election-related events, including a recent debate watch party. Theisen wouldn't share his personal opinions on changes to Ohio election law. But he’s feeling pretty optimistic about Election Day. 

“My job is to represent everybody on the campus regardless of how they may feel — whether they may lean left or right, whether they support or disavow the most recent changes to the law,” Theisen said. “Our job is to get everybody engaged in the process, trying to get it so that everybody can be registered and vote as easily as possible. We want everybody to be as informed as they can, and I think that the turnout at OU is gonna be pretty good.”