Reproductive rights are now enshrined in the state constitution, but Missouri’s main abortion provider is fighting legal hurdles to resume offering the procedure. Meanwhile, anti-abortion lawmakers strategize to prevent a return of abortion services.

The resolution, if passed by voters, would remove the provisions that were in Amendment 3 and instead allow abortion only in cases of rape, incest, medical emergencies or fetal anomalies. It would also restrict transgender youth from accessing appropriate health care.

Missouri Republicans formally began the push to reinstate a ban on abortion Tuesday night, with a proposed constitutional amendment outlawing the procedure with limited exceptions for victims rape and incest.