by Kavitha Surana and Cassandra Jaramillo

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Texas Republicans have proposed changes to the state’s strict abortion ban they say would make clear that doctors can terminate pregnancies for serious medical risks without having to wait until a patient’s condition becomes life-threatening.

The legislation comes in response to a ProPublica investigation last fall that revealed how three Texas women died after they did not receive critical procedures during miscarriages. The reporting added to the testimonies and reports of dozens of women denied care during pregnancy complications and led to a statewide reckoning on the dire effects of the law.

The bill, which will have its first committee hearing in the state Senate today, represents a remarkable reversal for Republican leaders who had for years insisted no changes were needed. It was written by state Sen. Bryan Hughes, the author of the original ban who said just four months ago that exceptions for medical emergencies were “plenty clear.” Texas’ governor and lieutenant governor have signaled support for the bill.

It is part of a wave of legislation responding to public pressure after ProPublica’s reporting revealed preventable maternal deaths in states with abortion bans. Bills that have the most traction have been filed and championed by the same Republicans who passed the bans and they have earned a mixed reception.

A bill in Kentucky, for instance, has drawn alarms from critics who cast it as a Trojan horse. It creates modest exceptions to the state’s near-total ban while redefining abortion in a way that advocates fear could greatly restrict patients’ access to critical procedures even in emergencies. Democratic Gov. Andy Beshear vetoed the bill Tuesday, saying it failed to protect women or even clarify the state’s law, an action Republicans could vote to override this week.

The Texas bill however, has broader support and was written in consultation with Democrats, major anti-abortion groups, the Texas Hospital Association and the Texas Medical Association.

Some legal experts and reproductive health care advocates are calling it a significant step forward in a Republican-led state that has shown every sign of clamping down in support of its strict laws, even in the face of public outcry.

“We wish there was a lot more in the bill, but nothing that’s in the bill is bad,” said Bee Moorhead, executive director with Texas Impact, an interfaith-based coalition that sent 6,000 postcards to lawmakers, demanding change after ProPublica’s reporting.

“The basic point is that there are people who would die if this bill doesn’t pass, who would not die if it does pass,” she said.

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