The Alabama House of Representatives passed legislation on Tuesday that would tighten regulations for abortion clinics in a move critics say could force many in the state to close.

The Republican-controlled House approved the bill in a 73-23 vote. The bill now moves to the Senate, which also has a Republican majority, for consideration.

The bill, called The Women’s Health and Safety Act, would mandate that an Alabama-licensed physician be present at every abortion and those doctors would be required to have admitting privileges at local hospitals.

In Mississippi, the state’s lone abortion clinic has filed a lawsuit to halt a new state law similar to the bill passed in Alabama, arguing it is unconstitutional and saying it will eventually lead to its closure.

More: Alabama House Passes Bill Tightening Restrictions on Abortion Clinics