South Dakota voters will decide on abortion rights this fall, getting a chance at direct democracy on the contentious issue in a conservative state where a trigger law banning nearly all abortions went into effect after Roe v. Wade was overturned.

The state’s top election official announced Thursday that about 85% of the more than 55,000 signatures submitted in support of the ballot initiative are valid, exceeding the required 35,017 signatures.

Voters will vote up or down on prohibiting the state from regulating abortion before the end of the first trimester and allowing the state to regulate abortion after the second trimester, except when necessary to preserve the life or physical or emotional health of a pregnant woman.

Dakotans for Health, which sponsored the amendment, said in a statement Thursday that the signatures’ validation “certified that the people of South Dakota, not the politicians in Pierre, will be the ones to decide whether to restore Roe v. Wade as the law of South Dakota.”

Abortion rights are also on the ballot in Florida, Maryland and New York, and advocates are still working toward that goal in states including Arizona, Montana and Nebraska in the aftermath of the U.S. Supreme Court’s 2022 reversal of Roe.

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Voters of seven other states have already approved abortion access in ballot measures, including four that wrote abortion rights into their constitution.

South Dakota outlaws all abortions, except to save the life of the mother.

Despite securing language on the ballot, abortion rights advocates in South Dakota face an uphill battle to success in November. Republican lawmakers strongly oppose the measure, and a major abortion rights advocate has said it doesn’t support it.

The American Civil Liberties Union of South Dakota warned when the signatures were submitted that the language as written doesn’t convey the strongest legal standard for courts to evaluate abortion laws and could risk being symbolic only.

Life Defense Fund, a group organized against the initiative, said they will continue to research the signatures.

Opponents still have 30 days — until June 17 — to file a challenge with the secretary of state’s office.

“We are grateful to the many dedicated volunteers who have put in countless hours, and we are resolute in our mission to defend unborn babies,” co-chairs Leslee Unruh and state Rep. Jon Hansen said in a statement.

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Dura reported from Bismarck, North Dakota. AP writer Hannah Fingerhut contributed from Oakland, New Jersey.