Voters headed to the polls in the Midwestern US state of Kansas Tuesday to weigh in on the first major ballot on abortion since the Supreme Court ended the national right to the procedure in June. The vote is heavy with consequences for Kansans themselves, who will decide whether to remove the right to terminate a pregnancy from the traditionally conservative state’s constitution. But it is also being seen as a test case for abortion rights nationwide, as Republican-dominated legislatures rush to impose strict bans on the procedure following the Supreme Court’s decision to overturn Roe v. Wade. Other states including California and Kentucky are set to vote on the issue in November, at the same time as Congressional midterm elections in which both Republicans and Democrats hope to mobilize their supporters nationwide around the question of abortion. In Kansas, where polling stations opened at 7:00 am (1200 GMT), the ballot centers on a 2019 ruling by the state’s supreme court that guarantees access to abortion — currently up to the 22-week stage of pregnancy. In response, the Republican-dominated state legislature introduced an amendment known as “Value Them Both” that would scrap the constitutional right — with the stated aim of handing regulation of the procedure back to lawmakers. In the opposing camp, activists see the campaign as a barely masked bid to clear the way for an outright ban — one state legislator has already introduced a bill that would ban abortion without exceptions for rape, incest, or the life of the mother. For Ashley All, spokeswoman for pro-abortion rights campaign Kansans for Constitutional Freedom, the amendment would deal a blow to “personal autonomy.” Activists also complain that the phrasing of the ballot question is counterintuitive, and potentially confusing: voting “Yes” to the amendment means abortion rights being curbed, while people who wish to keep those rights intact must vote “No.” Abortion rights advocates in Kansas are looking nervously to neighboring Oklahoma and Missouri, which are among at least eight states to have passed near-total bans — the latter making no exceptions for rape or incest — while Midwestern Indiana adopted its own rigid ban on Saturday.