Declaring Lubbock a "sanctuary city" for the unborn, voters have approved a local ban on almost all abortions, and the Texas legislature is considering a law to bar the procedure as early as six weeks into a pregnancy.
Lubbock, home to some 260,000 people, is the 25th such "sanctuary city" - all but two in Texas - to have banned abortions in the last two years.
Drucilla Tigner, a policy and advocacy strategist for ACLU-Texas, said most other towns that had passed similar sanctuary city measures had populations of a few hundred or thousand, and often had no medical providers whatsoever let alone one that provided abortions, as Lubbock did.
The Lubbock ordinance bans abortion in all cases except when a woman's life is in danger. It also allows any private citizen of Texas and also the family member of any woman who has an abortion to sue the provider or anyone who assisted.
Nearly 63 percent of votes cast in the 1 May election supported Lubbock's abortion measure, the county elections office said. Turnout was 22.6 percent. The measure was expected to take effect once the official tally was complete, which could take up to a month.
The American Civil Liberties Union (ACLU) on Monday said it was weighing legal measures, calling the Lubbock vote unconstitutional and detrimental to women's health.
The ACLU last year sued other such "sanctuary cities" in Texas. That lawsuit was dropped after the ordinances were changed to remove wording that labeled two reproductive rights groups as criminal organisations.
Lubbock is a medical hub for 1 million people in West Texas. The ordinance "has a huge impact on not just the people of Lubbock, but that entire region," Tigner said.
Planned Parenthood, which last year reopened a clinic in Lubbock, said in a written statement that it "will follow legal restrictions as required".
A woman's right to have an abortion through the first trimester of pregnancy was protected nationally in 1973, following the Supreme Court's landmark 7-2 ruling in Roe v Wade.
Abortion fights at the local level have heated up since the Supreme Court attained a 6-3 conservative majority under former President Donald Trump. If Roe v Wade is overturned, abortion would be governed by state and local law.
Jim Baxa, whose West Texas for Life was among the organisations that got the ordinance before voters, said his bigger goal was to see Texas ban abortions at the state level.
Baxa said West Texas for Life got the "sanctuary city" idea after seeing similar measures pass in east Texas two years ago. After the Lubbock city council unanimously rejected the measure as violating state and federal law, West Texas for Life collected enough petition signatures to force a vote.
The Texas Senate in March approved five bills restricting abortion - including one that would ban abortion as soon as a fetal heartbeat is detected, as early as six weeks in some pregnancies. The Texas House is expected to take up the measures later this week.
- Reuters