Lawmakers in the US state of West Virginia on Tuesday passed a tough law banning abortion in almost all cases. However, there are exceptions for victims in cases of sexual abuse, intercourse or the health of the mother is at risk.

A strict law prohibits abortion from a few days after conception. Abortion can be decided up to 14 weeks of pregnancy for minors who have been raped or sexually assaulted. Adults have a limit of eight weeks in the same situation.

In addition, abortion must be performed by a doctor or osteopath authorized to perform abortions. Other abortion providers may lose their work permits. They also run the risk of being jailed. Eligible doctors cannot be sued.

The legislation now goes to West Virginia Governor Jim Justice. He is expected to sign the bill.

West Virginia is the second US state to pass strict anti-abortion laws after Indiana. In June, the US Supreme Court struck down the constitutional right to abortion. Republicans hold sway in both states.