Kansans decided to keep abortion protections in their state constitution after a Tuesday vote a huge win for pro-choice advocates that will likely set the tone for whats to come on abortion rights nationally.

Voters in the Midwest state voted against the Value Them Both amendment, which was created by anti-abortion Christian groups to strip protections for abortion care from the states constitution. The vote, which was held during a primary election, had a historic turnout as high as the 2008 presidential election. Voters chose to preserve abortion rights in the state by a double-digit margin.

President Joe Biden hailed the outcome in a statement late Tuesday. The Supreme Courts extreme decision to overturn Roe v. Wade put womens health and lives at risk. Tonight, the American people had something to say about it. This vote makes clear what we know: The majority of Americans agree that women should have access to abortion and should have the right to make their own health care decisions.

The amendment was proposed in response to a 2019 Kansas Supreme Court decision that ruled the states constitution fundamentally protects abortion rights.

If Value Them Both had passed, it would have opened the door for anti-abortion rights lawmakers to pursue a total abortion ban a move that many Kansas Republicans denied, but were caught on tape discussing .

The ballot initiative, which attracted national attention, was an instant uphill battle for pro-abortion rights groups in Kansas, Ashley All, from the pro-choice group Kansans for Constitutional Freedom, told HuffPost last week.