The ruling upended reproductive rights in Missouri just months after voters approved an amendment to protect abortion access.

The Missouri Supreme Court has temporarily blocked access to abortion in the state, despite a new amendment to the State Constitution, passed by voters, that ensures such access. The court’s ruling on Tuesday lifted an injunction by a circuit judge who had found that some state laws regulating abortion access could undermine the new amendment.

The Missouri Supreme Court has halted abortion access in the state for now, upending a constitutional amendment that voters put in place last year and delivering a “devastating” setback for patients in need of immediate abortion care,