(AP) – Legislation that would let health care workers refuse to participate in procedures that violate their ethical or religious beliefs has been given first-round approval in the Missouri House.

The measure endorsed 116-38 on Wednesday is sponsored by Republican House Speaker Tim Jones. He says the bill protects patients in making sure they don’t have people involved in their procedures making second guesses because of their religion.

Critics argued that it would block access to health care for people, especially women.

The measure would apply to procedures such as those involving abortion-inducing drugs, artificial insemination and the withdrawal of nutrition and hydration. Religiously-affiliated hospitals would be shielded from liability for refusing medical procedures violating their religious beliefs.

It needs one more vote before moving to the Senate.