Many of the state's female lawmakers spoke out against the bill. They say the bill goes too far and could require pregnant women to endure complicated pregnancies that pose a danger to their health.



Gov. Mike Pence has not said if he'll sign the bill.



Abortion bill Q&A



WHO WOULD BE AFFECTED?



Women would be barred from terminating a pregnancy because of a genetic abnormality. The measure also would allow doctors who perform abortions in such cases to be sued for wrongful death, or possibly face professional discipline.



Women typically are offered genetic screening for chromosomal disorders at the end of the first trimester or early in the second trimester, said Northwestern Medicine gynecologist Dr. Jessica Kiley in Chicago.



"It's offered to all pregnant women, regardless of age, in our practice," Kiley said. She said some women who learn of a genetic abnormality choose to have abortions, while others use the information to prepare during the ongoing pregnancy.



___



WHAT ELSE IS IN THE BILL?



The measure includes other provisions regulating the handling of miscarried or aborted fetuses, requiring abortion providers to cremate or bury fetuses. It would ban abortions for race, color, national origin, ancestry or gender of the fetus.



It also would make it a felony to transfer fetal tissue, a move aimed at Planned Parenthood after secretly recorded videos showed officials with the organization discussing how they sometimes supply fetal tissue to scientists.



___



HAS THIS BEEN DONE BEFORE?



North Dakota is the only state to ban abortions sought because of genetic fetal abnormalities. The state's Republican-led Legislature passed a measure in March 2013 that blocks abortions based on unwanted gender or a genetic defect.



The state's sole abortion clinic, the Red River Women's Clinic in Fargo, has said the ban doesn't affect it in part because most genetic abnormalities are not detected until after the point the clinic provides abortions.



Clinic director Tammi Kromenaker said Thursday the clinic does not perform abortions after 16 weeks of pregnancy.



"That's our doctors' preference," Kromenaker said. "After 16 weeks, it's generally a two-day procedure. Our doctors are just here for one day (a week)."



Minnesota, Oklahoma and Arizona require women to receive counseling on perinatal hospice services if they are seeking abortions because of a lethal fetal abnormality, according to the Guttmacher Institute, which supports legal access to abortion. Kansas requires counseling on perinatal hospice services before all abortions.



Perinatal hospice services include helping families deal with the grief of a miscarriage, fetal death or death of a premature infant.



___



IS IT CONSTITUTIONAL?



Critics in Indiana question whether the measure is constitutional, and even GOP House Speaker Brian Bosma said he expects a court challenge if Pence signs the bill into law. The New York-based Center for Reproductive Rights backed a lawsuit challenging the North Dakota law, but it went unresolved because the Fargo clinic decided instead to focus its fight on another abortion ban.



"The Supreme Court has consistently held that laws that ban abortion pre-viability are unconstitutional. Laws that ban abortion outright are unconstitutional. This would be a ban on abortions and therefore unconstitutional," said Kelli Garcia of the National Women's Law Center in Washington, D.C., which supports reproductive rights.



___



HOW WAS THE BILL PASSED?



The GOP-controlled House voted 60 to 40 Wednesday in favor of the bill, which already had been approved last week 37 to 13 in the Republican-dominated Senate.



Many opponents objected to the way the House went about approving the measure. An earlier version passed by the House did not include the ban, which was added in the Senate. Rather than send the bill to committee to negotiate details, GOP House leaders sent it to the floor for a vote, under a procedural maneuver that did not allow lawmakers to make changes.



The bill was opposed by many female legislators, including Republicans, who said it went too far.



"It saddens me and makes me sick to my stomach to be up here right now," Rep. Wendy McNamara, a Republican from Evansville, said during debate. "It's bills like these that make people like me really hate the system."



___



WILL THE GOVERNOR SIGN?



Pence is an anti-abortion social conservative who is facing a tough re-election in November and will have to count on his evangelical base producing a strong turnout.



But he doesn't have to sign for the measure to take effect, as any bill approved by the Indiana Legislature that goes unsigned by the governor will automatically become law. That means Pence would have to veto the bill to shut it down, which is unlikely given his faith and political stands.



(The Associated Press contributed to this story.)