Maine’s House of Representatives approved a bill on Tuesday allowing terminally ill patients to request life-ending medications from doctors. The bill passed narrowly, by only 4 votes. This marks the state’s seventh legislative attempt to allow doctor assisted death.

Known as the Maine Death with Dignity Act, the bill would allow physicians to prescribe the drugs necessary to end a patient’s life upon request. The law would require the patient to have a terminal diagnosis and be within six months of death for eligibility.

Additional safeguards within the law would further limit the number of eligible patients. The patient must make three requests of their physician—two oral and one written. The patient must also administer/take the fatal dose themselves without physician assistance. Upon request, there will be a 15-day waiting period, in which two doctors must corroborate the patient’s eligibility.

After death, the bill would require the patient’s death certificate to show the cause of death to be the underlying terminal disease or illness.

Despite narrowly passing, the bill was a bipartisan effort whereby both Conservatives and Democrats voted in favor. The bill now moves to Maine’s Senate for further review.