If the state Senate passes the bill on Thursday as expected, Democratic Governor Roy Cooper will almost certainly veto it.
Under the North Carolina proposal, elective abortions after the first trimester would be banned except in instances of rape, incest, life-limiting fetal anomalies and medical emergencies.
Key to the North Carolina House Republicans' veto-proof majority is former Democratic state Representative Tricia Cotham, who in April changed her party affiliation to Republican.
Abortions in North Carolina rose by 37%, more than any other state, in the first two months after the Supreme Court revoked federal abortion rights in June 2022, according to a study by the Society of Family Planning, a nonprofit organization that promotes abortion rights and research.
In the six months after the ruling, there were 3,978 monthly abortions on average in North Carolina, up 788 from the average in the two months beforehand, the society said.