WASHINGTON (AP) — Republicans have won House approval for a 20-week abortion ban after dropping rape provisions that were opposed by GOP women, forcing party leaders to rewrite the measure.

The near party-line 242-184 vote marked a victory for conservatives and anti-abortion organizations. But the path to passage also showed how hard it will be for the GOP to satisfy such groups while retaining support from women in the 2016 elections.

Erased from the bill was language allowing abortions for rape victims who’d reported the attack to police. Instead, the measure requires them to receive counseling or medical care at least 48 hours before an abortion.

Republican women rebelled against the initial legislation, forcing party leaders to abruptly cancel a January vote on it.