France’s lower house of parliament approves a bill that would create a legal right to assisted dying for certain adults with incurable illnesses, moving the country closer to joining nations that permit the practice. The measure, championed by President Emmanuel Macron—who pledged it after his 2022 re-election—has faced intense political and ethical debate. Reporting describes strong opposition, particularly from France’s right, including lawmakers associated with the parties that dominate the Senate.

According to multiple outlets, the law sets strict eligibility conditions. It is aimed at adults with an incurable condition experiencing physical pain. Patients must be capable of making a free and informed decision. A physician verifies eligibility, after which a panel checks whether criteria are met, while the doctor makes the decision. The patient administers a lethal substance themselves, with exceptions for people who cannot physically be assisted by a health worker.

Outlets also report that after the bill’s earlier rejection by the Senate, the government allows the lower house to have the final say under the constitution. Prime Minister Sebastien Lecornu asks France’s highest constitutional authority to review the text, and the legislation will not become law unless that approval is granted.