Missouri lawmakers on Wednesday tripled the time a woman must wait to get an abortion, making its new 72-hour waiting period the nation’s second-strictest.

Only South Dakota and Utah  have equally long waits. South Dakota’s is the strictest, as it excludes weekends and holidays from the wait and contains no exceptions for rape or incest. Missouri’s law, which will go into effect 30 days from Wednesday’s vote, according to the Associated Press, also contains no exception for rape or incest. Utah’s does.

Wednesday’s vote was just one of the 47 veto overrides during this September legislative session. In his veto of the abortion bill in July, Gov. Jay Nixon (D) said that because of its lack of rape or incest exceptions, it “demonstrates a callous disregard for women who find themselves in horrific circumstances.” An amendment that would have included such an exception was voted down  this year.

The measure passed by wide margins in both chambers. The House voted 117 to 44, while senators used a rare procedural move to shut down Democratic debate, ultimately voting 23 to 7 for the override, AP reported. A two-thirds majority was required to pass it.

A Planned Parenthood clinic in St. Louis is the state’s only abortion provider. Neighboring Iowa, Illinois and Tennessee do not impose waiting periods, according to the reproductive rights-focused Guttmacher Institute. Arkansas, Kansas, Kentucky, Nebraska and Oklahoma do.

Of the nation’s 26 state waiting periods, 11 require in-person counseling, meaning women must make two trips to a clinic. The wait is 18 hours in Indiana, one full day in 20 states, two days in Alabama (effective in May) and three days in South Dakota, Utah and, now, Mississippi. In Arkansas, there is no strict hourly requirement; women must wait until the next day to get a procedure. Waiting periods in Massachusetts and Montana are not enforced by court order.

In five states, women are told that personhood begins at conception and in 12 they are told that fetuses feel pain, an assertion disputed by the American Congress of Obstetricians and Gynecologists.