The Supreme Court decided Tuesday not to review a ruling by Oklahoma’s highest court that requiring women to undergo a narrated ultrasound exam before obtaining an abortion is unconstitutional.

The decision marks the second time this month the nation's highest court has declined to take up a challenge to the Oklahoma Supreme Court's rulings on abortion. On Nov. 4, the court opted not to review a decision by the state Supreme Court that a major portion of Oklahoma’s restrictive abortion law is unconstitutional because it effectively bans all drug-induced abortions.