Texas law bans abortion, except when a doctor, in their “reasonable medical judgment,” believes it is necessary to save the life or protect the health of the pregnant patient. Doctors have struggled to know when they can safely intervene without risking their medical license, as well as potentially up to life in prison and a $100,000 fine.

The guidance was criticized as both overly vague and overly prescriptive. At a stakeholder meeting in May, Steve Bresnen said the board shouldn’t “be afraid to start with a blank slate.”