Despite pleas from Democrats and gut-wrenching testimony from doctors and rape survivors, a GOP-controlled legislative committee rejected a bill Tuesday that would have added cases of rape and incest as exceptions to Louisiana’s abortion ban.

Democratic state Rep. Delisha Boyd is fighting an uphill battle in her attempt to pass a bill that would exempt cases of rape and incest from Louisiana’s near-total abortion ban

They also voted down three measures aimed at clarifying language in state law to give doctors protections for treating certain pregnancy and medical complications.

Louisiana lawmakers Tuesday closed the door on rape and incest abortion exceptions for pregnant children for at least another year and also rejected efforts to add protections for doctors from prosecution and clarifications for medically futile pregnancies.