Ohio’s new constitutional projections for abortion access and other reproductive rights are supposed to take effect Dec. 7, a month after voters resoundingly passed them. That prospect seems increasingly uncertain.

Existing abortion-related lawsuits are moving again through the courts now that voters have decided the issue, raising questions about how and when the amendment will be implemented.

The amendment declared an individual’s right to “make and carry out one’s own reproductive decisions” and passed with a strong 57% majority. It was the seventh straight victory in statewide votes for supporters of abortion access nationally since the U.S. Supreme Court overturned constitutional protections.

But the amendment did not repeal any existing Ohio laws, providing an opening for Republican elected officials and anti-abortion groups to renew their efforts to halt, delay or significantly water it down.