Illinois could soon join a growing list of states where terminally ill patients would be allowed to take life-ending medication prescribed by a doctor.

The Illinois Senate narrowly approved the “medical aid in dying” legislation in October, after the Illinois House passed it in May, and the legislation is now sitting on Gov. JB Pritzker’s desk.

Pritzker has not said if he’ll sign it, and the controversial legislation has people on both sides trying to bend the governor’s ear.

Medical aid in dying, also called assisted suicide or dying with dignity, is legal in 12 states, with eight others considering similar legislation.

If Pritzker allows the “End-of-Life Options for Terminally Ill Patients Act” passed by the Illinois General Assembly to become law, Illinois could be the first state in the Midwest to allow medical aid in dying.

Suzy Flack, whose son Andrew died of cancer, is among the advocates urging the governor to sign the bill.

Diagnosed with terminal cancer in 2017 in his home state of Illinois, three years later Andrew moved to California, where medical aid in dying is legal, and chose to end his life in 2022.

“He died on his own terms, peacefully. We were all there to see it and embrace him at that moment, and it was really a beautiful thing,” Suzy said. “His last words were, ‘I’m happy. Please sign this. Allow people in Illinois this option.’”

Illinois is on the brink of joining a growing number of states that allow doctors to prescribe a mixture of lethal medication for terminally ill patients.

Outside the governor’s Chicago office on Thursday, many disability advocates, religious leaders, lawmakers, and doctors have called on Pritzker to veto the bill that would legalize what they call state-sanctioned suicide

“The question becomes where do you draw the line in the medical ethics dilemmas?” one physician who identified himself as Dr. Pete said. “We don’t need to go to this crossing of a red line of actually providing a means to directly end life.”

Republican Illinois state Sen. Chris Balkema said he “would really appreciate it if the governor would veto this bill.”

“My plea is that we veto this; come back with language that is constructive on both sides,” he said.

Pritzker has he is reviewing the legislation and is listening to advocates on both sides before deciding whether to sign it.

“It’s a hard issue, and I don’t want anybody to think making up your mind about this is very easy. It’s not. There’s a lot to consider, but most of all it’s about compassion,” he said. “There’s evidence and information on both sides that leads me to think seriously about what direction to go.”

The Illinois legislation would require two doctors to determine that a patient has a terminal disease and will die within six months. The medication provided to terminally ill patients would need to be requested both orally and in written form, and would have to be self-administered. 

The bill was sent to Pritzker on Nov. 25, and he has 60 days from then to either sign it, amend it and send it back to lawmakers, veto it, or allow it to become law without his signature.

Indiana Republicans have defied intense pressure from President Donald Trump by rejecting his demands that they pass a voting map meant to favour their party in next year’s midterm elections.

In one of the most conservative states in the US, 21 Republicans in the Senate joined all 10 Democrats to torpedo the redistricting plan by a vote of 31-19. The new map passed the House last week.

If it had cleared the legislature, Republicans could have flipped the only two Democratic-held congressional seats in the state.

Trump’s call for Republican state leaders to redraw maps and help the party keep its congressional majority in Washington next year has triggered gerrymandering battles nationwide.

Republican-led Texas and Democratic-led California, two of the country’s largest states, have led the charge.

Other states where redistricting efforts have been initiated or passed include Utah, Ohio, New Hampshire, Missouri and Illinois.

Republican state Senator Spencer Deery said ahead of Thursday’s vote: “My opposition to mid-cycle gerrymandering is not in contrast to my conservative principles, my opposition is driven by them.

“As long as I have breath, I will use my voice to resist a federal government that attempts to bully, direct, and control this state or any state. Giving the federal government more power is not conservative.”

Indiana Governor Mike Braun, a Republican, said he was “very disappointed” in the outcome.

“I will be working with the President to challenge these people who do not represent the best interests of Hoosiers,” he said on X, using a popular nickname for people from the Midwestern state.

The revolt of Indiana Republicans came after direct months of lobbying from the White House.

On Wednesday, Trump warned on his social media platform Truth Social that Republicans who did not support the initiative could risk losing their seats.

He directly addressed the Republican leader of the state Senate, Rodric Bray, calling him “the only person in the United States of America who is against Republicans picking up extra seats”.

To liberals, it was a moment of celebration. Keith “Wildstyle” Paschall described the mood on Thursday as “jubilant”.

“There’s a lot of relief,” the Indianapolis-based activist told the BBC. “People had thought that we would have to move on to a legal strategy and didn’t believe we could defeat it directly at the statehouse.”

The new map would have redistricted parts of Indianapolis and potentially led to the ouster of Indiana’s lone black House representative, André Carson.

In the weeks before Thursday’s vote, Trump hosted Indiana lawmakers at the White House to win over holdouts.

He also dispatched Vice-President JD Vance down to Indiana twice to shore up support.

Nearly a dozen Indiana Republican lawmakers have said they were targeted with death threats and swatting attacks over the planned vote.

Ultimately, this redistricting plan fell flat in another setback for Trump following a string of recent Democratic wins in off-year elections.

The defeat appears to have added to Republican concerns.

“We have a huge problem,” said former White House chief strategist Steve Bannon during his podcast, The War Room.

“People have to realise that we only have a couple opportunities,” he said.

“If we don’t get a net 10 pickup in the redistricting wars, it’s going to be enormously hard, if not impossible, to hold the House.”

Texas was the first state to respond to Trump’s redistricting request.

After a lower court blocked the maps for being drawn illegally based on race, the Supreme Court allowed Texas Republicans to go ahead.

The decision was a major win for Republicans, with the new maps expected to add five seats in their favour.

California’s map is also expected to add five seats for Democrats.

While Iowa women’s wrestling rolled Grand View, 32-10, on Dec. 11 at Waukee Northwest High School, the Vikings provided a worthy challenge in Central Iowa.