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CNN — 

A key vote on the Women’s Health Protection Act, a Democrat-led bill aimed at preserving access to abortion nationwide, failed in the Senate on Wednesday.

The vote comes as the US Supreme Court may be poised to overturn the landmark 1973 Roe v. Wade ruling, as indicated by a leaked draft opinion.

The final tally was 49 to 51 with moderate Democrat, Sen. Joe Manchin of West Virginia, joining with Republicans to vote against the measure and stop it from advancing.