A Texas midwife has been arrested on accusations of providing illegal abortions, becoming the first person to be criminally charged under the state’s near-total abortion ban.

A midwife in Texas could face up to 20 years in prison for providing reproductive health care in the state, which has one of the nation’s strictest abortion bans. The arrest of Maria Margarita Rojas marks the first criminal case against an alleged abortion provider in Texas since the fall of Roe v.

Maria Margarita Rojas, 48, was charged with performing abortions and practicing medicine without a license at several clinics in the Houston area.