With a vote of 293 to 18, the Spanish House of Representatives rejected a proposal by left wing lawmakers to modify the Penal Code and health laws and decriminalize euthanasia in Spain.

Leftist lawmakers sought to make “exempt from punishment” anyone who “permits, provides or facilitates another person’s death with dignity or without pain.”

Although the proposal did not pass, it could be taken up again with the Spanish government initiates a review of the Penal Code, which has been overdue since 1995.